Is It Possible To Get Subacute Thyroiditis More Than Once Over A Lifetime?
I had subacute thyroiditis about 7 years back and was on treatment for about 2 years. After which I had normal blood test results as I kept monitoring it. I feel similar pain and swelling on my neck now. Could I have subacute thyroiditis again? What medicine can I use to get rid of the pain and the situation? I am currently in UK and hence not able to get in touch with my doctor in XXXXXXX Please help.
Thyroid
Detailed Answer:
Sorry to learn about your bothersome symptoms.
Yes indeed it is possible to get subacute thyroiditis more than once over a lifetime.
It is important to diagnose this condition correctly before treatment is begun.
For this, you will need to consult an endocrinologist in-person immediately.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
ESR
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Serum Thyroglobulin
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day
Can you please suggest some medicines in the interim until I get back to India? I'd rather see my doctor in XXXXXXX than someone in uk
Follow up
Detailed Answer:
This online forum does not permit prescribing guidance. Moreover, subacute thyroiditis requires a thorough evaluation to confirm the diagnosis and rule out other conditions.
Treatment also entails close monitoring and gauging response to medications over ensuing days and weeks.
You will need to see a doctor right away