Understanding Hyperthyroidism: Managing Low TSH Levels and Treatment Adjustments
Hyperthyroidism Dr. Yuan: Hello! I have been taking medication for hyperthyroidism for nearly two years. Initially, I took 5 mg of Methimazole (MMI) twice daily. After one month of treatment, my Free T3 and Free T4 levels normalized, and I switched to taking one tablet daily, whi...
Dr. Yuan Tianmin Reply:
Low Thyroid-Stimulating Hormone (TSH) levels indicate that thyroid hormones are elevated, which suppresses the secretion of TSH. Therefore, dosage adjustments may be necessary. Additionally, antithyroid medications do not have the side effect of causing thyroid enlargement.[Read More] Understanding Hyperthyroidism: Managing Low TSH Levels and Treatment Adjustments
Understanding Bilateral Thyroid Nodules: Should You Be Concerned?
Bilateral thyroid nodules [Current Issues] I just learned today during my health check-up that I have bilateral thyroid nodules. About 15 years ago, my mother noticed some swelling in my neck and took me for an examination. An ultrasound was performed, and the doctor mentioned th...
Dr. Yuan Tianmin Reply:
If you have undergone a medical examination by a physician, there is no need to be overly anxious; you should only need to have a check-up approximately once a year.[Read More] Understanding Bilateral Thyroid Nodules: Should You Be Concerned?
Understanding Subacute Thyroiditis: Symptoms, Diagnosis, and Treatment
Subacute thyroiditis Hello Doctor: I have been experiencing throat and neck pain for a month, radiating to my neck, jaw, and the sides, with a body temperature ranging from 36.9 to 37.2°C (I feel pain occasionally when swallowing, but I can eat and speak normally). I visited an E...
Dr. Yuan Tianmin Reply:
1. Can the Anti-Thyroglobulin Antibody (Anti-Tg Ab) levels be elevated? Does subacute thyroiditis also cause an increase? Yes, subacute thyroiditis can lead to elevated levels. 2. If one wants to confirm that elevated Anti-Thyroglobulin Ab is related to a specific thyroid diseas...[Read More] Understanding Subacute Thyroiditis: Symptoms, Diagnosis, and Treatment
Understanding Free T4 Levels: Thyroid Health and Dietary Concerns
Please consult a doctor regarding questions related to Free T4 levels in the thyroid? Hello Doctor: I apologize for bothering you, but I would like to ask you some questions. Recently, I have been experiencing difficulty concentrating, hand tremors, anxiety, racing thoughts, irri...
Dr. Yuan Tianmin Reply:
Hello, based on the numbers, it cannot be classified as hyperthyroidism yet. However, monitoring is necessary. Regarding food, it's not that certain items cannot be eaten, but rather that they should not be consumed in excess. If improving sleep helps, then continue with tha...[Read More] Understanding Free T4 Levels: Thyroid Health and Dietary Concerns
Managing Hyperthyroidism: Do I Still Need Heart Medication?
Hyperthyroidism Dear Dr. Zhou, I visited the emergency department in early March due to severe palpitations and arrhythmia, initially thinking it was a heart issue. After being referred to cardiology, my blood tests indicated that hyperthyroidism was the cause of these symptoms ...
Dr. Zhou Jiazhen Reply:
Dear Mimi: 1. You should see an endocrinologist, as the thyroid is part of the internal medicine specialty of endocrinology. 2. If you have hyperthyroidism, medication adjustments can be made based on thyroid function tests and clinical presentation. Do not stop the medication...[Read More] Managing Hyperthyroidism: Do I Still Need Heart Medication?
Understanding Hyperthyroidism: Symptoms, Diagnosis, and Treatment Options
Hyperthyroidism Hello doctor, a few months ago, due to some issues at home, I experienced emotional anxiety, along with symptoms such as palpitations, muscle twitching, and mild insomnia. However, I do not have obvious signs such as a swollen neck, bulging eyes, increased appetit...
Dr. Zhou Jiazhen Reply:
Dear Yin Ming: 1. If there are changes in emotions or stress, it is recommended to seek assistance from psychosomatic medicine for treatment. Of course, integrating traditional Chinese medicine for adjustment is also an option, but the primary focus should be on emotional regulat...[Read More] Understanding Hyperthyroidism: Symptoms, Diagnosis, and Treatment Options
Thyroid Blood Test Normal, But Throat Pain Persists: What Should I Do?
Thyroid blood tests are normal, but I have a sore throat. Should I get tested again? Two years ago, I was diagnosed with hyperthyroidism and an ultrasound revealed several cysts on both sides of my thyroid (of varying sizes). After taking medication for two months, my blood tests...
