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Suggest dosage for thyroid medication

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Posted on Tue, 16 Aug 2016
Question: Hi doctor manisha! I tried messaging you from our chat yesterday but it showed it didn't go through. However good news! Wanted to tell you that I am pregnant! Alhamdullilah thanks so much for all your help. And the doctor did a urine examination and the urine was abit yellow so she said to drink lots of water and she gave me anti biotics. She also told me to start having folic acid.
Do I need to increase my thyroid dosage?
doctor
Answered by Dr. Manisha Jain (2 hours later)
Brief Answer:
Precautions advised

Detailed Answer:
Hello dear, many many congratulations.
I'm so happy for you and wish you a healthy pregnancy.
Yes definitely start folic acid tablet and get all the routine antenatal investigations done including TSH.
Dose titration of thyroid will be done accordingly.
Take a lot of rest for good growth of the baby
Take milk, almonds, walnuts and proteins in good amount.
Protein rich foods are - all types of non vegetarian options, milk products and pulses.
Take a lot of care and in case you need any advice I'm there always.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (20 minutes later)
I'm going tomorrow for a thyroid test I will send u results next week. And u can advice me how much dosage I must increase.


Thanks so much doctor. Yes I will have milk with almonds cooked together and please if u can tell me what to avoid and what to eat . And should I start having pregnancare?
doctor
Answered by Dr. Manisha Jain (5 hours later)
Brief Answer:
Yes.

Detailed Answer:
yes. you can update your thyroid report anytime. keep taking Folic acid as advised ' .just avoid Papaya and pineapple. have enough green leafy veggies. regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (15 hours later)
Will I need to do a test of t3 t4 and tsh?
Currently I'm taking 75 mg. I'm going now to do the tests. And il show u the results in a few days when they come. Thanks doctor.

I'm having avacado, and a juice containing beetroot, carrots and apple.
doctor
Answered by Dr. Manisha Jain (20 hours later)
Brief Answer:
Get thyroid profile done

Detailed Answer:
Yes dear get whole thyroid profile done and then we can discuss further management.
You can keep taking the juices, they are good and take good diet too.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Manisha Jain (2 hours later)
Ok great! Will send u the profile this weekend. By the way since I found out I'm pregnant every morning and evening my system has opened up and I go to the loo like its diarreha its watery I don't go often to use it but using the loo is not like constipation it's like watery and all loose. Is that normal?

This morning in about 2 hours Iv been to the loo three times like dihareea and it's mostly loss of water. I'm drinking water to replace it so I don't become dehyradated
doctor
Answered by Dr. Manisha Jain (2 hours later)
Brief Answer:
Keep drinking loads of water

Detailed Answer:
Yes dear, you are doing the right thing by drinking loads of water to keep pace with hydration.
Have you eaten anything from outside?
Was passage of stools associated with pain abdomen also?
Waiting for your response
Regards
Dr Manisha
Above answer was peer-reviewed by : Dr. Priyanka G Raj
doctor
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Follow up: Dr. Manisha Jain (5 hours later)
No no pain just dihareea. There's no pain but I'm loosing a lot of water. I'm replacing a lot of water I'm just worried I hope nothing goes wrong
doctor
Answered by Dr. Manisha Jain (38 minutes later)
Brief Answer:
It will subside soon

Detailed Answer:
No dear, in case there is no pain just relax and take a lot water and also take curd or buttermilk with every meal.
You will feel better by tomorrow but in case frequency of stools increase or stays this way only then visit your doctor for evaluation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (1 hour later)
Ok is diharea a bad thing? I'm kind of worried hope it's not anything threatening.
doctor
Answered by Dr. Manisha Jain (5 minutes later)
Brief Answer:
Common in pregnancy

Detailed Answer:
Contipattion and diarrhoea are common in pregnancy but the problems are mainly seen when either the patient is why'd rated or there starts pain abdomen because of the diarrhoea which can increase the chances of abortion.
So just take care of that part and rest will be fine
All the best my dear
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (14 minutes later)
I read some online forums and it says it's a type of morning sickness so yeah. I'm kind of worried.
doctor
Answered by Dr. Manisha Jain (5 minutes later)
Brief Answer:
Not at all

Detailed Answer:
No dear, not really.
It is just an expression of increased hormone activity and body's reaction to the same.
Don't be anxious and just feel happy and enjoy this wonderful feeling.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Manisha Jain

OBGYN

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Suggest dosage for thyroid medication

Brief Answer: Precautions advised Detailed Answer: Hello dear, many many congratulations. I'm so happy for you and wish you a healthy pregnancy. Yes definitely start folic acid tablet and get all the routine antenatal investigations done including TSH. Dose titration of thyroid will be done accordingly. Take a lot of rest for good growth of the baby Take milk, almonds, walnuts and proteins in good amount. Protein rich foods are - all types of non vegetarian options, milk products and pulses. Take a lot of care and in case you need any advice I'm there always.