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Thyroid (Expert Forum)
??hypothyroidism
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).
??hypothyroidism
by Jaff1, Oct 20, 2005 12:00AM
Hi all. Going through checks at the moment for thyroid diorder, was told by GP's receptionist this am that blood results were "normal" (again). Appointment also arrived this am seeing endo on 12th Dec.
Prob came to a head Jan 2005 when my GP diagnosed me with acute thyroiditis, Obvious goitre. ultrasound showed obvious protrudance of thyroid but no disruption of function. Blood results normal. Krabb test normal.
Symptoms continued on and off since then,(all symptems of hypothyroid)
now struggling to cope, so tired, my neck hurts (discomfort more than pain), I keep losing my voice or going hoarse, my get up and go has definately got up and gone, I used to be so full of energy.
I work as an A&E nurse on long shifts and my days off now just seem to be to recharged for the next lot of shifts...
Sorry I'm rambling, found your site today and couldn't believe there were other people out there going through the same. I could weep>> (again)
My Gp told me I had exhausted his knowledge!!!! hence referral to endo..
Sympathetic friend suggested that perhaps I was just cold cause I lived in Scotland !!!!!!!!!!!!
Thanks for letting me ramble, will keep in touch.
Prob came to a head Jan 2005 when my GP diagnosed me with acute thyroiditis, Obvious goitre. ultrasound showed obvious protrudance of thyroid but no disruption of function. Blood results normal. Krabb test normal.
Symptoms continued on and off since then,(all symptems of hypothyroid)
now struggling to cope, so tired, my neck hurts (discomfort more than pain), I keep losing my voice or going hoarse, my get up and go has definately got up and gone, I used to be so full of energy.
I work as an A&E nurse on long shifts and my days off now just seem to be to recharged for the next lot of shifts...
Sorry I'm rambling, found your site today and couldn't believe there were other people out there going through the same. I could weep>> (again)
My Gp told me I had exhausted his knowledge!!!! hence referral to endo..
Sympathetic friend suggested that perhaps I was just cold cause I lived in Scotland !!!!!!!!!!!!
Thanks for letting me ramble, will keep in touch.
Doctor's Answer
by Mark Lupo, M.D., Oct 20, 2005 12:00AM
, Oct 20, 2005 12:00AM
Most people recover from subacute thyroiditis -- would check your thyroid antibodies. If ultrasound shows a nodule, would biopsy it. If the thyroid labs are normal - pay particular attention to TSH which should be 0.4-2.0 - then the function is most likely fine.
I was told "normal" for over 15 years before finally being diagnosed with Hashimoto's/hypo. I have permanent damage in certain areas from being untreated for so long. Basically, the docs ruined my health because they did not believe me when I told them I was sure I had thyroid problems when I would go in and ask to be tested because of my numerous hypo symptoms, and even later, known family history.
First of all, the new recommended top end of the range in the US is 3, but not sure what it is in Scotland. But I would get a copy of your labs and find out what your TSH was as that would be quite helpful. Also the range there.
Secondly, I would ask for thyroid antibody testing. If you have Hashimoto's Disease (autoimmune thyroid disease) you may be having problems even if the thyroid labs are in range.
Thirdly, and I don't know how this is done in Scotland - but knowing the actual thyroid hormones (TSH is a pituitary hormone that direct the thyroid) could be a good indicator for you if they are low in range. The best labs for this would be Free T4 and Free T3, the storage thyroid hormone and active thyroid hormone.
Don't settle for "normal" - my experience is that perhaps normal is not.
Thank you for being here!!