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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Suggested Treatment For Hyperthyroidism?

Hi I have a pt 25 y.o. with 2 weeks history of hand tremor and palpitation. And calf pain, I check her thyroid function. TSH is 0.57 (0.35-5.5), T3 is 0.69 (0.6-1.81) and T4 is 1.32(0.7-1.85). Do you think her symptom is due to hyperthyroidism? Can I start her on carbimazole 5mg OD? no thyroid enlargement
Fri, 5 Sep 2014
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Internal Medicine Specialist,  's  Response
Hello,

I understand your symptoms. These can be due to Hyperthyroidism as you might have learned from searching the internet. But your thyroid function tests are normal which rules out the thyrotoxicosis.
I would like to know whether you get these when you are facing a stressful situation. If so then it is an exaggerated response of normal sympathetic activity due to the stress hormones. Try relaxation, meditation, yoga etc. If these are not helpful, I could suggest a medication normally given to my patients with such problems and they are often relieved.
If you have further queries, I shall be happy to answer.
Good day!
Dr. Noble Zachariah
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What Is The Suggested Treatment For Hyperthyroidism?

Hello, I understand your symptoms. These can be due to Hyperthyroidism as you might have learned from searching the internet. But your thyroid function tests are normal which rules out the thyrotoxicosis. I would like to know whether you get these when you are facing a stressful situation. If so then it is an exaggerated response of normal sympathetic activity due to the stress hormones. Try relaxation, meditation, yoga etc. If these are not helpful, I could suggest a medication normally given to my patients with such problems and they are often relieved. If you have further queries, I shall be happy to answer. Good day! Dr. Noble Zachariah