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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Inactive Thyroid

I have had an inactive thyroid for many years. The doc put me on meds and kept track of it over the yrs. I just went to get checked the other day and I guess it is very low. The doc thought there was an error at the lab the reading was so low. I had to go back and recheck with the same results. The doc upped my dose and I need to recheck in 6 weeks. My question is why such a drastic change all of a sudden?
Mon, 3 Jul 2017
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  Anonymous's Response
's  Response
thanks for asking
few questions
*When was first noticed?
*Has it increased in size since then?
Any recent increase in size?
*Do you have any breathing difficulty/ swallowing difficulty or any voice change?
*Any history of weight loss/palpitations/ tremors/diarrhea?
*Any associated weight gain/ hairloss/ tiredness/ constipation?
*Any history of recurrent fever / thyroid pain/ eye pain / bulging eye ball/ tiredness?
*Periods- is it regular?
*How is your quality of life?
*Any family history of thyroid disease/ goiter or thyroid malignancy?
*Are you diabetic/ hypertensive?
*Do you have raised cholesterol?
first of all you need to be a little clear as to what test was low and what medication you were put on because there are 3 test with thyroid
TSH
T3
T4
thyroid problems occur with combination of these tests
if TSH low T3 and T4 high- it's thyrotoxicosis
if TSH high T3 and T4 low-its hypothyroidism
if TSH high only - hypothyroidism
treatment for hypothyroidism is only required if TSH is more than 10 unless in pregnancy where the TSH should be less than 2.5
if TSH is low only it's subclinical toxicity

treatment for thyrotoxicosis with antithyroid drugs is only required when thyrotoxicosis persists for more than 6 weeks with long duration symptoms or unless proven earlier with uptake scan.

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Suggest Treatment For Inactive Thyroid

thanks for asking few questions *When was first noticed? *Has it increased in size since then? Any recent increase in size? *Do you have any breathing difficulty/ swallowing difficulty or any voice change? *Any history of weight loss/palpitations/ tremors/diarrhea? *Any associated weight gain/ hairloss/ tiredness/ constipation? *Any history of recurrent fever / thyroid pain/ eye pain / bulging eye ball/ tiredness? *Periods- is it regular? *How is your quality of life? *Any family history of thyroid disease/ goiter or thyroid malignancy? *Are you diabetic/ hypertensive? *Do you have raised cholesterol? first of all you need to be a little clear as to what test was low and what medication you were put on because there are 3 test with thyroid TSH T3 T4 thyroid problems occur with combination of these tests if TSH low T3 and T4 high- it s thyrotoxicosis if TSH high T3 and T4 low-its hypothyroidism if TSH high only - hypothyroidism treatment for hypothyroidism is only required if TSH is more than 10 unless in pregnancy where the TSH should be less than 2.5 if TSH is low only it s subclinical toxicity treatment for thyrotoxicosis with antithyroid drugs is only required when thyrotoxicosis persists for more than 6 weeks with long duration symptoms or unless proven earlier with uptake scan.