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Thyroid (Expert Forum)
DOCTOR ON FORUM QUESTIONS FOR YOU.
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Dr. Mark Lupo. Topics covered include goiter, graves disease, Hashimoto's thyroiditis, hyperthyroid, hypothyroid, thyroid cancers, thyroiditis, and thyroid stimulating hormone (TSH).
DOCTOR ON FORUM QUESTIONS FOR YOU.
by tnt406, Sep 14, 2005 12:00AM
HI DR.MARK,I HAVE SOME QUESTIONS FOR YOU AGAIN.MY NEW DOCTOR WANTED ME TO SEE MY NEUROLOGIST,BECAUSE OF MY STROKE.HE SAID IT WAS VERY UNCOMMON FOR A WOMAN OF 33 TO HAVE A STROKE.I SAW MY NEUROLOGIST ON MONDAY.SEE IS CHECKING MY THYROID AGAIN AND MY PARATHYROID.SHE SAID SOMETHING ABOUT HYPERPARATHYROIDISM,AND CALCIUM BUILD UP,BREAKING AWAY TO MY STROKE.I HAVE SWOLLEN LYMHP NODES THEY HAVE BEEN SWOLLEN SINCE LAST YEAR,I HAVE TAKEN DIFFERENT TYPES OF ANTIBIOTICS.AMOXICILIN 1000MGS,AUGMENTIN2000MGS,AMOXICILIN 2000MGS.THEY ARE SORE TO THE TOUCH.SHE'S ALL SO CHECKING MY CHOLESTEROL AND TRIGLYCERIDES ALONG WITH OTHERS.I WAS WANTING TO KNOW IS IT POSSIBLE FOR CALCIUM DEPOSITS IN THE BLOOD TO CAUSE A STROKE?SHE IS ALL SO THINKING IT CAN STILL BE MY MY THYROID,BECAUSE OF MY HAIR LOSS,AND WEIGHT GAIN SINCE THE LAST TIME I SAW HER.MY BODY TEMPERATURE IS ALL WAYS LOW ALL SO WHEN SHE CHECKS IT.SHE SAID MY BODY TEMPERATURE IS SUPPOSE TO BE 98.6,BUT IT USUALLY RUNS BETWEEN 97.0 OR 96.8.AND I AM CONSTANTLY COLD.MY FEET SWELL AND HANDS.I JUST WANTED SOME OF YOUR ADVICE ALL SO THANKS IN ADVANCE.TNT406
Doctor's Answer
by Mark Lupo, M.D., Sep 17, 2005 12:00AM
, Sep 17, 2005 12:00AM
Strokes can be due to calcium build-up in the arteries (atherosclerosis) but it is very unusual at your age - parathyroid problems do NOT usually do this. Checking the parathyroid is easy with a blood test.
More common cause of stroke in a young person is a blood clotting problem. Labs such as Factor V Leiden, Protein C & S, ANA, Lupus anticoagulants, Anti-phospholipid and Cardiolipin antibodies and others can be done to identify a condition that would lead to excess blood clotting. An ultrasound of the heart and carotid arteries should also be done.
Thyroid needs to be regulated (keep TSH around 0.5-1.5). The temperature of 98.6 should not be thought of as the only "normal number" - the range is 96.5-99.5 roughly based on newer publications.
The lymph nodes - if not responding to antibiotics, may need further evaluation such as biopsy. It is unlikely (but possible) to have signiicant lymph nodes due to hashimotos. I think you have multiple thyroid "cysts" if I recall previous postings - perhaps a biopsy of the larger or more solid areas should be considered.
Good Luck.
More common cause of stroke in a young person is a blood clotting problem. Labs such as Factor V Leiden, Protein C & S, ANA, Lupus anticoagulants, Anti-phospholipid and Cardiolipin antibodies and others can be done to identify a condition that would lead to excess blood clotting. An ultrasound of the heart and carotid arteries should also be done.
Thyroid needs to be regulated (keep TSH around 0.5-1.5). The temperature of 98.6 should not be thought of as the only "normal number" - the range is 96.5-99.5 roughly based on newer publications.
The lymph nodes - if not responding to antibiotics, may need further evaluation such as biopsy. It is unlikely (but possible) to have signiicant lymph nodes due to hashimotos. I think you have multiple thyroid "cysts" if I recall previous postings - perhaps a biopsy of the larger or more solid areas should be considered.
Good Luck.
Member Comments (4)
by fatfuzzyfrazzled, Sep 14, 2005 12:00AM
I read recently online tnt that low thyroid can cause heart risks/build up of cholesterol which can cause angina/narrowing of heart arteries which can lead to stroke and heart disease. i did a search on google "thyroid and heart disease" AND it brought up lots of stuff. my temp 1st thing in am w/out activitiy was 97. you definately are low thyroid. an awesome book to check out is feeling fat fuzzy and frazzled by dr shames. i read something about nitroglicerin med for heart/angina. how do you know you had a stroke?
by fatfuzzyfrazzled, Sep 14, 2005 12:00AM
To: tnt
see above comment
by tnt406, Sep 15, 2005 12:00AM
To: FATFUZZYFRAZZLED
HI I MY HAD STROKE ON SEPTEMBER 3rd,THE DAY MY PASSED AWAY.I BLACKED OUT IN HIS ROOM.AT FIRST THEY THOUGHT IT WAS MY BLOOD CLOT BLEEDING.I ALL SO HAVE A 6 CENTIMETER BLOOD CLOT ON MY BRAIN.I HAD A CAT SCAN AND MRI DONE,BOTH SHOWED THE SAME RESULTS.THE STROKE HAPPENED ON THE LEFT SIDE OF MT BRAIN,THATS WHERE MY BLOOD CLOT IS.I HAVE HAD BLOOD WORK DONE,I HAVE HAD MY CHOLESTEROL,MY PARATHYROID,THYROID TSH,FREE T3 AND FREE T4 CHECKED.I AM GOING TO GET THE RESULTS NEXT WEEK.MY NUEROLOGIST IS ONE WHO ORDERED MY BLOOD TESTS,SHE WANTS TO FIND OUT AS SOON AS POSSIBLE,BEFORE I HAVE ANOTHER STROKE.SHE SAID I WAS VERY LUCKY THAT THIS STROKE DIDN'T OCCUR WHERE MY BLOOD CLOT WAS,IF IT HAD OF, I WOULD HAVE DIED.THAT IS WHY I AM TRYING TO FIND OUT AS MUCH AS I CAN ON MY OWN,I AM ONLY 33 YEARS OLD.I HAVE 3 WONDERFUL CHILDREN AND I WANT TO WATCH THEM GROW UP.THANK YOU FOR THE INFORMATION YOU GAVE ME,I TRULY APPRECIATE FROM THE BOTTOM OF MY HEART.GOD BLESS YOU.TNT406
