Doctor insights on:
Can insist: If your health insurance coverage mandates that you need a referral to a specialist by your PCP, insist on getting one. However Hashimoto's throiditis is quite common and easy to diagnose and treat by an internist or any primary care physician who has experience in treating such cases. ...Read more
How bad is morning cortisol level of 40? Endocronolgist isn't concerned, she said only concerned if it's low. I'm 31 yr old female the is very active
High AM Cortisol: A morning cortisol level of 40 is elevated. It may not be "bad", but it is outside conventional range for morning cortisol. Stress can elevate cortisol, but this value is high. Either you are very stressed, or you have an ongoing secretion excess that requires evaluation, diagnosis, and management. More testing needed, such as 24 hr urine collection, suppresion testing, ACTH testing, & imaging ...Read more
You can see: An endocrinologist, but a good pcp should be able to manage a simple thyroid case such as this. It needs to be checked once/year if stable and continue brand name replacement only. ...Read more
U C Davis: If you are in modesto, you are not far from u c davis med center and they have fellowship trained endocrinologists as well as neurosurgeons who can help with pituitary tumors. They will be well experienced and will understand your disease problems and needs. ...Read more
My hormone levels are high. Lower neck was sensitive to the touch. Ultrasound showed roughness but nothing more. Should I see an endocronolgist?
Maybe: Does your primary care physician think you need one? Would you feel better seeing an endocrinologist? Then see one. Another avenue to investigate is acupuncture and chinese medicine. If you are in a state where there is nothing overtly wrong yet hormone levels are off, chinese medicine and acupuncture can balance you and help reduce hormone levels. Ii have seen it work many times. ...Read more
My endocronologist called and said he needs to put my thyroid meds up more is this why I haven't gotten my period?
Difficult to say: There can be a number of reasons why a woman may not get her period. Although the thyroid can affect the period pregnancy is a more common reason, meds, stress and other diseases can affect it also. If it has not come in more than 6 wks you should probably be evaluated for different causes. ...Read more
My 5 and half year old girl has smelly armpits. She drinks soy milk. Should I be alarmed. Doctors visit in 3 weeks with endocronologist?
Like body odor?: If she is having body odor like you or I might have if we didn't use deoderant, she might be starting pre-pubertal changes early. Other changes might be a bit of underarm or pubic hair - both unusual at this age. The endocrinologist evaluation is exactly the right thing to do. If she is having early puberty, it will reduce her lifetime height; can be averted by medications. Good luck. ...Read more
Is it true that obgynes can't treat or make a girl pregnant with ireg preiod and hormonal imbalance.? Endocronologist is needed they say. Pls help
I am hyperthyroid and my blood pressure is 90/65. My Endocronolgist wants me to take propanol (10mg) to help with palps. Won't this drop my pressure?
Propanol: Propanolol blocks thyroid effect and slows heart rate. This sometimes will raise Bp or have little effect ...Read more
I'm diabetic who is getting cuts on my foreskin, is it best to see my endocronologist or my primary care physician for treatment?
I had a radioactive thyroid scan. The results show an overproducing thyroid, with a pyramidal lobe, but my TSH came back at 4.3.Endocronologist next?
Likely Hashimoto's: You cant tell anything about thyroid function based on a thyroid scan. This is a common mistake made by radiologists. All you can assess is how much iodine is taken up by the thyroid gland and how it appears, not how much thyroid hormone is being produced. Your TSH is borderline elevated. The most likely cause for these findings in your age group is Hashimoto's thyroiditis. Seeing an endo is good ...Read more
I have been diagnosed with PCOS and currently on Spiractin prescribed by my endocronologist. The side effects on my menstrual cycle have been prolonged bleeding and cramping which lasts for 2 to 3 weeks which repeat every 2 weeks. Kindly advise?
Not our place.:
There's a LOT of treatments for PCOS. Ok, massive weight loss and exercise is the best. BUT for treatments that are a bit more practical, there's quite a few and they need to be advised by your doctor.
AND, if you did NOT have menstural issues with the PCOS that would be unusual. Cannot say in your particular case, but generally, PCOS pt's have worse than what you are describing. ...Read more