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What Do These Following Lab Reports Indicate?

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Posted on Wed, 12 Apr 2017
Question: From some days i was feeling problem with my speech as it was slightly slurred and my right hand was feeling weak and numb with some finger coordination problem . Initially i thought it can be Multiple sclerosis as i have health anxiety but MRI shown no lesions and my brain was normal.But my blood test showed increased tsh levels but normal t3 and T3 77.4ng/dl T49.5 and tsh 6.28 . I am attaching my RA factor test and anti TPO test report as suspected autoimmune diseases after increased tsh levels.? Can you tell me what my test report is saying ? Is it temporary hypothyroidism or hashimoto? Do i have autoimmune disorder or i am at increased risk?
doctor
Answered by Dr. Prof. Kunal Saha (8 hours later)
Brief Answer:
Reports are normal

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. However, I think that you are being unnecessarily apprehensive. If you let the internet guide you, one thing that it does not make you aware of is the scale. On the internet, unless a scale is mentioned, the picture of a bacteria (bacterium) could be of the same size as the largest mountain. If you attribute equal weightage to both, you are just getting misguided. In real life, a bacteria will never be of the same size as the largest mountain. The same holds for the health diagnoses you mention. You are unable to distinguish between what is probable and what is not. Medical professionals take years to master that. I would insist you to rely on medical personnel and their opinion for health problems.

Your report of Anti-TPO as well as Anti-Rheumatoid factor are normal. It does not indicate temporary hypothyroidism or hashimoto. Why would you unnecessarily consider yourself at increased risk or to have an autoimmune disorder? Rather, if you have any specific complaints do let me know and I will try to guide you accordingly towards resolution.

Feel free to write back.

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Prof. Kunal Saha (2 hours later)
Thanks sir for answering,actually the thing is that my tsh levels in the test were beyond normal range mentioned in the report so I got worried . Sir can you tell me why is it happening or is it normal to have slightly higher tsh ? What foods can I eat to improve my thyroid health if tsh levels are not normal ? Actually I feel apprehensive due to symptoms such as weakness in hands ,shaking body and slightly slurred speech but couldn't find any reason? I have had health anxiety issues but I don't if these symptoms are due to health anxiety?
doctor
Answered by Dr. Prof. Kunal Saha (14 hours later)
Brief Answer:
Thyroxine supplementation is essential.

Detailed Answer:
Thanks for writing back. The elevation of TSH indicates hypothyroidism which occurs when the thyroid gland is not adequately functioning and requires additional stimulation in the form of TSH. You need thyroxine supplementation and dietary modification would not be adequate. Your symptoms could be due to hypothyroidism and supplementation of thyroxine should help in their resolution. Anxiety could indeed be a contributory factor. Discuss with your doctor for prescription of long term anxiolytics like fluoxetine.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Prof. Kunal Saha (39 hours later)
I understood you sir but that means that I have to take thyroxin for the rest of my life?sir can you tell me about symptoms such as slurred speech and lack of strength in right hand are symptoms of hypothyroidism or is this due to something else ? These thyroid problems started to me after episodes of adrenal fatigue and indigestion is there a connection?
doctor
Answered by Dr. Prof. Kunal Saha (8 hours later)
Brief Answer:
No need to panic

Detailed Answer:
Thanks for writing back. "Rest of the life" is a long time and it is not advisable to speculate. Moreover, for the rest of your life you need to keep eating your food, continue to breathe air etc. Are you worried about that or plan to somehow stop those? If not, do not bother about thyroxine. If your body needs it and cannot supply it adequately, you need to procure it from outside. The side effects of NOT taking thyroxine would be much more and so I would rather avoid answering that question.

What you inferred as adrenal fatigue could have connections with hypothyroidism.

Regards
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. Prasad
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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What Do These Following Lab Reports Indicate?

Brief Answer: Reports are normal Detailed Answer: Thanks for asking on HealthcareMagic. I have gone carefully through your query and understand your concerns. However, I think that you are being unnecessarily apprehensive. If you let the internet guide you, one thing that it does not make you aware of is the scale. On the internet, unless a scale is mentioned, the picture of a bacteria (bacterium) could be of the same size as the largest mountain. If you attribute equal weightage to both, you are just getting misguided. In real life, a bacteria will never be of the same size as the largest mountain. The same holds for the health diagnoses you mention. You are unable to distinguish between what is probable and what is not. Medical professionals take years to master that. I would insist you to rely on medical personnel and their opinion for health problems. Your report of Anti-TPO as well as Anti-Rheumatoid factor are normal. It does not indicate temporary hypothyroidism or hashimoto. Why would you unnecessarily consider yourself at increased risk or to have an autoimmune disorder? Rather, if you have any specific complaints do let me know and I will try to guide you accordingly towards resolution. Feel free to write back. Regards