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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Mild Subclinical Hyperthyroidism
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 Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.
Mild Subclinical Hyperthyroidism
by HandsomeAndy, Nov 06, 2009 12:18PM
Hey Doc,
In the past year I have had to get my gall bladder removed due to digestive problems that would send me to the hospital for over a week. These episodes would make me unable to eat or drink fluids the entire time. I would be belching vomit and heaving burps. However, after removal of myall bladder theisodes of illness have not been as severe, yet now my illness is more frequent and troublesome. I have stomach pain, no appetite (when I do eat I have pain in my bowels followed by agonizing bathroom usage), trouble sleeping, intolerance to cold, extreme sweating while I sleep (I have to change the sheets in the middle of the night), fatigue, and anxiety. This is all day-to-day. After all the endoscopies, allergy tests, blood tests, and abdominal CTs/MRIs, all I have been diagnosed with is mild subclinical hyperthyroidism. Can I relate these symptoms to my thyroid or should I start looking torwards my pituitary or hypothalamus? Maybe you have another idea? I appreciate any assistance you have to offer. Thanks
In the past year I have had to get my gall bladder removed due to digestive problems that would send me to the hospital for over a week. These episodes would make me unable to eat or drink fluids the entire time. I would be belching vomit and heaving burps. However, after removal of myall bladder theisodes of illness have not been as severe, yet now my illness is more frequent and troublesome. I have stomach pain, no appetite (when I do eat I have pain in my bowels followed by agonizing bathroom usage), trouble sleeping, intolerance to cold, extreme sweating while I sleep (I have to change the sheets in the middle of the night), fatigue, and anxiety. This is all day-to-day. After all the endoscopies, allergy tests, blood tests, and abdominal CTs/MRIs, all I have been diagnosed with is mild subclinical hyperthyroidism. Can I relate these symptoms to my thyroid or should I start looking torwards my pituitary or hypothalamus? Maybe you have another idea? I appreciate any assistance you have to offer. Thanks
Doctor's Answer
by Mark Lupo, M.D., Nov 07, 2009 07:48AM
, Nov 07, 2009 07:48AM
Mild subclinical hyper is not likely to explain all this.
Would consider an endocrine consult to determine why the TSH is slightly low and if that may point to a pituitary problem (again, not likely).
Sometimes the TSH can be slightly low due to other illness ("non-thyroid illness") and repeat TSH in 6 weeks shows normalization --- that may be what is happening here.
Other times, when there is no clear answer and the TSH is consistently low, we treat to normalize it to see if the other symptoms improve.
Would consider an endocrine consult to determine why the TSH is slightly low and if that may point to a pituitary problem (again, not likely).
Sometimes the TSH can be slightly low due to other illness ("non-thyroid illness") and repeat TSH in 6 weeks shows normalization --- that may be what is happening here.
Other times, when there is no clear answer and the TSH is consistently low, we treat to normalize it to see if the other symptoms improve.
Member Comments (2)
by HandsomeAndy, Nov 07, 2009 10:14AM
thanks doc
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