Hyperthyroidism

[Alonso90]

Hi,
I’m nineteen and I was diagnosed with hyperthyroidism 4 months ago. I had an I-131 treatment - I believe it was 7 mCi- and was told to stop taking thyrozol since it wasn’t necessary anymore. I had a blood test taken one month ago and came out: TSH 600, and Antithyroglobulin 265. I was told to take Propylthiouracil 100mg three times per day and propranolol 20 mg.  

Although the blood test shows I still have hyperthyroidism, I have the opposite symptoms. I have recovered and gained weight, I do not feel warm anymore, and I’m hyper for a while but then I feel tired.
I’m planning on getting my blood tested again to see if there’s been a changed and see an endocrinologist.

What kind of scares me is that my throat it’s been bothering me for a while and that my mom was diagnosed with the same but it was later found it was lymphoma cancer.
So, I am wondering if my blood test results are really bad and if my case could become cancer

Thanks in advance

[Mark Lupo, M.D.]

If the TSH is 600 - this means severe hypothyroidism -- and the need to take levothyroxine replacement.  This would explain your symptoms.
PTU is an anti-thyroid medication -- which would not be helpful for hypothyroidism.
From these numbers, the I-131 "knocked out" your thyroid and now you are hypothyroid.

[GravesGirl]

Hi! You need  "Free" t-4 and T-3 tests to see where your thyroid hormones are now. Are you sure your tsh is 600?Maybe it's 6.0? Even so you are HYPO thyroid now, according to your tsh. Antithyrglobulin is an antibody test, and is usually found hIgh in Hashi's patients but Graves have them too.It doesn't really prove Graves. That's A tsi test. How so you feel?

[GravesGirl]

Sorry, that's "so how are you feeling?"

[Alonso90]

that's weird. looks like I accidentally erased part of it. It is:
TSH 600
Antithyroglobulin Ab:  265

My throat keeps bothering me and I feel a bit tire.
Thanks

[Alonso90]

That's not correct. For some reason, it doesn't show the data I typed.
t4 is14.2, tsh is 600, and Antithyroglobulin 265

[stella5349]

I really think its possible there is an error on the TSH lab sheet - or you may be missing a decimal point.

My thoughts would be

.600
6.0
60.0

Are you sure this is a 6 0 0 . tsh? It would be very odd that after a TSH of 600 a licensed doctor would continue you on a PTU - anti-thyroid medication.

Something has to be off with the way this is being communicated.  Unless the blood test shows a decimal (.) point in front of your TSH - you would not be hypER thyroid - you would be hypo and discontinuing ANTi thyroid meds would be done and Levothyroxine or desiccated thyroid would be used to stabilze your hormones.

There are many antibody testing available to determine autoimmune disease w/thyroid

Common tests are:

TPOab - Hashimoto
Tgab

TSI - Graves

You only say "antibody" tests were done. Which one?

If you are certain these are correct labs and your doctor is still administering PTU's you need to go back to that office - preferrably with a family advocant and re examine your treatment plan. Then if still continued - get a second opinion as soon as possible.

[GravesGirl]

I agree with Stella,Go back to the doc with a parent or older person that can ask the doctor about these results and what they mean.