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What Do My Thyroid Test Results Indicate?

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Posted on Wed, 13 Apr 2016
Question: UA: APPEARANCE Hazy; BACTERIA Trace; ERYTHROCYTES 3-5 High;HEMOGLOBIN Moderate;PROTEIN 30;UROBILINOGEN Negative;Microalbumin ALBUMIN 16.5;ALBUMIN/CREATININE 351.7 Critical High; CREATININE 46.92;ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION 32.8 Low;NEUTROPHILS 2.8;GLOMERULAR FILTRATION RATE.PREDICTED 76.1;GLUCOSE 104 High;ERYTHROCYTE SEDIMENTATION RATE 19 High; RHEUMATOID FACTOR<15.0;THYROXINE.FREE 0.74;THYROXINE BINDING GLOBULIN 40.4 High;THYROTROPIN 14.02 High;TREPONEMA PALLIDUM AB.IGG Negative; Anyone help tell me what is wrong with me?
doctor
Answered by Dr. Shehzad Topiwala (1 hour later)
Brief Answer:
Thyroid

Detailed Answer:
Clearly your TSH is high at 14. If you are on thyroid medication called levo thyroxine, then you ought to discuss with your endocrinologist about a dose increase to achieve target TSH levels.

There are abnormalities in your urine report which are unrelated to the thyroid problem but still need to be addressed by your kidney doctor.

Regarding the adrenal adenomas, you need to get examined in-person by an endocrinologist for a comprehensive evaluation. This would entail further testing in the form of hormone related work up such as
Midnight Saliva cortisol test
Plasma Free Metanephrines
ARR (Aldosterone Renin Ratio)
in addition to periodic CT scans to monitor the size and growth trends
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (7 hours later)
Yes, I stated I have thyroid disease they keep changing my meds for that. And I know there are things wrong with my UA that is why I posted it. Thought I would get more of an answer than that their are abnormalities, as the reference ranges informed me of that. Thanks.
doctor
Answered by Dr. Shehzad Topiwala (2 hours later)
Brief Answer:
Follow up

Detailed Answer:
1 You will need to increase your levothyroxine dose to lower your TSH. Specific dose increase and TSH targets will have to be individualised after a physical examination

2 Above mentioned tests are important to rule out

Cushings syndrome
Primary HyperAldosteronism
Pheochromocytoma

with regards to the adrenal adenoma

3 The urine report requires further analysis by a kidney specialist.
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
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Do My Thyroid Test Results Indicate?

Brief Answer: Thyroid Detailed Answer: Clearly your TSH is high at 14. If you are on thyroid medication called levo thyroxine, then you ought to discuss with your endocrinologist about a dose increase to achieve target TSH levels. There are abnormalities in your urine report which are unrelated to the thyroid problem but still need to be addressed by your kidney doctor. Regarding the adrenal adenomas, you need to get examined in-person by an endocrinologist for a comprehensive evaluation. This would entail further testing in the form of hormone related work up such as Midnight Saliva cortisol test Plasma Free Metanephrines ARR (Aldosterone Renin Ratio) in addition to periodic CT scans to monitor the size and growth trends