Doctor insights on:
Tsh With Reflux
What does "Tsh with reflex (reflux?) to FT4" mean with blood work? Does that mean it's as complete thyroid check?
Acid reflux is defined as the presence of acidic gastric contents in the esophagus causing irritation. It's cause is blamed on the a lax gastroesophageal shpincter that permits usch regurgitation. Vesicoureteral reflux is regurgitation (backing up) of urine in the bladder into the ureter ...Read more
Diagnosed with small goitre having really struggles with reflux and swilling down properly. Tsh levels 1.1mu. Unable to loose weight even on hormones?
Small goiter: A small goiter should not cause swallowing problems or reflux issues. Your thyroid function appears normal. I don't think your inability to lose weight is related to your thyroid. Losing weight can be challenging. Also there are other conditions besides hypothyroidism which can make it difficult to lose weight. You should discuss with your doctor. ...Read more
I have TSH 9.6 & dr advise 25mg daily thyroxine. I also take esomeprazole 40mg for acid reflux. Will it effect thyroxine intake?
No: For best results, take the thyroid med on an empty stomach 30-60 min away from other meds and food. It's best to be consistent. ...Read more
Breathlessness is worse in morning on exertion is it due to LPR reflux cxr pft echo, ecg, tsh, cbp normal, m not overweight?
Doubt reflux: This could be some emotional reaction, also could be something idiosyncratic, i.e. A symptom you have which can't be explained in terms of conventional medical understanding. Some complementary approach, like homeopathy, acupuncture, or something similar might provide help even if conventionally everything seems perfectly normal. We are much more complicated than what we can measure with tools. ...Read more
Depends: Are you on thyroid replacement currently? Tsh can fluctuate if you are on the wrong kind of thyroid replacement, or you are not taking it regularly, or lab misinterpretation...Work closely with your doc or see a thyroid specialist if this continues to be a problem. ...Read more
Typically, once the TSH starts trending up, it means your own thyroid gland is not being capable of producing enough thyroid hormone and until treated with appropriate doses of hormone, it will continue to go up. The answer to your question depends on the time in between labs, weight gain or significant weight loss, etc etc.
Any other symptoms? ...Read more
It's the opposite: The thyroid system is complex. Thyroid stimulating hormone is like the gas pedal for the thyroid gland. When TSH is high, it is your pituitary screaming for more thyroid hormone (t4) to be made - and vice-versa. With your TSH so high, it means your thyroid status (or med dose) is in the basement. It is either time to start thryoid replacement hormone by mouth or significantly increase your dose! ...Read more
Slippery slope: Perhaps you didn't notice b/c slippery slope phenomenon. Anything greater than 4.5 is abnormal but would you notice any difference at 5? Or 6? Or 7? Or 10? Or 20? Maybe it's been slowly declining over time. Like take stairs down high rise rather than elevator. Or may just be lab error. If you really aren't convinced enough to take medication, ask to repeat test. After all, we're here to treat you. ...Read more
Thyroid lab tests: Tsh levels decrease as the free thyroid hormone levels in the blood increase. So if you develop an overactive thyroid gland and produce excessive thyroid hormone your TSH level will drop low. The same can occur if you are taking a thyroid hormone supplement for hypothyroidism and are taking more than what your body needs. ...Read more
R u on medd?: If you are on medicines., make sure you take it on a fairly empty stomach. Make sure you are not taking it with soy based products as this may interfere with the medicine you are taking. ...Read more
Unclear question: Could you please spell out the test that was done and include the units of measure. Please note that lab results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. ...Read more
Follow up ASAP:
Depends on the cause. Possibilities include hypothyroidism, Pituitary tumors, or thyroid disease.
Only a doctor can determine the cause by proper history, physical and appropriate laboratory/imaging tests.
It is dangerous if nothing is done. Please see your health care provider to receive appropriate medical care for this abnormal test result. Whoever ordered
The test should provide followup. ...Read more
TSH: Depending on your symptoms, other thyroid labs, and whether you're being treated for a thyroid problem, normal TSH range is 0.4 - 4.0 miu/l (milli-international units per liter). If being treated the range is usually tighter, between 0.5 and 2.0 miu/l. Treatment decisions need more data than TSH alone, though. ...Read more
High FT4: "FT4" typically stands for Free T4, which has a "normal" range of 0.7 - 1.6 (or a bit higher at some laboratories), so a level of 13.9 is high. TSH of 4.64 is high normal for most laboratories. This combination is unusual but may suggest thyroid hormone resistance. The first step would be to retest TSH, Free T4, and Free T3 to confirm. ...Read more
It's controversial: There is broad consensus that a TSH between 0.3-2.5 is normal (assuming no pituitary problem exists), and broad consensus that TSH levels above 10 are abnormal and should be treated. A middle-of-the-road approach might be to say that levels between 5-10 are abnormal, and treatment is likely to be beneficial, and that values between 2.5-5 may be abnormal, and that treatment may be beneficial. ...Read more
On who you ask. Most lab reports show normal as being 0.5 - 5 mlu/l, but many people feel the range should be 0.3 - 3. If you are being treated for hypothyroidism, the ideal range is 1 -2. I usually start to take notice when someone's TSH is >2.5.
See http://www. Nlm. Nih. Gov/medlineplus/ency/article/003684.Htm. ...Read more
A little: It depends on the lab but that is just a bit elevated. Generally a lab test called free T4 is done when this borderline. If the free t 4 is low that would confirm that you are hypothyroid. When the numbers are borderline often down the road they will become frankly abnormal. If there are symptoms such as fatigue and weight gain then I would be more inclined to treat sooner then later. ...Read more
Possibly hypothyroid: Normal range of TSH levels can vary with different laboratories. In published levels the usual high level is 4.2 this can be reflection of hypothyroidism. Some early symptoms include because many of the early warnings, like weight gain and fatigue. Normal TSH range is 0.4-4.2 mu/l. ...Read more
Not much: Any lab can have a temporary problems doing any test accurately. That is why an abnormal level should always be repeated to verify it. There are temporary causes for high TSH (resolving subacute thyroiditis), so that a 2nd TSH level done a few weeks after an abnormal one, could be normal. Subclinical hypothyroidism will have a high TSH with other thyroid levels normal, no symptoms. ...Read more
TSH of 4 is within normal limits.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more