Hi Dr Lupo,
I am 3 years following my diagnosis in Dec. 2009. (2 nodules, 1 was 1cm and 1 was .9 cm, Pap. Cancer with Follicular Variant) My tsh levels have been good, anywhere from .01 - .9. But since this October I have had several viral infections (Sinusitis, Bronchitis, Tonsilitis) than developed Oral Thrush and have had it for 4 weeks and after 3 meds for it I think it is finally getting a little better. So my ENT doctor ( who also performed my 2 thyroid surgeries) ordered some blood work, tsh, t4, mag., phos, and B12. All came back ok except my tsh is now 10.23 and in June of this year it was .9.
My question is should I be concerned since my tsh level raised that much in a matter of 5 months? I have been very tired, wake up a lot at night to use restroom, have some occasional night sweats, and dry mouth along with the thrush symptoms I have had. It also took me 6 weeks for my symptoms to improve from my viral infections. Had steroids along with antibiotic treatment.
Any advice you can give me would be greatly appreciated.
It sounds like you need a higher dose of thyroid hormone replacement. The TSH of 10.2 is not predictive of recurrence of the thyroid cancer. The most important part of thyroid cancer followup is thyroglobulin blood test and neck ultrasound. These are usually done on annual basis for the first couple of years.
Thanks Dr. Lupo! I have had my prescription changed from Synthroid 125mg to 150mg, hopefully that will help. Do you recommend having a thyroglobulin test. I'm scheduled for one in June and also my annual u/s. Thanks for your comments!
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.