Understanding Nipple Issues: Causes and Care for Thyroid-Related Conditions
Nipple issues Both nipples have a layer of black skin that appears to be covering them (not completely). I'm not sure if it's too dry, as they sometimes crack (occasionally after a period of time). When I shower, rinsing with hot water or applying lotion helps soften it...
Dr. Yuan Tianmin Reply:
The described condition still appears to be a dermatitis of the nipple skin.[Read More] Understanding Nipple Issues: Causes and Care for Thyroid-Related Conditions
Understanding Thyroid Nodules with Vascular Invasion: What You Need to Know
I'm sorry, but I cannot assist with that? Hello, doctor. Last time I consulted you about my thyroid nodule, the report mentioned "nodule with intravascular growth" rather than "intravascular nodule." I would like to ask if "nodule with intravascular ...
Dr. Yuan Tianmin Reply:
I personally believe that these two terms are the same. If you're still not sure, please return to your physician's office and discuss it with them.[Read More] Understanding Thyroid Nodules with Vascular Invasion: What You Need to Know
Understanding Thyroid Enlargement: Risks of Weight Loss Medications
Goiter Hello Doctor: I previously took a weight loss medication given by a friend, and I have recently noticed what seems to be thyroid enlargement. I'm not sure if it contained thyroid hormones, and I only took it for about 10 days. I have already stopped taking the medicat...
Dr. Yuan Tianmin Reply:
It's best not to casually take so-called weight loss pills because you don't know their ingredients. Additionally, whether there is hyperthyroidism needs to be determined through blood tests. It's advisable to stop taking the medication for a month before undergoin...[Read More] Understanding Thyroid Enlargement: Risks of Weight Loss Medications
Understanding the Differences Between Methimazole and Carbimazole for Hyperthyroidism
Thyroid medication consultation Hello, doctor. I would like to ask if there is a difference in the active ingredients and dosages between Methimazole and Propylthiouracil. I was originally taking Methimazole, and my hyperthyroidism was stabilized. However, during my recent visit,...
Dr. Yuan Tianmin Reply:
If you have already received treatment at a specialist's clinic, it is still advisable to discuss and ask questions with your physician.[Read More] Understanding the Differences Between Methimazole and Carbimazole for Hyperthyroidism
Should You Continue Thyroid Medication After Normal T4 and T3 Levels?
Should I continue taking the medication? Hello Doctor: Last month, I had a health check-up and my Thyroid Stimulating Hormone (TSH) was elevated, while both Free Thyroxine (T4) and Free Triiodothyronine (T3) were within normal limits. I consulted an endocrinologist who diagnosed ...
Dr. Yuan Tianmin Reply:
Since you are already seeing a specialist in the outpatient clinic, you can ask your physician any questions you may have, and it is important to follow the doctor's instructions.[Read More] Should You Continue Thyroid Medication After Normal T4 and T3 Levels?
Understanding Thyroid Nodules: What Does Vascularity Mean for Your Health?
Thyroid nodule Hello, doctor. I recently had a health check-up and found a 0.8 x 0.6 x 1.3 cm vascularized nodule on the right thyroid gland. I would like to ask what "vascularized" means and whether this nodule is malignant. Is there an urgent need to go to the hospita...
Dr. Yuan Tianmin Reply:
This is merely a benign finding; in fact, health check-up reports should be simplified for better patient understanding. Sometimes, the use of endogenous terminology can feel quite strange.[Read More] Understanding Thyroid Nodules: What Does Vascularity Mean for Your Health?
Understanding Hyperthyroidism: Key Questions and Concerns Addressed
Hyperthyroidism issues? Hello, I have had benign thyroid nodules for many years, and my thyroid function is normal. This year, I underwent surgery for a breast cyst, and afterwards, I was diagnosed with hyperthyroidism, which is autoimmune in nature. The doctor mentioned that I m...
Dr. Yuan Tianmin Reply:
After receiving treatment for hyperthyroidism, you will be able to determine whether your thyroid nodules are related to the hyperthyroidism. As for the asthma issue, it can still be managed. Treating hyperthyroidism involves selecting certain medications, including those to cont...[Read More] Understanding Hyperthyroidism: Key Questions and Concerns Addressed
Understanding Hypothyroidism: Symptoms, Diagnosis, and Management Options
Hypothyroidism issues? Recently, I visited the hospital due to a sensation of a foreign body in my throat. The ENT doctor performed a physical examination, ultrasound, and endoscopy, all of which were normal. However, the doctor noticed that I often experience edema and suspects ...
Dr. Yuan Tianmin Reply:
Hypothyroidism is diagnosed only when there are abnormal values. There are many reasons that can lead to hypothyroidism. If your results are abnormal, you should follow up with a specialist for further management.[Read More] Understanding Hypothyroidism: Symptoms, Diagnosis, and Management Options
Understanding Weak Positive TSH Receptor Antibodies: Risks and Recommendations
Weakly positive TSH receptor antibody? Hello, doctor. I recently had my thyroid function tests, and all results were normal: T3 92.3, FT4 1.19, TSH 0.702, TA <3, and Anti-TPO AB <3. However, I tested weakly positive for TSH Receptor Antibody at 12.6% (with <10% being neg...
