Doctor insights on:
Treatment For Thyroid Dr Oz
My dad (50) is taking clonazepam 0.5 mg for anxiety for 20 years..Now it's not well effective..Please prescribe any other medicine for him?
Suggestions: Will need to talk to doctor where you are for prescription, but glad to make suggestions. Clonazepam is a benzodiazepine which leads to tolerance meaning dose needs to be increased for ongoing effect. 0.5 mg is a very low dose, but increasing dose is not the answer. Many alternatives: buspirone, paroxetine, citalopram, venlafaxine, duoxetine, just to name a few. ...Read moreSee 1 more doctor answer
Lab results: The doctors here usually defer to the physician caring for you on this type of question. We do not know your medical history in any way and there may be much more to the problem you are being tested for than this simple question would imply. Please ask this question of the physician who ordered the test for you. ...Read more
Is chronic sinusitis treatment with prednisone (total 275mg in 20d)and antibiotics beneficial for diabetic with thyroid problems?Or priority tosurgery
Diagnosis: 20 days of Prednisone is too long for the treatment of sinusitis. The usual dose is 60 mg. Daily for 5 days. The Prednisone can have an effect on your blood sugar. If the cat scan reveals chronic sinusitis and you have been on multiple antibiotics and you are symptomatic, that is, yellow green nasal discharge, pain and pressure in the face for more than 90 days. Surgery is appropriate. ...Read more
Dr prescribed 125mg/5ml amoxicillin for 16.8lb baby. 5ml three times daily. Is this the right dosage for her?
Maybe,maybe not : The dose for an infection will vary with the age of the patient and the illness being treated. If the kid is over 3 months of age and this is for a urinary tract or respiratory infection it is pretty standard. If over 3 months and for an ear infection, it is at the low end of the dosing range but might work. ...Read moreSee 1 more doctor answer
Hi Doc please help, I was diagnose with gastric erosion, h-pylorie, hemorhoids and rectal polyp remove..prescrbe with pantrpzole 40mg, claritromycin and ammoxicilin for 14days. Then continues another pantrpazole 40mg for 12days and reduce to 20mg. However
Be followed timely..: Apparently, you have worked well with your doc so you have received the care as described. Hence, it would be most logical and beneficial to revisit her/him for follow-up so to decide further modification of care is needed or not. How to get the things for adequate healthcare done correctly? Follow instructions in http://formefirst.com/eNewsletter06.html. Best wish to health... ...Read more
T3 (liothyronine) and T4: t3 (liothyronine) thyroid is active thyroid. T4 thyroid converts to t3 (liothyronine). T3 (liothyronine) gets metabolized fast. High t3 (liothyronine) will suppress tsh. TSH stimulates the thyroid to make t4 and t3 (liothyronine). For some people armour thyroid is good. For some it has a little too much t3 (liothyronine). There is medicine that is all t3 (liothyronine) and all t4. I like armour thyroid. T4 is popular. ...Read moreSee 1 more doctor answer
Detected with hashimotos hypothyroidism ,TSH4.67.Doc see small nodules.Is Levothyroxine treatment enough? or need further evaluation/therapy?Any Risks
Evaluate nodules: I recommend that the "nodules" be evaluated by real-time ultrasonography performed by a thyroid specialist skilled in risk-stratification of nodules based on current American Thyroid Association guidelines. A fine-needle aspiration biopsy is recommended for any that would be regarded as suspicious. ...Read moreSee 1 more doctor answer
Dr prescription ritalin (methylphenidate) for drowsiness, second day and no benefits, 5mgx2, dr told me that this is evaluating dose, next meet is 5 oct, recommended dose?Best regards
Hypersomnia : The range varies. At your age i would select long-acting methylphenidate 54 mg as day. The brand is Concerta 54 mg every morning. Your current dose is fine as a starting dose to see how you tolerate it, but hypersomnia generally requires 54 mg and sometimes even more. Best wishes. Call your doctor and see if he will let you escalate more rapidly. Hypersomnia is simply no fun. ...Read more
Yes: It would be safe!Get a more detailed answer ›
My T3 (liothyronine) and T4 are normal and TSH is .001. Doctor advised to take methimez 20 mg per day. Please advice.
Don't take it!: I have seen many patients with normal T4 and t3 (liothyronine) and low TSH and they are not hyperthyroid and should not be treated with methimazole. Usually after 4-6 months the tests return to normal though on occasion it will progress to hyperthyroidism. Was the doc who prescribed the med an endocrine specialist? If not see an endocrinologist and if yes see a different endo. ...Read more
What is "Anti-biotics treatment.Repeat urinalysis as post tx. Hydration" as a remarks for medical exam/test...results pending...
I can't take ptu (propylthiouracil) or tapazole. My dr. Recommended surgery to correct my thyroid values. Is that a good option?
Treat hyperthyroid: There are 3 treatments for long-term hyperthyroidism (graves' disease, and toxic nodular goiter) : medications as ptu (propylthiouracil) or methimazole, or surgical removal of thyroid, or radio iodine i-131 ablation. If can't take meds, then surgery (complete or partial thyroid removal) will quickly lower thyroid levels, with low risk if experienced surgeon. Or i-131 radioactive pill can lower thyroid in ~3-4 mos. ...Read moreSee 1 more doctor answer
Will Drs here order full thyroid labs to include free T3/T4, reverse T3, and both thyroid antibodies? thanks.
Sometimes: Try asking for a HealthTap Endocrinology specialist (Concierge virtual consultation service). You can discuss your disorder and your reasons for needing testing, and also send images while in the middle of a live or textchat consultation. The fee remains the same, regardless of whether or not tests are ordered, and whether or not medications are prescribed. ...Read more
Diagnosed with chronic prostatitis, prescribe me sildosin 4mg tablet for lifetime. really i need this medicine for lifetime to urinate well?
