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Dr Karthiyayini Mahadevan |1145 Answers |Ask -Follow

General Physician - Answered on Mar 18, 2023

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

Question by Utpal on Mar 15, 2023Hindi

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My wife is suffering from thyroid for the last 20 years and is taking thyroxin 88 mcg tablets on regular basis. Recently she has swelling in one of her finger. After test TSH test it has been found to under normal level. But the swelling is still there, although the pain in the finger has been decreased. Please help.

Ans: Swelling in the finger may not be due to hypothyroidism. It could be just because of certain some injury which got unnoticed or due to some overstraining.
Please relook at your routine work and consult a good physiotherapist

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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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.

Dr Karthiyayini Mahadevan |1145 Answers |Ask -Follow

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Question by Nishetha - Jan 18, 2024Hindi

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Hi doctor my husband's (61years)recent blood test thyroid reading is T3 0.47 T4 3.8 TSH 10.231 He's taking 100mcg Thyronorm kindly advice on the medication to be taken

Ans: This must be subclinical hypothyroidism.
Repeat test after two months and recheck.

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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