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Suggest Treatment For Elevated TSH Levels
Question: I have been diagonsed with 3 nodules in the thyroid
-RY lobe 2 nodules siza are (1.19 and 0.79) and (0.52 * 0.42)
-RT lobe one nodule size 1.28* 0.62
There is mild increase in the internal vasculaity of both lobes
No soft tissue
My TSH is 15.3
T4 is 7.5
What is the correct diagnose and treatement required
-RY lobe 2 nodules siza are (1.19 and 0.79) and (0.52 * 0.42)
-RT lobe one nodule size 1.28* 0.62
There is mild increase in the internal vasculaity of both lobes
No soft tissue
My TSH is 15.3
T4 is 7.5
What is the correct diagnose and treatement required
Brief Answer:
Thyroid
Detailed Answer:
I have noted your thyroid nodules and lab results.
The elevated TSH requires further assessment in the form of thyroid auto-antibody testing to see if you have a permanently underactive thyroid condition called hypothyroidism ,necessitating treatment with thyroid medication.
Next you need to be examined comprehensively regarding the thyroid nodules. A fine needle aspiration biopsy can be considered.
You need a thorough in-person consultation with a qualified endocrinologist. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day
Thyroid
Detailed Answer:
I have noted your thyroid nodules and lab results.
The elevated TSH requires further assessment in the form of thyroid auto-antibody testing to see if you have a permanently underactive thyroid condition called hypothyroidism ,necessitating treatment with thyroid medication.
Next you need to be examined comprehensively regarding the thyroid nodules. A fine needle aspiration biopsy can be considered.
You need a thorough in-person consultation with a qualified endocrinologist. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dose these primary result indicate csncerous nodules
Brief Answer:
Follow up
Detailed Answer:
Based on the information you have provided , it is not possible to tell if it is cancerous. That is why I recommended further testing
Follow up
Detailed Answer:
Based on the information you have provided , it is not possible to tell if it is cancerous. That is why I recommended further testing
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Second follow up
Detailed Answer:
In this case it is quite likely you have a permanently underactive thyroid condition and that you will likely benefit from a medication called levo thyroxine.
However the final decision will be made by the endocrinologist you see in-person. Sometimes 'pseudo-nodules' are seen in this condition on ultrasound. This determination is also possible by following up regularly with an endocrinologist
Second follow up
Detailed Answer:
In this case it is quite likely you have a permanently underactive thyroid condition and that you will likely benefit from a medication called levo thyroxine.
However the final decision will be made by the endocrinologist you see in-person. Sometimes 'pseudo-nodules' are seen in this condition on ultrasound. This determination is also possible by following up regularly with an endocrinologist
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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