Dr. Zhou Jiazhen Reply:
Dear Cao: If there is an increase in size or symptoms, it is advisable to take action. If the cyst has enlarged, aspiration for testing can be performed to reduce its size. If it continues to enlarge repeatedly, surgical intervention is recommended.[Read More] Thyroid Blood Test Normal, But Throat Pain Persists: What Should I Do?
Understanding Hyperthyroidism During Pregnancy: Key Insights and Next Steps
Is it hyperthyroidism? Hello, Director Zhou: I had my blood drawn at the obstetrics and gynecology department when I was 10 weeks pregnant, and my results were FT4 1.59 and TSH 0.016. The obstetrician did not explain the results, only advising me to be cautious with my diet and t...
Dr. Zhou Jiazhen Reply:
Dear Twin Mom: 1. No. 2. Currently, it is not necessary.[Read More] Understanding Hyperthyroidism During Pregnancy: Key Insights and Next Steps
Can You Breastfeed While Taking Propylthiouracil for Hyperthyroidism?
Hyperthyroidism and Breastfeeding Hello doctor, can I breastfeed while taking Propylthiouracil (PTU) for hyperthyroidism? Is it safe for my baby to consume breast milk while I am on this medication?
Dr. Zhou Jiazhen Reply:
Hello: Yes, it is important to consume enough iodine to ensure that breast milk provides sufficient iodine for the infant, but it is also advisable to regularly monitor the thyroid function of the infant. Wishing you safety and health. Sincerely, Dr. Chou Chia-Cheng, Director of ...[Read More] Can You Breastfeed While Taking Propylthiouracil for Hyperthyroidism?
Managing Hyperthyroidism Symptoms During Menopause: A Patient's Dilemma
Menopause with hyperthyroidism? I officially reached menopause last month and have been experiencing palpitations, dry and rough skin, and hair loss. Blood tests indicate that my hormone levels are low, but I have mild hyperthyroidism. The doctor prescribed medication for hyperth...
Dr. Zhou Jiazhen Reply:
Dear Koko, Hello. The thyroid and ovaries are both endocrine organs and may have mutual influences. During menopause, hormonal changes are significant and can have a wide-ranging impact. Given the prevalence of similar conditions, I recommend maintaining a regular lifestyle and ...[Read More] Managing Hyperthyroidism Symptoms During Menopause: A Patient's Dilemma
Managing Hyperthyroidism: Medication Concerns and Longevity Myths
Medication for hyperthyroidism? Hello doctor, I have hyperthyroidism. I've been on medication for two years and stopped for a year, but I've relapsed and am continuing the medication. However, I heard from a nurse friend that taking medication for hyperthyroidism can sh...
Dr. Zhou Jiazhen Reply:
Hello, there is no issue of short lifespan. If symptoms persist, medication treatment is still necessary. If there are recurrent relapses, other options such as radioactive iodine therapy or surgical treatment may be considered. Wishing you peace and health. Sincerely, Dr. Chou C...[Read More] Managing Hyperthyroidism: Medication Concerns and Longevity Myths
Understanding Hyperthyroidism: Recurrence Risks and Fertility Concerns
Hyperthyroidism issues? Hello, Doctor. I have been diagnosed with hyperthyroidism and have been on medication for two years. After treatment, my levels returned to normal, and I stopped taking medication a year ago. During this time, I have been regularly going to the outpatient ...
Dr. Zhou Jiazhen Reply:
Hello, 1. About half of the patients may experience a recurrence. 2. If treated with radioactive iodine, it may actually lead to permanent hypothyroidism. 1. It does not affect fertility; in fact, women with hypothyroidism may have more difficulty conceiving. 2. In principl...[Read More] Understanding Hyperthyroidism: Recurrence Risks and Fertility Concerns
Can Hyperthyroidism Cause Dizziness? Understanding the Connection
Hyperthyroidism Does hyperthyroidism cause dizziness?
Dr. Zhou Jiazhen Reply:
Dear ESWA: Hello, there are relatively few cases, mostly symptoms such as palpitations, anxiety, emotional instability, insomnia, nervousness, and fatigue that lead to similar dizziness issues. Wishing you peace and health. Director of Surgery, Taoyuan General Hospital, Health De...[Read More] Can Hyperthyroidism Cause Dizziness? Understanding the Connection
Managing Hyperthyroidism: Antibiotics and Thyroid Medication Interaction
Hyperthyroidism Hello Dr. Zhou, I would like to ask you a question. I have been on medication for three months now, and I have recently been experiencing some symptoms of thyroiditis. I would like to know if taking antibiotics conflicts with the medication for hyperthyroidism. ...
