Thyroid Issues: When to Seek Medical Advice

Q: Thyroid Issues: When to Seek Medical Advice

Hello： It is recommended that you return to the Metabolism Clinic for an examination and treatment by a physician. <br>Thank you!

Thyroid issues

I have to go back to the hospital for a check-up every six months for my thyroid condition.
I take my medication every morning, but recently I've been experiencing severe drowsiness and have been talking a lot, which has led to losing my voice or not being able to speak at all.
Is this normal? I'm currently taking one and a half pills; is that not enough? Should I go back to the hospital for an examination?

Ms. Huang, 20~29 year old female. Ask Date: 2013/06/15

Dr. Xiao Yongxun reply Internal Medicine

Hello: It is recommended that you return to the Metabolism Clinic for an examination and treatment by a physician.
Thank you!

Reply Date: 2013/06/15

More Info

When dealing with thyroid issues, particularly hypothyroidism or hyperthyroidism, it's crucial to maintain regular communication with your healthcare provider. Your symptoms of excessive sleepiness and changes in your voice are concerning and warrant further evaluation.
First, let’s address your medication regimen. You mentioned that you are taking one and a half pills daily. It’s essential to ensure that the dosage is appropriate for your specific condition. Thyroid hormone replacement therapy, typically with levothyroxine, is individualized based on your thyroid hormone levels (T3, T4, and TSH). If your TSH levels are still elevated, it may indicate that your current dosage is insufficient, leading to symptoms of hypothyroidism such as fatigue and voice changes. Conversely, if you are on too high a dose, it could lead to symptoms of hyperthyroidism, which can also include fatigue and voice changes due to muscle weakness or other factors.

The symptoms you describe—severe sleepiness and voice changes—could be indicative of several underlying issues. For instance, excessive sleepiness can be a symptom of inadequate thyroid hormone levels, but it could also be related to other factors such as sleep apnea, depression, or even side effects from medications. The voice changes, particularly if you are experiencing hoarseness or loss of voice, could be due to thyroid enlargement (goiter) pressing on the vocal cords, or it could be unrelated to your thyroid condition altogether.

Given these symptoms, it is advisable to schedule an appointment with your healthcare provider as soon as possible. They may recommend blood tests to check your current thyroid hormone levels and adjust your medication accordingly. Additionally, they might perform a physical examination to assess for any thyroid enlargement or other abnormalities.

In terms of frequency of follow-up, while many patients with stable thyroid conditions may only need to see their doctor every six months, any new or worsening symptoms should prompt an earlier visit. It’s essential to communicate any changes in your health status to your physician, as they can help determine the best course of action.

Moreover, if you are experiencing significant changes in your health, such as the symptoms you described, it’s crucial not to wait for your next scheduled appointment. Your health is paramount, and proactive management is key in thyroid disorders.
In summary, while your current medication may need adjustment, the symptoms you are experiencing are not typical and should be evaluated by your healthcare provider. Regular monitoring and open communication with your doctor are vital in managing thyroid conditions effectively. Don’t hesitate to reach out for help; it’s better to be cautious when it comes to your health.

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