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Daughter's Fatigue and Thyroid Test - Worried Parent Seeks Advice

Dr Karthiyayini Mahadevan | Answer |Ask -Follow

General Physician - Answered on Jun 15, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more

Asked by Anonymous - Mar 15, 2024Hindi

Health

My Daughter age 19year was feeling tiredness from last 2-3 weeks. Usually She has fatigue also and unable to wake up in the morning. So I taken advice from a physician. Who advice us for some Blood test including Thyroid. In test report FT3 is 20.47, FT4 is 10.30 and TSH is 0.01. Is it abnormal. My doctor has mention some prescription and advice for taking medicine some long time. Is there any side effect of taking of drugs related to thyroid.

Ans: According to the reports her Thyroid glands are overactive. The reason could be many. Considering her age bracket it is, more towards Autoimmune Reason.
Did she get Covid infection during the outbreak? Did she get her vaccines?
If yes which one did she take?

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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Hi Doctor, my 17 year daughter has hyper thyroidism.. Her TSH is 0.022 T3 is 380.42 and T4 is 17.40..Kindly advise about the medication and what diet she should take or avoid... Thanks

Ans: I don't think it is wise to take treatment for hyperthyroidism unsupervised. You need to meet an Endocrinologist or an Internist. Depending on her symptoms and physical examination , your daughter might need to undergo a Radio nuclide thyroid scan . A condition called thyroiditis can produce similar lab results, (the scan will help confirm or rule out this condition). The role of diet is limited but it it might be advisable to avoid iodine rich food.

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Question by Ashok - Dec 16, 2023Hindi

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Dear Doctor, For my wife, I got the Thyroid Function Test for her and the report as on 15-12-2023 says - Triiodothyronine (T3) 1.05 ng/mL Thyroxine (T4) 10.60 μg/dL Thyroid Stimulating Hormone (TSH) 4.26 mlU/L Earlier report (approx. 6 months back) dated 29-06-2023 was as under – Triiodothyronine (T3) 0.98 ng/mL Thyroxine (T4) 6.90 μg/dL Thyroid Stimulating Hormone (TSH) 8.36 mlU/L It means TSH has reduced from 8.36 to 4.26 which is in normal range of 0.46-4.68. For Thyroid, she was taking Thyrox-25 Tablet on daily basis in the morning. Whether she should stop taking Thyrox-25 now as now it is in normal range? Kindly advise.

Ans: Please check the source of Iodine in your diet.Also with the start of treatment ,you need to have the values coming down and not going up.Hold back the Thyroxine ,repeat the tests after three months.

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Asked by Anonymous - Aug 10, 2024Hindi

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Dr.Garu , My name is k.sundaraiah age: 50 years recently thyroid test in lab test result Tsh rapid test :5.60 T3 rapid test :110.05 T4 rapid test :12.95 after consulting doctor thyronoram 50 mcg tablets medicines daily morning used. Doubt: Thyroid tablets medicines life long used compulsory and every six months thyroid test compulsory.

Ans: Thyroxine definitely need to be supplemented. But your state of thyroid dysfunction may not be life long
Many lifestyle modification bring in reversal

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