Doctor insights on:
Thyroid Treatment In Pots
What is the significance of radioactive iodine scan in various throid diseases like myxedema, hashimoto's thyroiditis and graves disease?
Hot vs. cold nodule: Iodine uptake by thyroid tissue depends on functioning cells. The most common use for thyroid scan is to assess if a nodule is functional or not. A functional/hot nodule may cause hyperthyroidism but is not likely to be malignant. See this site for more info. http://www.nlm.nih.gov/medlineplus/ency/article/003829.htm. ...Read more
Mechanism: The thyroid has 2 months of thyroid hormones stored inside it. When it gets inflamed (thyroidtis), it can't hold on to the thyroid hormones and the hormones leak out into the blood stream. That's why you have high level at the beginning. Once all the hormone is leaked out, there is no hormones left and the body has to make the hormone again which is why you become low. ...Read moreSee 1 more doctor answer
Does subclinical hyperthyroid caused by graves always progress to hyperthyroid and is treatment necessary for subclinical hyperthyroid?
Watch carefully: Eventually, you will likely develop either overt hyperthyroidism, or you could possibly become hypothyroid. But not always, and this could take years. If you feel well, and your heart/bones/psyche/ etc are ok, you and your doctor (best: Endocrinologist) could elect to watch this and not treat now, but watch carefully. ...Read moreSee 1 more doctor answer
Inflammatory arthritis dx. Recent lethargy and cold intolerance. TSH and T4 normal but thyroid antibodies positive. Treatment for thyroid needed?
Endocrinology input: as this is a relative issue, depends on the levels and types of antibodies present, needs an expert in thyroid disorders to give you a definitive answer and a follow up plan, you can try first an Endocrinologist on HealthTap, good luck ...Read more
Is the risk of thyroid carcinoma increased with diagnosis of hashimoto thyroiditis when multiple thyroid adenomas are present. Tyab 2470?
Not if they function: If the adenomas are "cold" or do not function, then they are likely to be malignant. They do not show up on radionuclide scan because they do not function. Otherwise they are unlikely to be malignant. However, since you have many of them, you likely need and should get further workup, like aspiration biopsy, etc., along with treatment for your hashimoto's. ...Read more
Several options: The treatments come down to antithyroid drugs (eg. Methimazole), radioactive iodine (rai), or surgery. Each has advantages and disadvantages, and you should discuss with your endocrinologist. If you opt for surgery, make sure the surgeon is an experienced thyroid surgeon. ...Read moreSee 1 more doctor answer
Iodine supplements usually aren't necessary if you live in the United States or in most developed countries: Some alternative medicine practitioners recommend iodine tablets or kelp supplements — which are high in iodine — for people with hypothyroidism. It is true that iodine deficiency can cause hypothyroidism. But iodine deficiency is rare in the United States and other developed countries since the addition of iodine to salt (iodized salt) and other foods. If iodine deficiency isn't the cause of hypothyroidism, then iodine supplements provide no benefit and should not be used. In fact, for some people with abnormal thyroid glands, too much iodine can cause or worsen hypothyroidism. Hypothyroidism can be safely and effectively treated with the synthetic thyroid hormone levothyroxine (Synthroid, Levothroid, others). ...Read more
No: A thyroid scan is a study that exposes you to a small amount of radiation and allows the radiologist to see images of the thyroid. A radioactive thyroid treatment is when you are given very large amounts of radiation in order to "kill" the overactive thyroid or thyroid cancer. ...Read moreSee 3 more doctor answers
What diseases could cause a young woman with Hashimotos to have gastroparesis and POTS and POTS symptoms worsen with Synthroid.
Thyroid meds: No it cannot - Grave's disease is actually worsened by the use of Levothyroxine. Grave's disease consists of hyperthyroidism due to antibodies that cause receptors in the thyroid to increase production of natural levothyroxine in the body. Therefore if you take oral Levothyroxine - the symptoms will be worse. Methimazole - blocks the synthesis of the excess levothyroxine. ...Read moreSee 2 more doctor answers
Seen numerous GPs cardiologist, endocrinologist allergist ER &psych /labs tests normal so far/all of the symptoms of Hashimotos or adrenal fatigue..?
So: I don't believe you would find what you want here, you have seen all the doctors you need, and this limited space on that platform won't suffice, all I can tell you is the list is comprehensive for causes of fatigue, good that many organic causes are excluded, anxiety remains to be a cause, you need a doctor you can identify well with, who has the time to go over what you suffer from, take care ...Read more
Can increased restless leg syndrome be a symptom of low thyroid hormones due to total thyroidectomy and no replacement meds yet?
Might: When you go through medical literature, you cannot find and paper to find a relation between RLS and hypothyroidism. It actually is a novel idea for research since there is a known relation between anemia and rls, and people with hypothyroidism develop anemia they also might develop rls. ...Read moreSee 1 more doctor answer
Have thyroid goiter and inflammation. No nodules. Feel lump in throat. On Synthroid (thyroxine) 75mcg for hashimotos. Can you have thyroid cancer with no nodules?
3/3 hr 104-118 even when resting cause? History hyperthyroidism controlled w/left thyroidectomy no thyroid medicine hbp have right side of thyroid
TSH? : Check your tsh. There is an entity called "inappropriate sinus tachycardia" in which people have a high resting heart rate for no reason, but excess thyroid would have to be ruled out first as well as many other possible contributing factors. You would need a full evaluation with echocardiogram, chest x-ray, & blood work as a starter. ...Read more
Is it possible to have hyper thyroid symptoms with "normal" test results? On Synthroid (thyroxine) for years. Sleep problems, anxiety, tachycardia, stomach issues
Yes: Get re tested soon by endocrinologist.Get a more detailed answer ›
I had a partial thyroidectomy and the radioactive iodine treatment for the other side due to goiter-nodule with small cancer. Synthroid (thyroxine) reduced-why?
For RAI to Work: The overall treatment is a little confusing as cancer is usually surgically removed, but there are a few reasons to lower your Synthroid (thyroxine). It may be held for a while so your left over thyroid tries to work and will suck up the RAI. The other reason is when the thyroid cells die they will release thyroid hormone. This could temp make you hyperthyroid. Eventually your dose will be adjusted again. ...Read moreSee 1 more doctor answer
I have hypocretin deficient narcolepsy which reduces TSH levels along with autoimmune hypothyroidism. Is the TSH test reliable to gauge my thyroid?
Not always: TSH is not always a reliable test, because it relies on what the pituitary thinks, but different tissues may have different sensitivity to thyroid hormone. In addition, some people make too much reverse T3 (liothyronine), (liothyronine) which can block the action of T3 (liothyronine). Google "stop the thyroid madness" ...Read moreSee 2 more doctor answers
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