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OK, do it: Cushing's syndrome is a condition where your body makes too much cortisol (a hormone). A blood draw or 24 hour urine measurement of cortisol will give you the diagnosis. Another test called dexamathasone suppression test will also give you the diagnosis. Often time, you will need to repeat the tests, or do all of them. It's probably the most difficult diagnosis to make in endocrinology. ...Read more
Derm dr diagnosed me with HSP vasculitis after lab work & 2 biopsies. I get joint pain but why do I need a rheumatologist if I been already diagnosed?
Vasculitis: HSP or now called IgA vasculitis is a systemic disease where you need a rheumatologist to make sure about any other organs affected. Yes a fair amount of cases will resolved spontaneosly but is also true that this vasculitis can be worse in the adults, can affect for example your kidneys and if untreated properly lead to kidney failure. Rheumatologist treats vasculitis. ...Read more
Many but need doctor: The first thing to do is define your lupus, everyone with lupus is different.You need to contact your physician - see a rheumatologist, define your lupus and then you decide on your treatment. Not everyone with lupus needs meds, but you need good health habits - no smoking, exercise, etc defining your type of lupus will clarify the best medications for you to take. ...Read more
Dr. Khurram rehman said I have secondary infertility, so why wont my doctor help me, IV been declined to see a fertility specialist! what do I do now?
Infertility: Dr. Rehman is likely right, secondary infertility is a clinical diagnosis. You need to ask your doctor why he won't help, others cannot tell you this. Often the problem is not the doctor, but the insurance who may have rules or restrictions on coverage. Ask your doctor: if it's an insurance issue, he might help you work it out. If the doctor is the problem, get a new one. ...Read moreSee 1 more doctor answer
My wife is pregnent by 1 month & her TSH is 6.13 do we need to worry & Does she have to take medicine for thyriod as doctor advised to take 25 mg/day?
Rheumatologists!: These are people highly trained in the diagnoses of arthritis and it's treatment. Many do minor surgical procedures, inlcuidng joint injection. They will diagnose a problem best treated by surgery, either orthpaedic or neurosurgical. Best first stop. May be all you need! ...Read moreSee 1 more doctor answer
My doctor won't refer me to a rheumatologist, I tested positive for ANA and anti dsdna. He Says I don't need to see one, should I insist to see one?
Possibly: A simple ANA test is positive in 20-30% of healthy people who won't ever develop autoimmune disease. However, a positive anti-dsdna test is much more specific for lupus.It doesn't make the diagnosis,but if you have any concerning symptoms like rash, arthritis, unexplained fevers, chest pain, shortness of breath or other abnormal labs (high ESR, low WBC or platelets, protein in urine), then insist! ...Read moreSee 1 more doctor answer
I have been having symptoms of hypothyroidism but TSH and T4 labs show an over active thyroid. Doc wants to diagnose me with fibro but i don't agree.
Question?: You don't seem to have a question. You should tell us what the TSH and T4 levels were that shows over active thyroid. The symptoms associated with both hypothyroidism and hyperthyroidism are non specific (so are the symptoms of fibromyalgia). Having symptoms does not mean that you have the disease. Fibromyalgia should be diagnosed by a rheumatologist. ...Read more
What do you advise if doctor says he thinks I have lupus due to ANA + bloodtest also cfs abd fibro what are main symptoms of lupus?
See Rheumatologist: Not sure if the doctor is a rheumatologist or Primary Care. Need to see a Rheumatologist. The Ana blood test has differrent degrees. 1:40 is weak, but 1:620 is pretty strong. You need follow up testing that would provide more specific results and then everything should be considered-your symtpoms, objective and subjective findings, blood tests. The best decision can then be made. ...Read more
T3=130.2(80-200ng/dl), ft4=1.2(0.93-1.7), tsh=1.8(0.27-4.2), anti-tpo=86.5<34, anti-tg=43.2<115. Please let me know if i have hasimoto.
It's certainly: Possible, however, anti tpo abs are usually much higher. Actually, it makes no clinical difference what the diagnosis is, only whether your thyroid function is normal or not -- and yours is currently normal. Check w/your doctor. ...Read more
What would be t he best specialist to.Go to for pcos a gyn endo or re ? 17 yrs old htn pcos provera (medroxyprogesterone) as treatment
Defer to doctor: We do not have your lab results to review. Please, this question must be asked of the physician caring for you. ...Read more
I am low thyroid with hasimoto.My doctor only check ft4, tsh.I ask here for ft3,iron,selenium but she told me no.Is enough to do nly ft4&tsh?
Thyroid tests yes: your doctor is correct that you need thyroid test to monitor your thyroid function. If there are other medical reasons for the additional testing this would be up to her decision. You can discuss this with your physician or ask her to have you see a consultant to help, you can see an endocrinologist regarding the status of your thyroid ...Read more
ASA 325 daily per dr orders to thin blood. Since then, my RA doesn't bother me & I don't have to take prednisone. Would the ASA help RA? Thank you
Fibro-sympathetic: 32 y.o.'s doctor doubts reality of fibromyalgia; what to do? Start w. Rheumatologist, for they are trained to diagnose fibromyalgia. Second opinion from Osteopath, for they are expert at diagnosing soft tissue injuries. Interestingly, many Psychiatrists seem fibro-sympathetic. Observation that these experts of the mind understand fibromyalgia lends support to the physical reality of fibromyalgia. ...Read moreSee 3 more doctor answers
Why am i losing my memory with this hypothyroidism ? You doctors mentioned T3 (liothyronine) should I tell my internal med dr or endocrinologist that I should take that also?
Symptomatic?: Has it been established that you have abnormal thyroid function? If you have hypothyroidism, memory loss is one of the myriad of symptoms experienced. Discuss with your doctors to start thyroid hormone replacement therapy asap. You should see your symptoms improve shortly after beginning treatment. Good luck! ...Read more
Work-up: With a good history, physical exam and laboratory diagnostics a diagnosis can be obtained. ...Read more
Local Problem: That is a question to ask of your doctor specifically. No one here knows the reasoning. Nor can we speak for your doctor. ...Read more