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Suggest Treatment For Hypothyroidism

Posted on Thu, 12 Mar 2015

Question: I have been identified with thryroid. In medical reports TSH level showing 15 (normal range <5)
Post this I have undergone one more test i.e. ANTI TPO the result is 82 (Normal range <60)
Doctor asked me take Thyronorm 25 mcg medicine on daily basis in the morning with empty stomach.
My weight is 78kgs and Age is 37
My query
1.     Is the above results are alarming
2.     Is prescribed medicine is ok to normalize the situation
3.     For how long I have to take this medicine
4.     Any do /don’t list to be followed in daily life

Answered by Dr. Ajish TP (1 hour later)

Brief Answer:
You are having Hashimoto's hypothyroidism

Detailed Answer:
Hi XXXXXXX

Welcome to HCM. I have gone through your question and understand your concerns.

You are having an under functioning thyroid (hypothyroidism) due to increased antibodies - anti TPO - in your blood. This is called Hashimoto's hypothyroidism.

Regarding your questions:

1. These results are not alarming - your thyroid is producing less hormones than needed for body

2. The medication is ok. You can retest the thyroid function (TSH, T4) after 2 months. If it is not below 4 miu/ml, you need to increase the dose. If it is below 0.5 you can decrease the dose after consulting a physician.

3. In Hashimotos's hypothyroidism - 90% you need to take the medications continuously. 10% can have an improvement and the dose can be decreased and stopped.

4. No diet modifications are recommended in Hashimoto's thyroid disease. The diet modifications like increased iodine (sea foods, iodized salt etc) and decreased consumption of cabbage, cauliflower etc are for iodine deficiency goiter. You just need to take the medications regularly in morning empty stomach. It is better to avoid food, tea, coffee for 1 hour after thyroid medications.

Hope I have answered your query. If you have any further questions I will be happy to help.

With warm regards,
Dr Ajish TP (MD,DM)
Consultant Endocrinologist.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Ajish TP (17 hours later)

Apart from thyroid, one more problem is that, during these investigation, I have gone through ultrasound,
As per reports , there small enlargement is prostate size is 22. And 70cc urine retention
Separate medicine is going on from last 10 days for urine problem. As per doctor its due to throroid. Plz guide for this too

Also i have uploaded the medical reports, need your expert advice

Medication as of Now
Prescribed by Physician
Thronorm 25mg               Once a day in morning (Since 28th Jan)
Atorica 10(Atorvastatin)     Since 28th XXXXXXX Earlier it was prescribed on daily basis. But from 8th Feb it is prescribed on alternative day
Prostonil                    Once a day

Prescribed by Urologist
Bacstol (Trimethoprim 100mg)          Twice a day(Since 30th Jan)
Folvite (Folic Acid)               Once a day (Since 30th Jan)

Answered by Dr. Ajish TP (15 minutes later)

Brief Answer:
See detailed answer

Detailed Answer:
Hi XXXXXXX

Welcome back.

Noted the reports.

The prostate enlargement is unrelated to thyroid disease. Prostonil is a herbal preparation which can decrease the prostate size without much side effects. Bactosol is an antibiotic for urinary infection. Since the PSA (a test for prostate cancer) is normal, you need not be worried if you don't have any symptoms. You can continue with the medications prescribed by your urologist.

Your increased cholesterol may be related to hypothyroidism. Once thyroid function is normalised, we can adjust the dose of atorvastatin.

Regards
Dr Ajish TP

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. Chakravarthy Mazumdar