Bloodwk says very very mild hyperthyroid/ultrasound shows slightly elevted thyroid

[JBSRI]

Over the past six years, I've had slightly above normal hyperthyroid blood tests here and there, followed by total normal reads. Less than 10% high, most recently 2 weeks ago-- borderlinehigh/normal.

Doc sent me in for ultrasound, last week which showed, and I quote: "slightly inflamed thyroid" No nodules etc. Given referral to ENDO next month. Doc plays it as much ado about nothing.

Symtoms are not typical for what I read hyperthyroid to be. Biggest complaint: Hand and foot, leg cramping, and, this may be me being crazy--very slightly blue fingers and toes during morning and night.

I had just gotten through an extremely stressful period during the winter and just completeled diagnositic tests on GI issues as part of turning 41. All well.

Anyway, aside from the cramping, I don't have fast heart rate, sleep like a baby, great appitite, weight normal, good energy etc.

Your thoughts? Suggestion of treatment, or let it go away?

Thanks;

[Mark Lupo, M.D.]

The Endo should eval for thyroid antibodies - I am not sure if 'above normal' means high TSH or that the thyroid function is high -- ie, lowish TSH.  In either case, with the US 'inflamed' description this is likely autoimmune thyroid disease and the endo should help sort out what is going on and if treatment is needed.

[JBSRI]

Thyroglobulin antibodies  256 H
T-4 Free                         1.0
TSH                               6.43 H


Ultrasound results verbatum

Clinical Indication: Hyperthyroidism.

Findings: The right lobe of the thyroid gland is normal in size measuring 4.6 x 1.5 x 1.8 cm. There is mild heterogeneous echotexture without discrete nodule.

The left lobe of the thyroid gland is normal in size measuring 5.1 x 1.9 x. 1.7. There is mild heterogeneous echotexture without discrete nodule.

There is mild prominence of the thyroid isthmus that measures 5.8 mm in AP dimention.

IMpression: Slightly heterogeneous appearance of the thyroid gland with mild prominence of thyroid isthmus. The findings are nonspecific but could represent early manifestations of the thyroid goiter. developing thyroiditis could present in similar fashion. Clinical correction is suggested and if indicated, further investigation with radionuclide throid image uptake and scan could also be of additional use.

Symptoms:

Cramping in hands and feet, back, legs, wrists
aches and pains
occasional heart skips one or two.
don't like wearing neckties Never have, but thought I'd throw it in.

sleep great
appitite great
good energy

Should I let this episode pass and monitor it, or do I have hyperthyroidism related to a specific chronic condition? Graves etc?

Can't seee an ENDO for a month anyway, so I have time.  

Again: Should I wait this out, as my weight has not decreased, n