[MERGED] Hyperthyroidism

[spidurrman23]

i have all the symomps of hyper heart pound, sweating, lost 5 pounds in a week. got my blood checked yesterday. Hope all goes well. I dont feel the heavy heartpounds though. Hope my thyroid isnt major

[nhez]

gud evening po doc..pahingi po ng advice..natatakot akong mag pachek up kasi.. kasi po sa leeg ko parang meron palaging nakabara,hindi naman po ako nahihirapan lumunok,madalas ku po maramdaman un.. about un sa mga symptoms po ng hyperthyroidism *** nararamdaman ku po madali po akong mapagod eh,naglost po akong wieght but i think hindi un symptoms kasi nagdiet po talaga ako since april hindi na ako nagririce..naramdaman ku lang po to mga 2 wks ako..sana po ma advice nyo ako kung anong dapat kong gawin muna..madaming salamat po

[Les]

Well, you won't get any definite answers without having a checkup done.

Symptoms of hyperthyroidism include palpitations, weight loss, thinning and/or falling hair, heat intolerance, excessive sweating, frequent bowel movement, irregular menses, and tremors of the extremities, especially of the hands.

[nhez]

hi doc..hindi po ako nagpapalpitate minsan po nag ddob lang ako,nagloose po ako ng weight kasi nga po nagdiet talaga ako no rice po talaga ako since april,*** falling hair po actually manipis po talaga *** hair ko kapag nagsusuklay ako cguru mga les dan 5 *** sumasama sa suklay,heat intolerance and excessive sweating since bata po ako pawisin po talaga ako,*** BM ku po once a day due to bigerlai,kapag hindi ako naggreen tea cguru every 2 days po BM ko,regular naman po mens ko,*** tremors po ng hand un nararamdaman ku po un since high school pa ata..

sa tingin nyo po positive po ako for hyperthyroid? *** prob na pinakanararamdaman ku po *** parang may nakasabagkal sa leeg ko..kinakabahan po talaga ako.. *** alam po kayong endo dito pampanga? thanks po sa reply nyo pala..

[Les]

It's impossible to find out if you're hyperthyroid just from your descriptions. If you are worried then it's best to have yourself seen by a doctor. I know that Pampanga has several endocrinologists practicing in that area though I don't know them personally.

[raido]

need lang po ng help dun sa may mga alam ng price for checkup sa mga clinic..plan ko po kasing magpacheckup ulit.

pm na lang po..maraming salamat

[raido]

need lang po ng help dun sa may mga alam ng price for checkup sa mga clinic..plan ko po kasing magpacheckup ulit.

pm na lang po..maraming salamat

up ko lang po ito. thanks

[shotokan]

^ang naaalala ko (3 years ago) ewan ko na lang ngayon,,, 1000pesos each test for TSH, T3, T4... so 3000 pesos lahat ang inabot ng lab test ko, di pa kasama yung dr.'s consultation fee, plus medicine...

sa gov't. 1500 lang noon ang TSH, T3, T4 pero you have to wait at least 1 week di katulad ng private na 1 - 2 days lang...

hope this helps...

[MyDreamsTK]

Ask lang po ako. ETO PO NARARAMDAMAN ko ngayon. Left chest pains, not frequent. Pag natamaan left chest ko kumikirot din sya like press mo ng medyo may diin. Bounding pulse. Masakit minsan batok at balikat pero ok parati BP ko. Weird buzzing sensations. Nag pa check up po ako 2 mos. ago. Result is.

FT3=4.73 FT4=18.76 TSH= 3.22

REF. Range. FT3(2.5-5.8pmol/L) FT4(11.5-23.00pmol/L) TSH(0.27-3.75uIU/mL)

Hyper pa din daw ako. 2 methimazole tabs daily for 2 mos. daw balik ako after. Nataka ako kasi almost nasa range na ko, gusto ko sana magtanong pero nandun nanay ko baka sabihn na naman nya marunong pa ko sa doktor so nagtiwala na lang ako.


So bumalik ulit ako ng monday for follow up. Then yung release ng results kahapon.


FT3= 3.51 FT4=7.50 TSH=33.77

Same Ref. RANGE.

Nakasulat sa papel hyper pa din ako. So nagtaka ako kasi alam ko pag mataas TSH Hypo yun, pero alam ko talaga FT4 ang pinagbabasehan. Nung check up na po, sabi ng doktor 5 mg. Methimazole daw once a day. So nagtanong na ako, dok di po ba hypo na ako? Note: magkaibang doktor nag check up po sakin. Napansin din nya siguro na mali nakasulat. So lumabas sya to verify siguro. Pagbalik nya ayun hypo na daw ako. LEVOTHYROXINE, correct me if i'm wrong. 25 mg. 3x a day bali 75mg. a day. Balik daw ako after 3 mos. naman. Any suggestions? Like po sa dosage ng gamot at kung kailan ako babalik. Baka po kase masobrahan na naman ako. Sorry po kung dito ko to na post although hypo na ako. THANKS.

[shotokan]

^ which doctor you have visited? Internist/Endocrinologist? or just General Practioner...

