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Suggest Treatment For Hyperthyroidism During Pregnancy
Brief Answer:
excess dose
Detailed Answer:
Hello sir, thanks for trusting health care magic.
Her TSH report is suggestive of hyperthyroid status and implies that the dose of thyroxine she has been taking is more than required.
I would like to know if her dose has been recently accelerated or if she is experiencing symptoms like -
- excess sweating
- diarrhea
- trembling hands or
- palpitations.
In case she has any such symptoms just let me know in following conversation.
Take care.
excess dose
Detailed Answer:
Hello sir, thanks for trusting health care magic.
Her TSH report is suggestive of hyperthyroid status and implies that the dose of thyroxine she has been taking is more than required.
I would like to know if her dose has been recently accelerated or if she is experiencing symptoms like -
- excess sweating
- diarrhea
- trembling hands or
- palpitations.
In case she has any such symptoms just let me know in following conversation.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
she is taking 125 mg since last 2.5 months and sometimes she feels paplitations....his previous reports when she was 24 weeks pregnant was like this...tsh:-0.11 and t4:-14.28....so the dr suggested the same 125 mg tablets...
Brief Answer:
scanned report needed
Detailed Answer:
Hello sir, can you please send me the scanned reports of both 24 week and 28 week.
And I would like to know if she was taking thyroxine before 24 weeks?
I'm concerned because in my opinion the prescription is wrong in the first place when she was given thyroxine on TSH report of 0.11 because normal values of TSH in pregnancy are 0.4- 2.5 IU.
I would like to have a quick feedback from you so that I can guide you at the earliest because the reports stated by you are suggestive of the fact that she is going into hyperthyroidism which is not good in pregnancy.
Waiting for your response.
scanned report needed
Detailed Answer:
Hello sir, can you please send me the scanned reports of both 24 week and 28 week.
And I would like to know if she was taking thyroxine before 24 weeks?
I'm concerned because in my opinion the prescription is wrong in the first place when she was given thyroxine on TSH report of 0.11 because normal values of TSH in pregnancy are 0.4- 2.5 IU.
I would like to have a quick feedback from you so that I can guide you at the earliest because the reports stated by you are suggestive of the fact that she is going into hyperthyroidism which is not good in pregnancy.
Waiting for your response.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
actually her treatment was started in january her reports was like this tsh:-64 and t4:-5.91...and dr suggested to take thyronorm 50 mg once a day...and then after one month she got pregnant and dr said to take 100 mg once a day....and after that in the next report tsh was 1 80... some time she take 100 mg...and now from around 2.5 month she is taking 125 mg...
Brief Answer:
100 ug suitable dose
Detailed Answer:
Hello sir after reading the sequence of events I would recommend her to take 100 ug of thyroxine instead of 125 ug and also get TPO antibody levels tested to see for autoimmune disorder of thyroid gland.
Also after getting the report visit an endocrinologist and discuss the case so that he can examine her and see for signs of hyperthyroid status and keep a regular follow up as recommended by him.
Thyroid levels are maintained by this titration method only so regular follow up has paramount importance.
In case you have other questions in furure you can contact me directly on http://bit.ly/drmanishajain
100 ug suitable dose
Detailed Answer:
Hello sir after reading the sequence of events I would recommend her to take 100 ug of thyroxine instead of 125 ug and also get TPO antibody levels tested to see for autoimmune disorder of thyroid gland.
Also after getting the report visit an endocrinologist and discuss the case so that he can examine her and see for signs of hyperthyroid status and keep a regular follow up as recommended by him.
Thyroid levels are maintained by this titration method only so regular follow up has paramount importance.
In case you have other questions in furure you can contact me directly on http://bit.ly/drmanishajain
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
is that everything is fine ...i hope my wife and child will not get any complications during or after pregnancy...and also hoping that she will deliver a healthy child...thanks dr....
Brief Answer:
proper dose titration needed
Detailed Answer:
Hi, till now everything is fine but proper titration of dose is very important for smooth delivery of baby.
There is not going to be any harm as of now but in case she stays uncontrolled in terms of thyroid hormone levels then she will suffer during labor and immediately after delivery.
So visit an endocrinologist as soon as possible.
Till then she should take 100 ug of thyroxine.
