Pediatric Hypothyroidism: When to Schedule Follow-Up Visits - Rare Disease

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Pediatric hypothyroidism


Dear Dr.
Hsu,
My daughter has hypothyroidism.
Should we wait until she turns three to return for a follow-up appointment, or can we come back a month early? She will be three in just over a month, and we would like to see if she can discontinue her medication.
Additionally, I only have your office number (703) and do not know your physician code.
I encountered an error while trying to make an appointment today, and I ended up in the wrong voice appointment system.
My daughter is your patient; could you please provide me with your physician code? Thank you, Dr.
Hsu.
Best regards,
Xiao Yu

Xiao Yu, 30~39 year old female. Ask Date: 2008/08/06

Dr. Xu Shanjing reply Rare Disease


On the day of the 3rd birthday, the medication was stopped.
A follow-up appointment is scheduled for one month later, on Tuesday, with code 61.
The patient should arrive at 9 AM for the follow-up and inform the doctor about stopping the medication for one month.
Dr.
Hsu will issue a blood test order.

Reply Date: 2008/08/06

More Info


Dear 小玉,
Thank you for reaching out regarding your daughter's condition of pediatric hypothyroidism. It's understandable to have questions about follow-up visits and medication management, especially as your daughter approaches the age of three.

Pediatric hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormones, which are crucial for growth, development, and metabolism. The management of this condition typically involves regular monitoring and medication to ensure that hormone levels remain within a normal range.
Regarding your question about follow-up visits, it is generally recommended that children with hypothyroidism have regular check-ups with their pediatric endocrinologist. These visits are essential for monitoring thyroid hormone levels through blood tests, adjusting medication dosages as needed, and assessing your child's growth and development. While some practitioners may suggest that a child can be seen less frequently as they approach three years of age, it is crucial to follow the specific recommendations of your healthcare provider.
If your daughter is nearing three years old and you are considering whether to schedule a follow-up visit sooner than the typical schedule, it would be prudent to do so. A follow-up visit in one month could provide an opportunity to assess her current thyroid function and determine if any adjustments to her medication are necessary. Additionally, this visit can help evaluate whether she is ready for a potential trial off medication, which is sometimes considered in children who have been stable on treatment for a period of time. However, this decision should always be made in consultation with her healthcare provider, as they will have the most comprehensive understanding of her medical history and current health status.

As for your difficulty in scheduling an appointment due to not having the physician's code, I recommend contacting the office directly. They should be able to assist you in obtaining the correct information for scheduling. If you have any further questions or concerns, please do not hesitate to reach out to the office or your healthcare provider directly.

In summary, it is advisable to schedule a follow-up visit sooner rather than later, especially as your daughter approaches a significant milestone in her treatment. Regular monitoring is key to managing pediatric hypothyroidism effectively, and your proactive approach in seeking clarification and guidance is commendable.

Wishing you and your daughter the best of health.

Sincerely,
Doctor Q&A Teams

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