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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Slightly Elevated TSH in my 2 year old
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.
Slightly Elevated TSH in my 2 year old
by JellaDom, Oct 15, 2008 02:08PM
My 2 year old son had some bloodwork ordered due to constipation issues. The docs have been reassuring me the constipation is normal for a 2 year old. The labs came back showing a TSH of 5.32, but doc says it's not hypothyroidism and we will re-check in 6 mos. Should I be concerned with this and get a 2nd opinion?
Doctor's Answer
by Mark Lupo, M.D., Oct 17, 2008 06:57AM
, Oct 17, 2008 06:57AMRelated discussions
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Constipation is not normal in a two year old, or anyone who is active (what 2 year old isn't), and has a healthy diet with plenty of fluids and fibre.
A TSH of 5.32 is slightly high. Would be marginal on whether this could be considered hypothyroid or not. Does he have any other 'symptoms' other than constipation.
However, I would definitely have the TSH monitored sooner than 6 months. Maybe 3 months to see what the pattern is.... They should also test his FT3, FT4 and antibodies... if things are changing, getting worse then probably treatment could be considered....
... a low dose of thyroid meds with appropriate monitoring is quite safe and may be helpful.
A second opinion definitely won't hurt. Maybe a paediatric endocrinologist?
Hope this helps.
Sally