Take care.
proper dose titration needed
Detailed Answer:
Hi, till now everything is fine but proper titration of dose is very important for smooth delivery of baby.
There is not going to be any harm as of now but in case she stays uncontrolled in terms of thyroid hormone levels then she will suffer during labor and immediately after delivery.
So visit an endocrinologist as soon as possible.
Till then she should take 100 ug of thyroxine.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hello dr..yesterday i visited my wifes endocrinologist and he suggested her to take 100 mg of thyronorm for one month...i am sending u all her reports and dr priscription...plzz check them all...and reply me...
Brief Answer:
Satisfied with 100 ug
Detailed Answer:
Hello sir, good to see you again.
im satisfied because i also wanted 100 ug dose for your wife.
But there are no attached reports with your follow up.
I would like to go through them and looking forward for your reply.
Satisfied with 100 ug
Detailed Answer:
Hello sir, good to see you again.
im satisfied because i also wanted 100 ug dose for your wife.
But there are no attached reports with your follow up.
I would like to go through them and looking forward for your reply.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
i am attaching them once more hope this time it will work...
Brief Answer:
No reports attached
Detailed Answer:
Hi sir i think you are not able to attach the reports but using your follow up chances each time. So i will suggest you to write the report and send it in next follow up. waiting for your reply but take your time in writing it down properly.
No reports attached
Detailed Answer:
Hi sir i think you are not able to attach the reports but using your follow up chances each time. So i will suggest you to write the report and send it in next follow up. waiting for your reply but take your time in writing it down properly.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
date 7/02/14 report ...t3 total:-1.27,t4 total:-5.80,tsh serum:-64.35...dr prescribed 100 mg thyronorm once a day...date 20/03/14 report...t4:-11.82 ,tsh:-1.350....dr presceibed 100 mg....date 24/05/14 report....t4:-7.42, tsh:-0.847...dr prescribed 125 mg...date 9/07/14 reports...t4:-14.82, tsh:-0.1...dr prescribed 125 mg...date 13/08/14 reports...t3:-1.91, t4:-28.00, tsh:-0.06...dr prescribed 100 mg....dr plzz tell me everything is fine..?....
Brief Answer:
all fine
Detailed Answer:
After reading all the reports it's clear that she is fine and her deranged thyroid hormone levels were all due to the escalation of dose from 100 to 125 ug.
Since you have switched back to 100 ug her thyroid hormone levels will be fine soon and all you need now is to repeat the hormone levels after 4 weeks from now and we can discuss it then.
Take care and relax now there us nothing to worru
In case you have other questions you can contact me directly on http://bit.ly/drmanishajain.
all fine
Detailed Answer:
After reading all the reports it's clear that she is fine and her deranged thyroid hormone levels were all due to the escalation of dose from 100 to 125 ug.
Since you have switched back to 100 ug her thyroid hormone levels will be fine soon and all you need now is to repeat the hormone levels after 4 weeks from now and we can discuss it then.
Take care and relax now there us nothing to worru
In case you have other questions you can contact me directly on http://bit.ly/drmanishajain.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thanks dr...i m just concerned abt my baby's health...plzz tell me that all these should affect my baby health...i just hoping a healthy baby...?...and my wife should b fine....any cimplications...i will contact u after 4 weeks...thanks
Brief Answer:
everything is fine
Detailed Answer:
No sir hopefully everything will be normal baby will be safe because bad effects of thyroid hormone are more in early months of pregnancy.
Moreover hyperthyroidism is not very bad for babu in utero as it only causes harmful effects during the time of labor.
And drug induced hyperthyroidism has a better prognosis than spontaneous hyperthyroidism.
Just ask her to keep taking her medicine daily and keep a regular follow up with your doctor.
Wish her the best of health and may god bless you with a healthy baby soon.
everything is fine
Detailed Answer:
No sir hopefully everything will be normal baby will be safe because bad effects of thyroid hormone are more in early months of pregnancy.
Moreover hyperthyroidism is not very bad for babu in utero as it only causes harmful effects during the time of labor.
And drug induced hyperthyroidism has a better prognosis than spontaneous hyperthyroidism.
Just ask her to keep taking her medicine daily and keep a regular follow up with your doctor.
Wish her the best of health and may god bless you with a healthy baby soon.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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