Hindi ba dapat kinunan ka ng ECG kasi parang nananakit ang chest mo which more closer to a heart problem.

FT3=4.73 FT4=18.76 TSH= 3.22

REF. Range. FT3(2.5-5.8pmol/L) FT4(11.5-23.00pmol/L) TSH(0.27-3.75uIU/mL)

as per above test... i think it's all normal... well this is just my opinion, im not an expert in interpretation of figures and im not a doctor.

FT3= 3.51 FT4=7.50 TSH=33.77

on your second test, i think you're now a hypothyroidism... because your TSH is very high.

better have another doctor who can diagnose you better (either Internist or Endocrinologist)

[shotokan]

here's my latest lab test result:

as of 27 August 2012 lab test update:

Assay Result Reference Range
----- -------- ---------------
TSH 5.345 mIU/1 0.320 - 5.00
FreeT4 17.34pmol/1 9.22 - 23.80


my Internist told me to stop my medication for now and i have to get back next month for another lab test. I hope next result will be all normal.

[Les]

Ask lang po ako. ETO PO NARARAMDAMAN ko ngayon. Left chest pains, not frequent. Pag natamaan left chest ko kumikirot din sya like press mo ng medyo may diin. Bounding pulse. Masakit minsan batok at balikat pero ok parati BP ko. Weird buzzing sensations. Nag pa check up po ako 2 mos. ago. Result is.

FT3=4.73 FT4=18.76 TSH= 3.22

REF. Range. FT3(2.5-5.8pmol/L) FT4(11.5-23.00pmol/L) TSH(0.27-3.75uIU/mL)

Hyper pa din daw ako. 2 methimazole tabs daily for 2 mos. daw balik ako after. Nataka ako kasi almost nasa range na ko, gusto ko sana magtanong pero nandun nanay ko baka sabihn na naman nya marunong pa ko sa doktor so nagtiwala na lang ako.


So bumalik ulit ako ng monday for follow up. Then yung release ng results kahapon.


FT3= 3.51 FT4=7.50 TSH=33.77

Same Ref. RANGE.

Nakasulat sa papel hyper pa din ako. So nagtaka ako kasi alam ko pag mataas TSH Hypo yun, pero alam ko talaga FT4 ang pinagbabasehan. Nung check up na po, sabi ng doktor 5 mg. Methimazole daw once a day. So nagtanong na ako, dok di po ba hypo na ako? Note: magkaibang doktor nag check up po sakin. Napansin din nya siguro na mali nakasulat. So lumabas sya to verify siguro. Pagbalik nya ayun hypo na daw ako. LEVOTHYROXINE, correct me if i'm wrong. 25 mg. 3x a day bali 75mg. a day. Balik daw ako after 3 mos. naman. Any suggestions? Like po sa dosage ng gamot at kung kailan ako babalik. Baka po kase masobrahan na naman ako. Sorry po kung dito ko to na post although hypo na ako. THANKS.

Your first set of labs are in the normal range. At this point your anti-thyroid drug dosage can actually be maintained. The second set of labs shows that your dose of methimazole is already excessive, causing hypothyroidism. The way to correct this is by just reducing the dose of your methimazole. Drug-induced hypothyroidism should NEVER be corrected by adding levothyroxine, unless your doctor plans to do the block-and-replace technique which uses two drugs (methimazole/carbimazole and levothyroxine). However this technique is already outdated, is expensive, and no longer recommended.

The adjustment of your anti-thyroid drug dosage and overall management of your hyperthyroidism is best managed by an endocrinologist. An internist might also be okay, though not all internists are well-versed in managing hyperthyroidism.

If you have been hyperthyroid for quite a while (e.g. more than 18 months on medications) and you haven't achieved remission then it's time to consider definitive therapy in the form of either radioactive iodine or thyroid surgery.

[Les]

here's my latest lab test result:

as of 27 August 2012 lab test update:

Assay Result Reference Range
----- -------- ---------------
TSH 5.345 mIU/1 0.320 - 5.00
FreeT4 17.34pmol/1 9.22 - 23.80


my Internist told me to stop my medication for now and i have to get back next month for another lab test. I hope next result will be all normal.

I don't see any reason why the medication should be stopped since your FT4 is within the normal range. In fact, your FT4 (17.34) is quite closer to the upper limit (23.8) than its is to the lower one (9.22). Thus it's likely that stopping your anti-thyroid drug will cause your FT4 to overshoot the upper limit in the repeat examination next month.

[MyDreamsTK]

Thanks doc. So balik po ulit ako sa methimazole? I'm starting to feel hyper again like wet skin when hot and mas madaling magutom.

[Les]

I would personally put you on a lower dose of methimazole than before, and if you're still taking levothyroxine, then I would stop it. The only time levothyroxine should be given to a hyperthyroid person is when he or she has converted to true hypothyroidism, as what happens to a certain percentage of people who have diffuse toxic goiter or Graves' disease. However this can only be established after withdrawing all anti-thyroid drugs and monitoring your thyroid function tests.

