Doctor insights on:
I have dual pattern speckled centro mere, low positive ana. High availability, positive IgG histone. What does this indicative?
Rx person, not labs: The anti-nuclear antibody test is one of the most difficult for a commercial lab to perform, and i've learned to distrust results. If you have crest clinically, i'd consider this supported by your labs; if you have drug-induced lupus clinically, ditto. Ultimately, the diagnosis and the decision to treat or not will be made by your rheumatologist in collaboration with you. ...Read more
Linzess (linaclotide: Was approved by fda at end of august 2012 to treat chronic idiopathic (= cause unknown) constipation & irritable bowel syndrome with constipation it's approved is for adult patients only. Increases cgmp in intestine, which stimulates secretion of chloride & bicarbonate (sodium bicarbonate) resulting in increased intestinal fluid & accelerated transit. ...Read more
4/5 results- test neg scl70, double stranded dna, ssa, ssb, smith rmp sederate, esr&crp norm, electrolyte/white/red blood norm.Again + ANA 1:160 centromer. What additional test to exclude scleroderma/crest?
61healthy.MRIbrain..Multiplefoci of flairhyperintensityinbilateral subcortical whitematterare nonspecifi findingsoften seenwith chron vas isc chang
Thyroid levels: You do not supply the normal range for these values, but they all appear to be normal. In most US labs, the normal range of TSH is about 0.4 to 4.0, so that value of 0.99 is normal. ...Read more
Focal central disc protrusion at l5-s1 level. Central spinal canal ismildly compromised at l5-s1 level l5-s1 disc is dessicated-written in MRI report?
MRI Report: In the absence of significant symptoms, this really means nothing. Desiccation starts in the teen years on mri. Protrusion simply means the disc is wider than it is deep into the spinal canal. Usually not significant if central. Don't fixate on the report. Nothing to worry about here. ...Read moreSee 1 more doctor answer
My thyroid test shows thyroxine 13.3 microgram %, tri iodo thyroxine 1.81 ng/ml thyroid stimulating hormone 1.8 uIU/ml. Is there any problem?
Thyroid tests: These appear to be normal values, but you did not provide the normal values: the normal range varies from one lab to another. If they're normal, then you are not hyper or hypo thyroid. But why were these tests performed? This needs to be interpreted by whomever ordered these tests. ...Read more
Normal dose: There is no such thing as a normal dose. There is a notion of "clinically accepted dosing" but this also variable. The correct way to look at this - is this dose effective - if yes then its fine, if no they it needs to be adjusted. ...Read more
What would cause a high positive ANA (1:640) speckled, nucleolar with a low positive smooth muscle antibody (1:40) but negative SS-A, SS-B, anti-Smith, RNP, SCL-70, Anti Jo antibodies? Liver disease?
Probably normal: Many people have a positive ANA without being sick. If you also have elevated liver enzymes, a workup for autoimmune hepatitis may be continued, but if there's nothing to suggest a liver problem biochemically, I'd not be in a hurry to diagnose despite anti-smooth-muscle. ANA means nothing apart from the clinical picture. Best wishes. ...Read more
I've1 hypoechoic nodile on thyroid. it is 5x6mm. blood test came normal, the shape and size of my throid is normal.Are all hypoechoicn nodiles cancer?
FineNeedle aspiratio: 4-7 % thyroid nodules can be cancerous. What was your TSH levels. Was a fine needle aspiration (FNA) ever performed on this nodule? If TSH IS NORMAL get FNA! If TSH lower than normal get Nuclear Thyroid Scan. If scan shows non functioning nodule...then get FNA. If FUNCTIONING NODULE check FT4 and T3 (liothyronine) levels. Certain characteristics of a nodule that can be worrisome talk to an Endocrinologist. ...Read moreSee 2 more doctor answers
Ana+, speckeled, 1:320. Hashimotos with thyroidectomy. Raynauds, peripheral neurooathy, dry eyes, schirmer test 5. Specific test sjorgens (-). Best gy?
T2/FLAIR hyperintensity MRI w/o contrast, 25 y/o female. Normal?? "Nonspecific 3mm nodular WMH rt ant. parietal subcortical" MD referred to MS spec.
High TSH (mine 9.58 & standard is0.40-4.5), normal free t4(mine 0.9 & standard is0.8-1.8) or T3 (liothyronine) thyroid (mine2.8 & standard 2.3-4.2) can you help?
Any symptoms?: The elevated TSH indicates that your pituitary gland feels that your thyroid level is a little low (despite your thyroid levels being in the normal range for a population of people). This is subclinical hypothyroidism. If you have no symptoms, it is ok to recheck levels in a few months to see if they are better/worse. If you have symptoms of low thyroid, it would be reasonable to start thyroid. ...Read more
Are the any creams that have Triamcinolone Acetonide BP 1 mg
Econazole Nitrate BP 10 mg
Gentamicin Sulphate BP 1 mg
Sold in America?
Don't think so: Haven't heard of that combination cream. However, individual creams can be prescribed if needed, and a patient can use a little bit from each tube of cream, to treat a particular rash if her doctor feels that such medications are the proper treatment of that rash. Usually, there is more than one type of cream able to treat a rash, which means that alternatives should also be available in the US. ...Read more
Thyroid nodule: follicular lesion, T4 free is low, T3 (liothyronine) free is low, and TSH 3rd generation is now low. 60 mg of armour thyroid, 50 mcg levothyroid why?
Stop Armour: There is no way to check your levels or keep your thyroid in control in your current regimen. Armour thyroid is ground up pigs. Switch to brand name T4 only and get it regulated. Also, have repeat thyroid biopsy with afirma test and consider surgery to remove nodule depending upon lab and ultrasound. ...Read more