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High TSH- Normal T4- fell pain on neck or thyroid.

I have felt a pain in my neck or thyroid since a week ago.(I can not find the exact source of it )
I did a blood test.
I have a high S-TSH 6.8 (normal: .3- 4.5) but my S-T4-V is normal 16 (normal: 10- 21).
I fell more sleep in a day.
What is my problem?
what is the cure?
Best Answer
Avatar universal
Don't recall having a Finnish member before you.  So, welcome to the Forum.  

Your TSH is indicative of being hypothyroid, even though TSH is a pituitary hormone that is affected by so many variables that it is inadequate as a sole diagnostic for thyroid.  At best TSH is an indicator, to be considered along with more important indicators, such as symptoms and also the levels of the biologically active thyroid hormones, free T3 and free T4 (note that these are not the same as total T3 and total T4).  

FT3 is the most important of these tests because FT3 largely regulates metabolism and many other body functions.  Scientific studies have also shown that FT3 correlated best with hypo symptoms, while FT4 and TSH did not correlate.  So, I suggest that you need to get additional testing done.  That testing should include free T3 (FT3), along with FT4 and TSH.  Plus it would be a good idea to get tested for the thyroid antibodies, TPO ab and TG ab, to determine if you have Hashimoto's Thyroiditis, which is the most common cause for hypothyroidism.  If Hashi's is the cause, then you will be better prepared for how to treat your hypothyroidism.  Hashi's can also create inflammation, that could relate to your pain in the neck area.  Many patients with hypo symptoms also have low Vitamin D, B12, and selenium, so it would be good to test for those also.

If you are able to get that testing done, then I suggest that you get a copy of the lab report and post results here, and members will be glad to help interpret and advise further.  I expect that in view of your having hypo symptoms, that you will find that your FT3 is in the lower end of its range, which is also indicative of being hypo.  The reason for this is that the range is far too broad.  Many of our members report that symptom relief for them required that FT3 was adjusted into the upper part of its range and FT4 adjusted to at least midpoint of its range.

Since your FT4 is already around the midpoint, if you should confirm that your FT3 is low in the range, this is an indication that your body is not converting T4 to T3 adequately.   This would require thyroid meds that include T3 as well as T4, in order to increase your FT3 adequately to relieve symptoms.  

While going through all this with your doctor, keep in mind that a good thyroid doctor will test and adjust levels of fT3 and FT4 as necessary to relieve hypo symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important to you, not test results..
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Avatar universal
Not aware that any of those could be affecting your thyroid issue.  Let's wait and see what the ultrasound test shows.
Helpful - 0
Avatar universal
I feel all the symptoms like im get easily numbness of my hand and easily get tired, palpitation of the heart and most of all get mad easily. Its like im very sensitive of my feelings. this coming july 21 i will undergo ultrasound and i hope everything will be okay. One more thing, do you think taking vitamins like: met tathione, myra 4iu and ascorbic and vitamin B1 b6 b12 can effect my thyroid? tnx alot
Helpful - 0
Avatar universal
Nothing in those test results point to a problem.  Maybe the best thing at this point is to get an untrasound test done to have a look at your thyroid gland.
Helpful - 0
Avatar universal
hi i hope someone help me about my thyroid problem I do blood test this last week, the result for my TSH 0.95 (0.55-4.78) T3 5.1 (3.5 -6.5) T4 15.8 (10 -20) the doctor told me that im still in the range but i feel something in my neck everytime i check it i feel swollen on my right side of my neck. I told also to my doctor maybe its a goiter. Im worried bcoz he told me maybe it cyst (im hoping its not)
Helpful - 0
Avatar universal
I have no experience or knowledge about Prednisolon.  when I look it up on the internet, I find info that seems to confirm that it is a steroid that the doctor is giving you to try and reduce the inflammation, no doubt resulting from your Hashi's antibodies.  I do know there are members with experience in this area and I am trying to contact them to see if they can provide some info for you.  

I do know that some members have reported that taking selenium to increase their levels had a beneficial effect on calming down the inflammation from Hashi's.  Also I recall one member reporting that he got a lot of relief from using ice packs on the neck area.  

What has caused you to have questions about adrenal function?

I'm sure that your wife is concerned about your pain, so could she be having sympathy pains?  LOL  Seriously, If she doesn't have any sign of fever or infection, I think you'll just have to await the blood test results.  What thyroid tests are they doing for her?
Helpful - 0
Avatar universal
Hello again

My Internal medicine prescribed me to get 5mg Prednisolon with this way:
  4 tabl 3 days,3 tabl 3 days,2 tabl 2 days,1 tabl 1 day.

I want to have your consult about this dosage.Is this dose would be OK,because I am concern about side effects and my Adrenal glands functional.

My wife have a similar symptoms like me she got neck pain in right side since 2 weeks ago without any fever or infection on her throat. she did a blood test and she is waiting for the result. Is it possible we got a contagious disease?


Helpful - 0
Avatar universal
I see nothing in that multivitamin that would concern me.  

