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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
multinodular goiter- norm levels- thyroid symptoms
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.
multinodular goiter- norm levels- thyroid symptoms
by beccanbellesmom, Mar 20, 2006 12:00AM
History:
1998- 3rd trimes fluid, bp changes-not preclamsia
2000-lap due to rq pain-found adenomyosis&2 spots endometreosis-/IBS had colonoscopy-diverticulosis throughout colon gastro said congenital had antibiotic colitis aftr meds frm surgery took vancomycin-
2001- 2nd preg- low progesterone-cream till 12 wks lost wght quickly after birth-hormonal flucs
2002 bc pills-fluid on ankles,hands,knees went off of all-had anxiety/pms obgyn diag PMDD gave me Zoloft 25 mg
I have been on zoloft since 2002-wght gain of 3 lbs yr- &lots of fluid, constip,dry hair,high cholest-frm 200 in 2001 to 243 in 2006-
june2005 partl Hysterctomy&flr repr due to uterus incrs size w/adenomyosis-no complications/pathology
Dec2005increased zoloft frm 25mg to 37mg due to anxiety/stress(2 autistic kids)- my weight jumped 15 lbs- i am 5'6- from 174-189- i felt more anxiety/constipation/fluid etc/choles @243
i read that sertraline could raise cholesterol and asked to go off-aarnp did not agree but gave clonopin-off zoloft in 2 wks used clonopin- .5 mg- i am real med sensitive-dose worked but
aftr tking 3 weeks in Jan2006-neck swelled up,felt dizzy, hoarse voice-off clonopin&zoloft & now:
chol was 243 now 203WOW?-in 3 wks this changed
ldl was 167 now 132WOW?-same
cortisol 24 urine 46-ok
prolactin 6.1-ok
tsh 1.43
t4 free-1.1
t3free-338
TpO <10
FNA/ultrasd- Lft- 2.9 nod & 1.5 nod-
Rht-1.0 nod-not biopsied
my thryoid symp come & go- ev 2 wks- is hashi still poss?-whats w/ the choles?- poss thyroid problems that surfaced?dad has hypo/aunt had graves/i am 35
thanks for any help
1998- 3rd trimes fluid, bp changes-not preclamsia
2000-lap due to rq pain-found adenomyosis&2 spots endometreosis-/IBS had colonoscopy-diverticulosis throughout colon gastro said congenital had antibiotic colitis aftr meds frm surgery took vancomycin-
2001- 2nd preg- low progesterone-cream till 12 wks lost wght quickly after birth-hormonal flucs
2002 bc pills-fluid on ankles,hands,knees went off of all-had anxiety/pms obgyn diag PMDD gave me Zoloft 25 mg
I have been on zoloft since 2002-wght gain of 3 lbs yr- &lots of fluid, constip,dry hair,high cholest-frm 200 in 2001 to 243 in 2006-
june2005 partl Hysterctomy&flr repr due to uterus incrs size w/adenomyosis-no complications/pathology
Dec2005increased zoloft frm 25mg to 37mg due to anxiety/stress(2 autistic kids)- my weight jumped 15 lbs- i am 5'6- from 174-189- i felt more anxiety/constipation/fluid etc/choles @243
i read that sertraline could raise cholesterol and asked to go off-aarnp did not agree but gave clonopin-off zoloft in 2 wks used clonopin- .5 mg- i am real med sensitive-dose worked but
aftr tking 3 weeks in Jan2006-neck swelled up,felt dizzy, hoarse voice-off clonopin&zoloft & now:
chol was 243 now 203WOW?-in 3 wks this changed
ldl was 167 now 132WOW?-same
cortisol 24 urine 46-ok
prolactin 6.1-ok
tsh 1.43
t4 free-1.1
t3free-338
TpO <10
FNA/ultrasd- Lft- 2.9 nod & 1.5 nod-
Rht-1.0 nod-not biopsied
my thryoid symp come & go- ev 2 wks- is hashi still poss?-whats w/ the choles?- poss thyroid problems that surfaced?dad has hypo/aunt had graves/i am 35
thanks for any help
Doctor's Answer
by Mark Lupo, M.D., Mar 20, 2006 12:00AM
, Mar 20, 2006 12:00AM
I don't think the thyroid is contributing to symptoms or cholesterol. FNA is useful to confirm HASHI so if the FNA did not show hashi changes, then the negative TPO Ab is probably accurate that you don't have hashi. Could also check Thyroglobulin Ab to confrim. The nodules should be followed by serial ultrasound at 6 month intervals. Thyroid meds are not indicated at this time -- with the possible exception of positive Tg Ab and/or an attempt to "suppress" the nodules.
I will ask endo to test hormones, and T-ab when he orders my next thyroid bloodwork- i do go back and forth between hypo and hyper symptoms- but i always thought it to be hormones?- maybe my thyroid is in the slow process of failing- i have always caught things early
I appreciate the quick response- its strange to have symptoms that can be so many things- trying to treat my body better and hopefully the right diagnosis will surface through!
Jennifer