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Suggest Treatment For Elevated TSH Levels
Question: sir,I am 53 years i have recently had test which says Thyroid stimulating hormone value observed is 7.98uIU/ML iam suffering from head to left side of the shoulder and back pain.plz suggest as i am male and have to go regularly to job.
Brief Answer:
2 conditions possibly simultaneously
Detailed Answer:
Hi XXXXXXX
I am Dr Mittal
I think I may have the solution to your problems.
There seems to be two problems you are facing
1. Hypothyroidism. Your TSH is raised. So its likely that your thyroid hormones are not getting secreted appropriately. The solution is to start Thyroid replacement (Thyronorm.Eltroxin 25) once daily on empty stomach. This medicine will need to be continued regularly. And repeat thyroid function tests in 3 months. (The dose may be different if you are already on the medication for thyroid). The dose may be adjusted thereafter as per the report.
2. Cervical spondylosis: Your headache, shoulder pain and back pain sound like the effects of spondylosis. I will suggest the x rays of the cervical spine and lumboasacral spine. These will help us confirm the diagnosis. If we get a positive result, a prescription of pregabalin and methylcobalamin XXXXXXX be needed along with effective physiotherapy.
Best of luck
Dr Mittal
2 conditions possibly simultaneously
Detailed Answer:
Hi XXXXXXX
I am Dr Mittal
I think I may have the solution to your problems.
There seems to be two problems you are facing
1. Hypothyroidism. Your TSH is raised. So its likely that your thyroid hormones are not getting secreted appropriately. The solution is to start Thyroid replacement (Thyronorm.Eltroxin 25) once daily on empty stomach. This medicine will need to be continued regularly. And repeat thyroid function tests in 3 months. (The dose may be different if you are already on the medication for thyroid). The dose may be adjusted thereafter as per the report.
2. Cervical spondylosis: Your headache, shoulder pain and back pain sound like the effects of spondylosis. I will suggest the x rays of the cervical spine and lumboasacral spine. These will help us confirm the diagnosis. If we get a positive result, a prescription of pregabalin and methylcobalamin XXXXXXX be needed along with effective physiotherapy.
Best of luck
Dr Mittal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
consulted my physcian he gave MECOBALAMIN INJ 500mcg 1ml (6 injections)for alternative daya & X RAY ALSO SUGGESTED
Brief Answer:
Tabs of methylcobal may be taken
Detailed Answer:
I will still suggest thyroid replacement
Of course x ray was suggested by me too
As for Inj Mecobalamin, you may take the same medicine in tablet form too
Only it will have to be taken for a longer duration
Best of luck
Dr Mittal
Tabs of methylcobal may be taken
Detailed Answer:
I will still suggest thyroid replacement
Of course x ray was suggested by me too
As for Inj Mecobalamin, you may take the same medicine in tablet form too
Only it will have to be taken for a longer duration
Best of luck
Dr Mittal
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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