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How do you get tested for Hashimoto’s Thyroiditis
What do you do if you want to get tested for Hashimoto’s Thyroiditis. In hypo but would really like to no why. What are the symptoms of Hashimoto’s Thyroiditis???
I have thryroid nodules, and had fine needle bioposy, the results from pathologist , say suggests hashimotos, but my endo doctor said she will not treat me unless the hormone levels below or above what they say the standard levels are. I have been having wrist, ankle pain, and now knee pain, sleeplessness, irritability, was on depression meds for over a year, have had barium swallow due to complains of something stuck in my throat. and my sister was diagnosed with hashimotos. now I am waiting for new labs. the biopsy was done in March, she said showed no signs on blood work taken in January? what do think?
Here is a great link for a ton of information on Hashimoto thyroiditis.
http://www.medicinenet.com/hashimotos_thyroiditis/page3.htm
http://www.medicinenet.com/hashimotos_thyroiditis/page3.htm
The symptoms are being hypothyroid and having thyroiditis.
The official criteria for a diagnosis of Hashimoto's is a positive test for TPOab, and either a goiter, or T4/T3 deficiency.
The way to find out if you have Hashimoto's is to be tested for TPOab, TGab, and TSI.
TPOab is an antibody test that has four different names. The common name is Thyroid Peroxidase antibodies.
TGab is antithroglobulin antibodies, or thyroglobulin antibodies.
TSI is Thyroid Stimulating Immunoglobulin. It is only present in Grave's Disease.
Technically, if you test positive for TGab and you test negative for TSI, that can also be considered Hashimoto's if you need hormone replacement or have a goiter.
The reason you should test for TSI antibodies is, you can have all three of the antibodies I listed and that is Grave's Disease. You need to rule out Grave's by having the TSI test.
The one and only infallable test for Hashimoto's is a Fine Needle Aspiration Biopsy that reveals hurthle cells with characteristics specific to Hashimoto's. The fact is, there are some people who have Hashimoto's that test negative for all antibodies. But they have the aberrant hurthle cells.
Very few people will submit to an FNA for a diagnosis of Hashimoto's, and very few doctors would order that test.
So the criteria is; TPOab or TGab and either a goiter or low hormones. But Grave's has to be ruled out.
The official criteria for a diagnosis of Hashimoto's is a positive test for TPOab, and either a goiter, or T4/T3 deficiency.
The way to find out if you have Hashimoto's is to be tested for TPOab, TGab, and TSI.
TPOab is an antibody test that has four different names. The common name is Thyroid Peroxidase antibodies.
TGab is antithroglobulin antibodies, or thyroglobulin antibodies.
TSI is Thyroid Stimulating Immunoglobulin. It is only present in Grave's Disease.
Technically, if you test positive for TGab and you test negative for TSI, that can also be considered Hashimoto's if you need hormone replacement or have a goiter.
The reason you should test for TSI antibodies is, you can have all three of the antibodies I listed and that is Grave's Disease. You need to rule out Grave's by having the TSI test.
The one and only infallable test for Hashimoto's is a Fine Needle Aspiration Biopsy that reveals hurthle cells with characteristics specific to Hashimoto's. The fact is, there are some people who have Hashimoto's that test negative for all antibodies. But they have the aberrant hurthle cells.
Very few people will submit to an FNA for a diagnosis of Hashimoto's, and very few doctors would order that test.
So the criteria is; TPOab or TGab and either a goiter or low hormones. But Grave's has to be ruled out.
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