I did see an ingredient that interested me, that I didn't understand.  It was Foolihappo.  Sounded like it might be a lot of fun, but I looked it up and it was only folic acid.  LOL

Please let us know how things go for you, and if we can be of any further help.







Helpful - 0
Avatar universal
Thank you for your reply.

When I have symptoms, it will take the levothyroxin but no more than 50 mcg.  
I am using this multivitamin since 3 months ago everyday, could I continue it?Is it useful or it affected my iodine?

Multiva Plus type:

http://www.multivita.fi/vertaa-multivita-tuotteiden-koostumuksia.php
Helpful - 0
Avatar universal
Have to admit that I am somewhat surprised that both your FT3 and FT4 are in the high end of their ranges.  When you have symptoms, it would be expected that FT3 would be in the lower part of the range.  So a low starting dose of levothyroxin would be the appropriate amount.  That will have to be your doctor's decision, but I  would say no more than 50 mcg.  

Don't forget to have the tests for Vitamin D, B12 and selenium.  Assuring those levels is also important for a patient with hypothyroidism.  
Helpful - 0
Avatar universal
Thank you for your very good answer.
I read this paper:
http://thyroid.about.com/od/hypothyroidismhashimotos/a/preventative.htm

But my internal medicine gave me Cortisone,!!!

Could you tell me based on my test result, the dose of the  levothyroxine pills that I have to take every day.
Because I think that my doctor is waiting until my hypo symptoms become overt.

Thanks
Helpful - 0
Avatar universal
The tests for your autoimmune antibodies shows Hashimoto's Thyroiditis, which is the most common cause of hypothyroidism.  With Hashi's the immune system somehow interprets that your thyroid glands are foreign bodies and produces antibodies that start attacking the glands l, over a period of time, until the glands are eventually destroyed.  This means that you need thyroid meds to offset the loss of natural hormone production, and meds have to be gradually increased to offset the slowing of production.

Many doctors like to wait until hypo symptoms become overt.  Others prefer to start meds earlier to minimize symptoms.  Here is a link about that approach.

http://thyroid.about.com/od/hypothyroidismhashimotos/a/preventative.htm

The thing you are going to need most is a doctor (not necessarily an Endocrinologist) that is willing to treat you clinically, by testing and adjusting FT3 and FT4 as necessary to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important, not the test results, especially TSH.  The main value of test results are initially for diagnosis and then to monitor levels of FT3 and FT4 , as meds are increased to relieve symptoms.  

Other things to keep in mind going forward are that Hashi's sometimes cause nodules to be formed in the thyroid glands.  These nodules can also leak thyroid hormone into your body faster than normal, resulting in confusing symptoms, because the extra hormone will temporarily make you feel hyper.   So it will be a good idea to have regular tests for FT3 and FT4, along with an occasional ultrasound of the glands.    Since hypothyroidism is frequently associated with deficiencies in other areas, as a second priority you should ask to be tested for Vitamin D, B12, magnesium, zinc and selenium.  

If you want to read about clinical treatment, here is a letter written by a good thyroid doctor for patients that he is consulting with from a distance.  The letter is sent to the primary doctor of the patient, to guide treatment.  

http://hormonerestoration.com/files/ThyroidPMD.pdf



Helpful - 0
Avatar universal
Hi,
I did test the new result is:
S-TSH 5.3(.3-4.5)   !!!
S-T4-V 17(10-21)
B-LA 2(1-8)
B-LEUK 4.4 (3.3-8.2)
S-CRP<1(-10)
S-TPOAB 893 (-35)  !!!
S-TYGLAB 58 (-40)   !!!
The doctor suggest me kortisoni-kuuri for thyroiditis?!!

when I did a test a week before the above test, my result was
TSH:4.6, T4:19, T3:6.3(3.5-6.5)

what is my problem?what is the cure?
Helpful - 0
Avatar universal
These are the tests I previously recommended.  Thyroid antibodies (TPO ab and TG ab),  Free T3 (very important that it is FT3, not total T3), and also Vitamin D, B12, and selenium.

Based on very limited information, I expect that you are hypothyroid.  Treatment for hypothyroidism is daily medication with the proper thyroid meds.  Depending on your test results, this can be either a T4 med, or a combo T4/T3 med.  
Helpful - 0
Avatar universal
I did a ultrasound test, A Thyroiditis (Inflammation of the Thyroid Gland) has been detected on my right thyroid gland.
The Doctor told me that  I have to test the thyroid antibodies.
Do you suggest me any other test or scan or other thing?

I am 29 years old.

What is your diagnose? And Is there any treatment for it?
Helpful - 0
Avatar universal
Yes, it would be good to have the ultrasound test done.  Also, don't overlook the recommendation to be tested for free T3 (not total T3), and also the thyroid antibodies, TPO ab and TG ab.
Helpful - 0
Avatar universal
Hello,

Thank you for your time and reply.

I did a test again, my new  TSH is 4.6(normal: .3- 4.5) but my Free T4 goes uo to 19 (normal: 10- 21).
note(My first test was TSH:6.8 and T4: 16)
What do you think about my problem?
I have a pain when I swallow the food or water.
I want to do a ultrasonic test today. Is it good?
Helpful - 0
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