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Thyroid profile
My Thyroid profile is as follows: T3 2.60, T4 1.16 and TSH level is 6.39. The report indicates that my TSH level is outside the normal range. Is it a serious cause of worry? Do I need to start treatment immediately and if yes what treatment do I need to take?
Dr Lupo,
I am 46 years old and had a begnin tumor and what was called a partial thyroid removal approx. 10 years ago. Afterwords I had no need for meds with fairly annual level checks. The tumor had been present for a couple of years and then went through a very rapid growth period and after removed I was told it was significantly larger than the US had shown. Over the last couple of years I have developed symptoms of difficulty swallowing, both liquid and solid, sharp pain in thyroid area as well as fairly consistent ache, episodically shortness of breath, feeling of strangulation and sudden on set hoarseness and voice loss, all with progressing onset. I have had a tremor in my left hand that has gotten pretty consistent and often have palpitations. The first three have become pretty worrisome and prompted me to see an ENT yesterday that scoped me and found no issues with throat or vocal cords. I feel strongly there is an issue, initially thinking neurological then thinking this morning that possibly my tumor has returned on my thyroid. Is this possible?
I am 46 years old and had a begnin tumor and what was called a partial thyroid removal approx. 10 years ago. Afterwords I had no need for meds with fairly annual level checks. The tumor had been present for a couple of years and then went through a very rapid growth period and after removed I was told it was significantly larger than the US had shown. Over the last couple of years I have developed symptoms of difficulty swallowing, both liquid and solid, sharp pain in thyroid area as well as fairly consistent ache, episodically shortness of breath, feeling of strangulation and sudden on set hoarseness and voice loss, all with progressing onset. I have had a tremor in my left hand that has gotten pretty consistent and often have palpitations. The first three have become pretty worrisome and prompted me to see an ENT yesterday that scoped me and found no issues with throat or vocal cords. I feel strongly there is an issue, initially thinking neurological then thinking this morning that possibly my tumor has returned on my thyroid. Is this possible?
Thank you so much for the help
MEDICAL PROFESSIONAL
Yes - I usually wait 6 weeks to make sure it is not a transient lab problem that would self-correct. With these symptoms, if the mild hypothyroidism persists, it may be worth a trial of treatment w/ levothyroxine - however the symptoms are non-specific so documenting that this is a thyroid problem is important prior to starting treatment.
No I have not started any treatment as yet. Have experienced weight gain in last one year and have started to develop a double chin despite an exercise routine. Also feel lethargic during the day. So a doctor advised me to undergo these tests
MEDICAL PROFESSIONAL
clarify -- this is done prior to committing to treatment (which is not mandatory in cases of mild hypothyroidism).
MEDICAL PROFESSIONAL
This is a modest increase and if an incidental finding (without symptoms, goiter, etc), then we usually repeat TSH and T4 in 6 weeks along w/ TPO antibodies.
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