[shotokan]

here's my latest lab test result:

as of 13 October 2012 lab test update:

Assay Result Reference Range
----- -------- ---------------
TSH 0.616 mIU/1 0.320 - 5.00
FreeT4 13.60pmol/1 9.22 - 23.80


my doctor told me that it's within normal and i have to retake my labtest after 3 - 4 months. thank God that my hormones are back to normal. sana tuloy tuloy na eto.

[louise07]

hi. thank goodness i found this forum. hindi puro amerikano o ibang lahi ang nakakausap ko about this disease. im just new to this forum but not on the disease..like most of you guys ive been battling with this for almost 4years now. from hyper to hypo to euthyroid. actually i have been on remission last 2010 or 2011 and early this year. but now it's back. and it saddens me that i feel every symptoms now unlike before when i was diagnose back in 08. i guess emotional and physical stress has been one of the culprit for the relapse. plus i didnt know that soy, brocolli, dairy and nori should be eaten in small amounts only because its not good for people who have graves disease.. just this year, month of july, i had a panick attack which triggers everything back i think. until now anxiety is jut creepin all over me. scared to do anything..was back on high dose of methimazole (20mg 2x/day)last aug to sept.

My TSH count last aug. was .224
latest TSH count last sept=<.005

which bring me into a spin again because im feeling well when my met was increased yet labs tell the opposite.

now with my new endo but still on the same hospital.. (btw my endo in med city is dr. germar, i now change to dr. carolyn sy) dr. y change my meds into carbimazole 20mg 3x a day for 2wks den 20mg 2x/day for the succeding days before my next check up on dec. hope it works now..

im scared of everything still
been having anxiety attacks this past days.. symptoms still there. im praying for the meds to kick in now. i think a life with little or no stress can bring us all in remission for life.

btw, have you guys tried lemon balm as an herbal medicine? ive read some good feedbacks about this herb. never tried it myself but would be glad to hear from you guys.. God bless to us!

[louise07]

hi mjwinsky. i cant seem to send you a pm but i was wondering who's the endo of your wife. thanks

[louise07]

@raido

Yung wife ko meron din hyperthyroidism, and ngayon ok na sha..yung dati nya doctor nirecommend din sa kanya na magpa RAI..pero ayaw nya kaya nagpacheck up sha sa ibang doctor..yung doctor nya ngayon is from Makati Med and magaling sha..sha din ang naging doctor ni kris aquino nung pregnant sha kasi meron sha diabetis.. kung gusto mo just send me a pm para mabigay ko sayo name nya and contact no.

hi mjwinsky! i would just like to ask who is the endo of your wife? thanks. i cant seem to send a pm.

[Les]

hi. thank goodness i found this forum. hindi puro amerikano o ibang lahi ang nakakausap ko about this disease. im just new to this forum but not on the disease..like most of you guys ive been battling with this for almost 4years now. from hyper to hypo to euthyroid. actually i have been on remission last 2010 or 2011 and early this year. but now it's back. and it saddens me that i feel every symptoms now unlike before when i was diagnose back in 08. i guess emotional and physical stress has been one of the culprit for the relapse. plus i didnt know that soy, brocolli, dairy and nori should be eaten in small amounts only because its not good for people who have graves disease.. just this year, month of july, i had a panick attack which triggers everything back i think. until now anxiety is jut creepin all over me. scared to do anything..was back on high dose of methimazole (20mg 2x/day)last aug to sept.

My TSH count last aug. was .224
latest TSH count last sept=<.005

which bring me into a spin again because im feeling well when my met was increased yet labs tell the opposite.

now with my new endo but still on the same hospital.. (btw my endo in med city is dr. germar, i now change to dr. carolyn sy) dr. y change my meds into carbimazole 20mg 3x a day for 2wks den 20mg 2x/day for the succeding days before my next check up on dec. hope it works now..

im scared of everything still
been having anxiety attacks this past days.. symptoms still there. im praying for the meds to kick in now. i think a life with little or no stress can bring us all in remission for life.

btw, have you guys tried lemon balm as an herbal medicine? ive read some good feedbacks about this herb. never tried it myself but would be glad to hear from you guys.. God bless to us!

You should seriously consider definitive therapy, especially since your hyperthyroidism has been present for four years. The fact that your remissions are only temporary is already an indication for RAI or surgery.

What I always remind hyperthyroid patients are:

1. Hyperthyroidism is NOT a safe condition -- it can lead to thyrotoxic heart disease or even thyroid storm, which can have a mortality rate of up to 30%.

2. ALL anti-thyroid drugs carry the risk of potentially fatal agranulocytosis. With PTU it's idiosyncratic but with methimazole and carbimazole it's dose-dependent, meaning the higher the dose the higher the possibility. It's rare but I've encountered one case and the patient died from sepsis (severe infection). Unfortunately many patients started with ATDs are not educated on the warning signs, of which high-grade fever, persistent sore throat, and oral ulcers should always be put in mind.

Majority of patients who undergo RAI and surgery will become hypothyroid, which necessitates lifelong medication with levothyroxine. However it's far safer to be hypothyroid rather than hyperthyroid.

Lastly, there are NO herbal medicines that are proven to improve or cure hyperthyroidism. You're just wasting your money if you invest in such things.