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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Low On TSH, Developed Cough, Prescribed Prednisone, Antibiotics For Cough, X-ray Clear. What Is This ?

When I did my physical and routine lab, my TSH came very low 0.006. I followed up with endocrinologist, and he found a mild swelling of the thyroid and ordered further blood test (T4 free;Thyroid AB; THS receptor AB, ESR Westergren) and Thyroid scan with uptake. Doctor said that blood results showed negative, which I understood that all was within the range. Today I did the thyroid scan and had minimal uptake of 1% (I was told normal would be 7 - 20%). My doctor should contact me next week with the results, but another opinion is greatly appreciated.

My background, male, 30, never had thyroid problems. Previous TSH results from last august shows 3.5. I am in school and work full time and had a very stressful spring and summer. Sometime in May (few months ago) I had a prolonged cough of several weeks as a result of a cold. My PCP prescribed Prednisone and antibiotic which helped to get rid of the cough. X-ray was ordered and chest was clear. Also lately, I started to get tired easily, and found myself trying to catch my breath during activity or conversation.

Thank you
Mon, 19 Aug 2013
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General & Family Physician 's  Response
Hi,
Low TSH indicates hyperthyroidism. Your thyroid scan shows less iodine uptake which again indicates hyperthyroidism.
Your cough &cold may have allergic origin. The antiallergic drugs & cough syrups are to be avoided in such a case ,for fear rapid heart beats/chest tightness.
Your thyroid is yet to be fully evaluated,so doctor has given cortisone to combat the allergic factor in your cough ( and avoided antihistaminics.).
thanks.
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Low On TSH, Developed Cough, Prescribed Prednisone, Antibiotics For Cough, X-ray Clear. What Is This ?

Hi, Low TSH indicates hyperthyroidism. Your thyroid scan shows less iodine uptake which again indicates hyperthyroidism. Your cough &cold may have allergic origin. The antiallergic drugs & cough syrups are to be avoided in such a case ,for fear rapid heart beats/chest tightness. Your thyroid is yet to be fully evaluated,so doctor has given cortisone to combat the allergic factor in your cough ( and avoided antihistaminics.). thanks.