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My Son Who Is 5 Got His Thyroid Levels Checked

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Posted on Tue, 6 Oct 2020
Question: My son who is 5 got his thyroid levels checked and the levels are as follows:

-TSH: 8.875. (Range 0.700 uIU/mL - 5.970 uIU/mL)
-T4: 7.0 (Range 45 ug/dL - 12.0 ug/dL)
-T3 uptake: 28 (Range 24% - 34%)
-Free thyroxine index: 2.0 (Range: 1.2 - 4.9)

I have Hashimotos and have been on levothyroxine since I was 15 years old, which is why his pediatrician ordered this test.

Should I follow up with further autoimmune testing to make sure this is not hashimotos?

Do these levels seem like hypothyroidism?

We see his doctor in two weeks so I just wanted some insight before then. Thank you.
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Follow up: Dr. Mirjeta Guni (0 minute later)
My son who is 5 got his thyroid levels checked and the levels are as follows:

-TSH: 8.875. (Range 0.700 uIU/mL - 5.970 uIU/mL)
-T4: 7.0 (Range 45 ug/dL - 12.0 ug/dL)
-T3 uptake: 28 (Range 24% - 34%)
-Free thyroxine index: 2.0 (Range: 1.2 - 4.9)

I have Hashimotos and have been on levothyroxine since I was 15 years old, which is why his pediatrician ordered this test.

Should I follow up with further autoimmune testing to make sure this is not hashimotos?

Do these levels seem like hypothyroidism?

We see his doctor in two weeks so I just wanted some insight before then. Thank you.
doctor
Answered by Dr. Mirjeta Guni (3 hours later)
Brief Answer:
About high TSH;

Detailed Answer:
Hello and thank you for asking!
I can understand your concern regarding your son's health.
Yes, it is hyopthyroidism (subclinical), that in these ages needs to be treated as it may affect the growth.
Antibodies should be checked to confirm Hashimoto thyroiditis.
Hope the information will help.
Best wishes,
Dr.Mirjeta Guni
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Mirjeta Guni (0 minute later)
Brief Answer:
About high TSH;

Detailed Answer:
Hello and thank you for asking!
I can understand your concern regarding your son's health.
Yes, it is hyopthyroidism (subclinical), that in these ages needs to be treated as it may affect the growth.
Antibodies should be checked to confirm Hashimoto thyroiditis.
Hope the information will help.
Best wishes,
Dr.Mirjeta Guni
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Mirjeta Guni (3 hours later)
I will follow up with a pediatric endocrinologist.

Should he be following a specific diet?

Since he is so young, could there be major complications even if he is treated and his levels get regulated?

Could he possibly outgrow this if it’s not hashimotos or will he most likely need to take daily medication for the rest of his life?

Thank you.
default
Follow up: Dr. Mirjeta Guni (0 minute later)
I will follow up with a pediatric endocrinologist.

Should he be following a specific diet?

Since he is so young, could there be major complications even if he is treated and his levels get regulated?

Could he possibly outgrow this if it’s not hashimotos or will he most likely need to take daily medication for the rest of his life?

Thank you.
doctor
Answered by Dr. Mirjeta Guni (17 hours later)
Brief Answer:
About high TSH;

Detailed Answer:
Hi again,
If the antibodies are normal than it may be due to iodine defficiency and iodine supplements will be needed.
Once diagnosed, it is not difficult to keep normal TSH values and there is no complication if the hormonal balance is achieved.
In Hashimoto thyroiditis levothyroxine should be taken for long.
If iodine defficiency is diagnosed, iodine supplements may be needed for some period of time.
Wish him good health.
Dr.Mirjeta Guni
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Mirjeta Guni (0 minute later)
Brief Answer:
About high TSH;

Detailed Answer:
Hi again,
If the antibodies are normal than it may be due to iodine defficiency and iodine supplements will be needed.
Once diagnosed, it is not difficult to keep normal TSH values and there is no complication if the hormonal balance is achieved.
In Hashimoto thyroiditis levothyroxine should be taken for long.
If iodine defficiency is diagnosed, iodine supplements may be needed for some period of time.
Wish him good health.
Dr.Mirjeta Guni
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2413 Questions

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My Son Who Is 5 Got His Thyroid Levels Checked

My son who is 5 got his thyroid levels checked and the levels are as follows: -TSH: 8.875. (Range 0.700 uIU/mL - 5.970 uIU/mL) -T4: 7.0 (Range 45 ug/dL - 12.0 ug/dL) -T3 uptake: 28 (Range 24% - 34%) -Free thyroxine index: 2.0 (Range: 1.2 - 4.9) I have Hashimotos and have been on levothyroxine since I was 15 years old, which is why his pediatrician ordered this test. Should I follow up with further autoimmune testing to make sure this is not hashimotos? Do these levels seem like hypothyroidism? We see his doctor in two weeks so I just wanted some insight before then. Thank you.