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What Does My Lab Test Report Indicate?

Posted on Sat, 6 Aug 2016

Question: Hello Doc. I am 30 year old male. I am attaching a recent report for my health check, wherein I see that my throid levels are high. Can youn kindly advice any remedies.

Answered by Dr. Ramesh Gomez (15 hours later)

Brief Answer:
hello XXXXXXX You are suffering from Graves disease. To confirm this , you ca

Detailed Answer:
hello XXXXXXX
You are suffering from Graves disease.
To confirm this , you can get a nuclear test done (Tc uptake scan). The treatment options are 1) neomercazole tablet 30 mg daily --- which should be dose adjusted after 2 months and continued for 12-18 months
In case if there is a recurrence on tapering or stopping the medications - you may have to undergo the second treatment option (radio iodine ablation).
If you have a large goiter , you can consider surgery.
I will prefer the first option - that is oral medications and radio iodine treatment if disease recurs.
Hope it was useful and you can get back to us in case if further doubts are there

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Ramesh Gomez (31 minutes later)

Thanks doc. I will go with the medications you meantioned. I do have a couple of questions though. 1. Are there any side effects. 2. Will it help me regain my lost weight? 3. How urgent is it to start my treatment quickly, meaning if it is already very high? 4. Do I need any other tests or can I start my treatment with the medicines?

Answered by Dr. Ramesh Gomez (2 hours later)

Brief Answer:
side effects are minimal

Detailed Answer:
Hello XXXXXXX
Neomercazole has mild side effects and are very rare. if you have any throat ulcers or persistent infection or fever or rash , you can consult your nearby physician and express your concern.
It will definitely help you regain your weight.
The medications are to be taken under guidance of an endocrinologist or physician.
Hope you found it useful and we will be glad to help you further

Above answer was peer-reviewed by : Dr. Priyanka G Raj

Follow up: Dr. Ramesh Gomez (27 minutes later)

Do you want me to have any additional tests? How are my throid levels (primary/ secondary/ tertiary..).

Answered by Dr. Ramesh Gomez (17 minutes later)

Brief Answer:
Tc uptake scan

Detailed Answer:
You have primary hyperthyroidism : the most common cause of excess thyroid hormones. Technically it can be Graves disease (diffuse hyperactivity of thyroid gland or autonomus functioning thyroid nodule (AFTN: focal activity of the gland).
Tc uptake scan will help you identify the basic pathology. If AFTN, radio iodine treatment is preferred over Antithyroid medications. Please feel free to get back to us if you do a Tc uptake scan. This facility will be available in nuclear scan centers of major cities

Above answer was peer-reviewed by : Dr. Priyanka G Raj

Follow up: Dr. Ramesh Gomez (2 days later)

Attaching the scan reportfor your reference. Can you please have a look?

Answered by Dr. Ramesh Gomez (11 hours later)

Brief Answer:
i could not find the scan report...

Detailed Answer:
Hi XXXXXXX

no scan report attached.. please verify

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ramesh Gomez (5 minutes later)

Attached again.. Its the scan finding report. Pease let me knowvif you are able to view it

Answered by Dr. Ramesh Gomez (9 minutes later)

I have asked the customer care to make it viewABLE..

Alternatively, you can e-mail the report to YYYY@YYYY by keeping the subject as ATTN:Dr Ramesh Gomez , and I'll get them.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ramesh Gomez (9 hours later)

Hello Doc.

Please see my scan report.

Answered by Dr. Ramesh Gomez (12 hours later)

Brief Answer:
sorry XXXXXXX for the technical delay

Detailed Answer:
i have seen your report, which doesnot support the clinical or biochemical diagnosis
Can you please send the picture of the scan (i received only the written report)
Regards

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Above answer was peer-reviewed by : Dr. Prasad