Need more info...: How long have you taken silodosin, a alpha-blocker, to relax your urinary sphincter? Has it helped improve urine flow after its use? If so, you need it or other similar ones like tamsulosin, for life. How to take care of voiding disorders? Go to http://formefirst.com/TroublingVoiding-Men.html & other articles in the selected category. More? Contact www.healthtap.com/dr-Lin with rqpwjc to login. ...Read more
Depends: Routine thyroid evaluation should be within the scope of your primary care doctor. For more unusual or complicated problems, see an endocrinologist. ...Read more
My 68y mom is taking nortyp&sertra for severe anxiety, 25&50mg, please provide dose range & take time for her?Hers doc is not accessible, increasing dose.
Med doses: Both meds dose should not be increased very quickly especially nortryptline and doses should not be missed not sure if she is taking any other meds and just started these meds should adjust the dose over days slowly at times increased dose can cause worsening of anxiety taking at night is easier to avoid some common side effects but should be consistent with time taking meds hope it's helpful. ...Read more
Strongly suspect B12 deficiency.How to cure/treat it w/o dr visit?Can't afford dr.Can I just take certain amt B12 daily?How much?Im 38,115 lbs,5'6.
Don't self-diagnose: If you are a vegetarian, you need to supplement or you are likely to end up with brain damage. Even the vegan leadership acknowledges this. If you have self-diagnosed B12 deficiency from some other cause, then either you are wrong (and you have symptoms from some other cause which must be discovered) or you have pernicious anemia, for which you need injections to avoid brain damage. ...Read more
I sweat when im not doing anything. I've got my thyroid checked twice and didn't need any treatment. What could be wrong with me?
Sweating out toxins: Fyi: admittedly, hyperhidrosis can really be a drag. On the other hand, it is better to sweat "too much" than "not enough, " because sweating (because it allows for the excretion of lipophilic, i.e., fat-loving, toxins) is one of the best ways to rid the body of toxins (detoxify). In addition to the skin, other organs of excretion include the gastrointestinal system, the kidneys, and the lungs. ...Read moreSee 1 more doctor answer
Dr. Christine northrup mentions that women in perimenopause benefit from thyroid treatment regardless of test results, why do others disagree?
Need real evidence: Dr. Northrup, like dr. Oz, and others, tend to stay in the public eye because of media, sensationalism, self promotion. Some of the things they promote are good and based on sound scientific evidence, many things however, have no scientific proof. There are no legitimate studies that demonstrate a benefit to taking thyroid hormone in people who have no thyroid problem. Any med has side effects. ...Read moreSee 1 more doctor answer
Depends: Depends upon the particularly thyroid problem. Discuss w/your doctor. ...Read more
I am a 44yr women & have been diagnosed with a under active thyroid. What is the best diet treatment ?
Avoid goitrogens ;: The main treatment is taking thyroid hormone (ideally natural thyroid- see http://bit.Ly/1ccxy0r but avoiding certain foods called goitrogens that inhibit thyroid function may help- see http://bit.Ly/1g0c8vw taking kelp or other sources of iodine many help, as well as avoiding Fluoride ; bromine- see http://bit.Ly/1ddkbiq i advise eating primarily organic foods- see http://bit.Ly/19xax7e. ...Read more
I took the i-131 treatment for my thyroid march 27 how long should I wait to start back on my thyroid med i had my thyroid removed
Studies : Studies show that after i131 treatment it is best to restart your thyroid hormone, if you stopped it, right away. And you will feel more and more awful from hypothyroidism the longer you stay off thyroid hormone. It actually seems to help the i131 work better by starting back right away, even the same day after you get the radio-iodide treatment. ...Read moreSee 1 more doctor answer
I have hyper thyroid . My weight is 42 kgs and I am 26 years old. I used to take neomercazole but my weight didn't increase.Plz suggest treatment?
See Dr. first, then:: If one is truly underweight (based on height, family background, and body type), a dr. Can evaluate for a hormonal, digestive, or other disorder. If no medical cause is found, then one can add weight by eating more calories of nutritious foods, while also doing weight-training to increase muscle. Proteins: egg white, chicken breast, salmon, ... Better fats: olive oil, peanuts, almonds, tofu, .... ...Read more
Cause?: The cause is important to know because it is necessary to have a diagnosis before considering treatment options. Some causes of thyroid enlargement include: under or over active thyroid gland, multinodular goiter, lymphoma, thyroid cancer, etc. Each of these diagnoses may cause thyroid enlargement, but whether or not to treat, and how to treat depends on the cause. ...Read more
Treat the condition: The thyroid gland is a hormone producing gland that is very active (hyper) or underactive (hypo). If hyper this may require suppression with radioactivty. If hypo this may require thyroid medication. If not controlled and a goiter develops or a mass, this may require surgery. ...Read more
It is with pill only: Radioactive pill contains i-131 isotope containing radioactive iodine. Iodine is only needed by thyroid gland no other organs uses iodine.So once you swallow i-131 pill radioactive isotope labelled iodine absorbed from stomach and intestine and from blood it is trapped by thyroid gland to its maximum capacity and res is excreted by kidney into urine., and that is reason pt. Has to flush toilet ...Read moreSee 1 more doctor answer
No: Why are you taking thyroid? If it is for hypothyroidism ask your doctor the cause of the hypothyroidism. Most are permanent and you need to take thyroid replacement as levothyroxine forever. Occasionally hypothyroidism is transient, as following pregnancy or after an inflammation in the thyroid. See a thyroidologist if you are not sure what you have. ...Read more