Dr. Zhou Jiazhen Reply:
Dear Tingting: Hello, there should be no conflict. Please consult your otolaryngologist regarding the use of antithyroid medications and have the doctor evaluate it. Wishing you peace and health. Sincerely, Dr. Chou Chia-Cheng, Director of Surgery, Taoyuan General Hospital, Depar...[Read More] Managing Hyperthyroidism: Antibiotics and Thyroid Medication Interaction
Understanding Hashimoto's Thyroiditis: Symptoms, Diet, and Management
Hashimoto's thyroiditis Hello Doctor, I was diagnosed with Hashimoto's thyroiditis in 2010, and at that time, my TSH levels were normal. My recent lab report shows: Anti-microsomal Ab: 1:25600 and TSH: 6.48. I have the following questions: 1. Does the level of Anti-micr...
Dr. Zhou Jiazhen Reply:
Dear Cherry, In response to your questions, please find the answers below: 1. Yes. 2. Cruciferous vegetables can interfere with iodine utilization and may lead to hypothyroidism. Patients with hypothyroidism should avoid their consumption. 3. It is advisable to minimize intake....[Read More] Understanding Hashimoto's Thyroiditis: Symptoms, Diet, and Management
Can Hyperthyroid Patients Use Povidone-Iodine for Wounds?
What medication can be applied for trauma in patients with hyperthyroidism? Doctor, can hyperthyroid patients use Betadine on external wounds?
Dr. Zhou Jiazhen Reply:
Dear Leonard: For patients with hyperthyroidism, topical application of iodinated povidone is permissible in case of trauma. Wishing you safety and health. Sincerely, Dr. Chou Chia-Cheng, Director of Surgery, Taoyuan General Hospital, Department of Health.[Read More] Can Hyperthyroid Patients Use Povidone-Iodine for Wounds?
Dietary Considerations and Pregnancy Tips for Thyroid Dysfunction
What should be considered regarding diet and pregnancy for individuals with thyroid dysfunction? 1. If you have autoimmune thyroiditis (Hashimoto's thyroiditis), dietary considerations are important. It is generally advised to avoid seaweed and foods high in iodine, as they ...
Dr. Wu Jingtang Reply:
Hello, 1. Iodine-rich foods include: seafood (sardines, lobster, shrimp, crabs, jellyfish, clams, sea cucumbers, scallops, eel, cod liver oil, etc.), seaweeds (kelp, nori, purple seaweed, etc.), and vegetables (iodine-rich soil-grown vegetables such as radish leaves, sunflower ...[Read More] Dietary Considerations and Pregnancy Tips for Thyroid Dysfunction
Can Hyperthyroidism Cause Elevated Blood Sugar Levels?
Hyperthyroidism Does hyperthyroidism cause elevated blood sugar levels?
Dr. Wu Jingtang Reply:
Dear Ms. Li: It should not be related! Elevated blood sugar levels should be further confirmed and treated accordingly! Wishing you peace and health! Sincerely, Dr. Wu Ching-Tang, Attending Surgeon, Taoyuan Hospital, Department of Health.[Read More] Can Hyperthyroidism Cause Elevated Blood Sugar Levels?
Should You Consider Surgery for Thyroid Nodules? Key Questions Answered
Should thyroid nodules be surgically removed? I have been diagnosed with hyperthyroidism for ten years. During this time, I have been on medication, but my condition has not been well controlled. My doctor has suggested surgery, but I have some questions: 1. Are "thyroid n...
Dr. Zhao Ming Reply:
Three main reasons for thyroid nodule surgery: 1. Malignancy, 2. Symptoms of compression, 3. Aesthetic concerns. 1. Are "thyroid nodules" and "goiter" the same? They are slightly different. 2. Is there a distinction in the type of surgery? (removal of the n...[Read More] Should You Consider Surgery for Thyroid Nodules? Key Questions Answered
Understanding Thyroid Issues: Interpreting Your Blood Test Results
Thyroid issues Doctor, excuse me, could you please help me? My blood test results are as follows: T3: 1.92 ng/ml, TSH: 5.144 uIU/ml, Free T4: 0.65 ng/dl. Is this serious? Does it indicate hypothyroidism?
Dr. Yang Mingqi Reply:
Hello, online user: Since different medical institutions may use varying detection methods, the reference ranges for normal values can also differ. Therefore, it is essential to know the established reference values and their limits set by the laboratory where your blood test was...[Read More] Understanding Thyroid Issues: Interpreting Your Blood Test Results