What causes high protein in urine and elevated liver enzymes?
SGPT/SGOT and Urine protein may be due to SLE
Noted your concern.
Lupus ( SLE) can cause number of problems which may affec liver/kidey/joints/skin etc. Hence Urine proteins and altered liver functions can be explained. However, a biospy may be required to confirm lupus nehritis ( involvement of kidneys).
Hashimoto's disease can cause hypothyroidism and you didnt provide a thyroid function test unfortunately.You may also get nodules in hashimoto's disease.
Fibromyalgia is diagnosed when someone present with bodypain and joint pains after ruling out all other possible causes.
Good day. Sorry for the delay in response. Was pretty busy in hospital. Anti TPO and Anti TG antibodies are high. You have mentioned that there are many nodules in neck. How big are they?? Anti TPO and Anti TG would go with a diagnosis of hashimoto's thyroiditis. However, we need to do a TSH and Free T4 and only then a treatment can be decided.
Your endocrinologist have ruled out Adrenal fatigue.
The proteins in urine could be from stones itself ( if your urologist is confident that there is no Lupus).
Ketones in urine could be due to dehydration.
Please relax. I think you must meet the endocrinologist and discuss further
Always busy at the hospital! Yes the Endo ruled out adrenal fatigue, other Dr had me do a spit test, and said my cortisol is peaking at 7pm, why my sleep is a mess? I'm looking for a new Endo Dr now. I've had kidney stones since early 20s, I drink water all day, that urologist said my oxulate level is 4 times the normal. No other test have been done. I can never catch them. Drs can't agree on Lupus or Hashimoto's. My T4, Free (direct) was .95 ng/dl, TSH 2.460uIU/mL. These test are from April. The RA Dr forgot to copy the last 2 pages of my test report. Since I sleep during the day, I can't get there. I try to flip flop my sleep by doing an all day stay awake ha ha.
Thank you for your responses! Forgot the nodules are to small to biopsy, I just have a lot on one side of my thyroid. Cyst 4mm on the right side of my thyroid
Repeat TSH and Free T4 after 5-6 months
If the nodules are smaller than 1 cm and if the ultrasound shows no suspicious features of malignancy, please do not worry. No need of FNAC.
Your Ft4 and TSH are normal. So now you have hashimoto's thyroiditis, but no hypothyroidism. Thyroiditis will also explain the nodules in thyroid.
However, since the Anti TPO and Anti TG are high, it is better to repeat Thyroid functions ( Ft4 and TSH) after 5-6 months , as there are chances of developing hypothyroidism in the future.
I hope your new Endo doctor will be able to deal in a better way. Wish you good health
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