Hi all
the paragraph above said: "Avoid high-dose aspirin because, in some circumstances, aspirin can competitively displace thyroid hormone from its binding protein and increase the free, or bioactive, fraction of thyroid hormone, which can make patients feel more thyrotoxic."
so how does one know what to do or listen to whom?
snorris, my trouble began after a CT scan with Isoview contrast dye, I hope we both get some answers
i had an ultrasound when the pain started and it came back enlarged and inflammed
Your doctor thinks you have subacute thyroiditis, that is an acute inflammatory disease of the thyroid probably caused by a virus. The disease has been described following a wide variety of URIs. It's a self-limited subsiding in a few months; occasionally it recurs, and rarely results in hypothyroidism. Treatment consists of aspirin (only as a last resort), glucocorticoids.......(5 mg, every 6 h).. It's described on discontinuance of the later, there is often a severe rebound in symptoms...The only thing I don't agree is the high dose of prednisone, usually is 5 mg orally q 6 hours, but your doctor is looking at you and may be there is a reason for that. I would suggest you to do an ultrasound of your thyroid, that will help (confirm) the diagnose.
i also retrieved this from typing in subacute thryoitis in googls.
Pain in subacute painful thyroiditis: The thyroid pain can be extreme. Nonsteroidal medications are administered. Avoid high-dose aspirin because, in some circumstances, aspirin can competitively displace thyroid hormone from its binding protein and increase the free, or bioactive, fraction of thyroid hormone, which can make patients feel more thyrotoxic. In extreme cases, stronger pain medications, including narcotic analgesics, are indicated for a brief period of 2-3 weeks. In the most extreme cases, high-dose steroids (eg, prednisone 40-60 mg qd) must be administered. The high-dose steroids rapidly and dramatically decrease the pain and thyroid swelling, but the natural course of thyrotoxicosis and pain (ie, 4-6 wk) is not altered, and the glucocorticoid treatment must be continued for this period.
sorry, thyroid antibodies were normal. So it is not hashi's. By t4 med do you mean levothroxine? I am new to this thyroid thing but ready for the pain to be done.
Maybe I have missed it but have you had the antibodies test done for Hashimoto's?
Why she has you on steroids, I dont know!
Not unless you are showing signs of Thyroid Eye Disease (TED) ?
Are you takeing the T4 med ALONE?
Do not take the steroids at the same time as the T4 med....they have to be 4 hours apart.
If you are taking the 2 meds togther, the T4 isnt absorbing as well as it should be and therefore, not working as well as it should.
Thyroid problems dont go away overnight......some here have been battling them for years (like myself).
The sooner you know whether you have Hashi's or not, the better the treatment can be and be managed properly.
Long bouts of steroid use does harm to your immune system.
Sorry but I wouldnt be satisfied with what your Doctor is telling you.
I would want answers.
Regulating the T4 med can take up to a year in some people and sometimes even longer.
It requires a lot of 'tweaking' and is not just a case of 'take a pill and you'll be fine'.
Sorry to be so blunt but I say it as I see it.
Google Hypothyroidism and learn all about the thyroid.
You may be surprised.