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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hypothyroidism, Fatigue, Ultrasound Shows Coarse Heterogeneous Texture. Body Pain

I have hypothyroidism , I take 88mcg daily. I have had a benign nodule removed and half my thyroid and the bridge part removed about 4 yr ago. Feeling fatigue and run down the past month. Went and had a ultrsound done and waiting to see thyroid specialest. Findings of Ultrasound are: 1. Nonvisualization of the right lobe compatible with surgical history. 2. Left lobe has a markedly coarse heterogeneous echotexture without discrete mass lesion . There may be mildly prominent lymph nodes below the level of the thyroid gland . My body hurts all over. I feel like I am in a brain fog and just waiting and waiting. ugg
Mon, 8 Oct 2012
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Internal Medicine Specialist 's  Response
Hi Fulton,
Welcome to Healthcare Magic!
The texture of the thyroid as seen in the ultrasound is not normal.
You might be suffering some autoimmune damage of the thyroid gland which is making you feel sick.
It is good that you are going to see a thyroid specialist, get advised work up which would be helpful in further management.
Probably as the first thing, you would need to escalate the dose of the thyroxine further.
I hope the advise would be helpful for you.
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Hypothyroidism, Fatigue, Ultrasound Shows Coarse Heterogeneous Texture. Body Pain

Hi Fulton, Welcome to Healthcare Magic! The texture of the thyroid as seen in the ultrasound is not normal. You might be suffering some autoimmune damage of the thyroid gland which is making you feel sick. It is good that you are going to see a thyroid specialist, get advised work up which would be helpful in further management. Probably as the first thing, you would need to escalate the dose of the thyroxine further. I hope the advise would be helpful for you.