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What Causes Blood Clots, Migraines, Irregular Mestruation Ad Cold Sensitivity?
Question: I am almost sure I have a thyroid disorder. I have had blood clots, migraines, irregular mestrual, cold sensitivity. I have nodules on my thyroid. My biopsy of the nodule was benign. I still suffer with neck discomfort. I also have cyst in my chest. The Dr monitors my tsh, t4 and t3 to be sure. I have had low t3 but that's it. Is there anything else I can request to further diagnose thyroid disorders
Brief Answer:
Thyroid
Detailed Answer:
Sorry to note your symptoms.
When I see someone like you in my practice, I tend to order the following tests:
CBC
CMP
TSH
Free T4
Thyroid antibodies (anti TPO and anti Thyroglobulin)
These tests help one decide if you truly have a permanently under active thyroid that necessitates treatment with lifelong medication .
If the tests suggest the possibility of 'Secondary' hypothyroidism ie an underactive thyroid gland due to insufficient pituitary TSH signal , then further tests such as blood prolactin levels and an MRI of the pituitary can be considered.
I see you are no medications. I mention this because there are some medications that can reduce the conversion of T4 to T3 in the body. Sometimes major stress such as hospitalization for critical illness can have similar effects ie decrease conversion of T4 to T3.
These may not necessarily require any direct treatment.
Good to note your biopsy was benign. Do you know the details of your thyroid ultrasound report?
Thyroid
Detailed Answer:
Sorry to note your symptoms.
When I see someone like you in my practice, I tend to order the following tests:
CBC
CMP
TSH
Free T4
Thyroid antibodies (anti TPO and anti Thyroglobulin)
These tests help one decide if you truly have a permanently under active thyroid that necessitates treatment with lifelong medication .
If the tests suggest the possibility of 'Secondary' hypothyroidism ie an underactive thyroid gland due to insufficient pituitary TSH signal , then further tests such as blood prolactin levels and an MRI of the pituitary can be considered.
I see you are no medications. I mention this because there are some medications that can reduce the conversion of T4 to T3 in the body. Sometimes major stress such as hospitalization for critical illness can have similar effects ie decrease conversion of T4 to T3.
These may not necessarily require any direct treatment.
Good to note your biopsy was benign. Do you know the details of your thyroid ultrasound report?
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Unfortunately I don't, I know that they weren't pleased with the size and they also said it was fluid and tissue in the nodule that's why I needed a biopsy
Brief Answer:
Follow up
Detailed Answer:
As long as your TSH and free T4 are normal, it is almost certain that your thyroid is functioning normally.
Thyroid nodules are best monitored by an Endocrinologist who typically take many factors into consideration such as risk factors for thyroid cancer and nodule characteristics on ultrasound, before recommending any intervention or otherwise.
Follow up
Detailed Answer:
As long as your TSH and free T4 are normal, it is almost certain that your thyroid is functioning normally.
Thyroid nodules are best monitored by an Endocrinologist who typically take many factors into consideration such as risk factors for thyroid cancer and nodule characteristics on ultrasound, before recommending any intervention or otherwise.
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
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