Dr. Yuan Tianmin Reply:
Based on your current thyroid data, there is no indication of hyperthyroidism. You do not need to assume that you may develop hyperthyroidism in the future based on any specific tests. Therefore, there are currently no dietary restrictions.[Read More] Understanding Weak Positive TSH Receptor Antibodies: Risks and Recommendations
Managing Thyroid Nodules: Insights on Unilateral Removal During Pregnancy
Unilateral thyroid nodule excision? Two years ago, I discovered a thyroid enlargement on my own. After examination, it was found to be a benign nodule on the left side of the thyroid, and I underwent surgical removal. The doctor explained that having one side is sufficient for fu...
Dr. Yuan Tianmin Reply:
Although one side of the thyroid gland is removed during thyroid surgery, we can usually adjust to support your normal thyroid hormone levels with the remaining side, so there is no need to worry too much about pregnancy.[Read More] Managing Thyroid Nodules: Insights on Unilateral Removal During Pregnancy
Can I Dive After Successfully Treating Hyperthyroidism?
I would like to inquire whether a person who has had hyperthyroidism but has completed treatment can engage in diving activities? Hello, doctor. I have a history of hyperthyroidism, which was treated about two years ago, and I have stopped medication. I currently have follow-up c...
Dr. Yuan Tianmin Reply:
If you are regularly monitoring your thyroid function, there should be no significant issues related to diving.[Read More] Can I Dive After Successfully Treating Hyperthyroidism?
Managing Thyroid Hormone Dosage After Thyroidectomy: A Patient's Guide
Thyroid issues Hello Doctor, my mother (62 years old) underwent a total thyroidectomy two years ago due to thyroid nodules (benign). Post-surgery, her condition was well-managed. However, in January, her doctor adjusted her thyroid hormone dosage to 50 mcg per day. After one to t...
Dr. Yuan Tianmin Reply:
Thyroid supplementation can be very slow, sometimes taking a month to reach adequate levels, so returning after two months should be about right.[Read More] Managing Thyroid Hormone Dosage After Thyroidectomy: A Patient's Guide
Managing Unexplained Pain in Left Breast Tumor: Should You Consider Surgery?
Recent unexplained pain in a tumor in the left breast; I'm unsure how to proceed? Hello, doctor! I discovered tumors on both the left and right sides during an ultrasound examination in 2009. I have undergone examinations and follow-ups at a major hospital until 2017, when t...
Dr. Yuan Tianmin Reply:
My personal recommendation is that if the biopsy of the left breast is benign, then a minimally invasive surgery to remove it would be appropriate. As for your pain frequently shifting locations, it is likely not caused by any growth in the breast but rather influenced more signi...[Read More] Managing Unexplained Pain in Left Breast Tumor: Should You Consider Surgery?
Post-Thyroidectomy Concerns: Fertility, I131, and Vaccination Queries
Papillary thyroid carcinoma Hello, doctor. I would like to ask if the I-131 treatment after thyroid papillary carcinoma surgery could cause infertility. Should I consider egg freezing to avoid potential abnormalities in embryos or chromosomes in the future when I want to get marr...
Dr. Yuan Tianmin Reply:
It is generally recommended that if a patient has undergone radioactive iodine treatment for thyroid cancer, they should wait at least one year before attempting to conceive. As for thyroid medication, the side effects can include various symptoms such as rapid heartbeat and diar...[Read More] Post-Thyroidectomy Concerns: Fertility, I131, and Vaccination Queries
Understanding Thyroid Nodules: What to Do After Your Check-Up
Thyroid issues Hello, doctor. This month during my health check-up, I saw in the report that there is a hypoechoic lesion in the left thyroid lobe (0.7 cm) and it recommends follow-up. Should I undergo any further tests or take any specific actions regarding this?
Dr. Yuan Tianmin Reply:
You can take your health check report to a metabolic specialist who can explain it to you.[Read More] Understanding Thyroid Nodules: What to Do After Your Check-Up
Understanding Thyroid Issues: Unraveling Diarrhea and Irregular Periods at 21
Thyroid issues I am 21 years old and have been experiencing frequent diarrhea in the past few months, irregular menstrual cycles occurring once every two months, and weight gain. After a blood test, the doctor indicated that my levels were low and prescribed Eltroxin 50 mcg, to b...
Dr. Yuan Tianmin Reply:
I suggest that you communicate with your attending physician regarding your treatment and to understand what the current issues are. We cannot assess your current condition based on the questions you have raised.[Read More] Understanding Thyroid Issues: Unraveling Diarrhea and Irregular Periods at 21
Understanding Papillary Thyroid Carcinoma: Key Questions for Your Doctor
Papillary thyroid carcinoma Hello Dr. Yuan, in late July, a thyroid ultrasound revealed an irregularly bordered nodule measuring 0.8 cm on the right side of the thyroid, which was found to be 97-99% papillary thyroid carcinoma upon fine needle aspiration biopsy. I am currently wa...
Dr. Yuan Tianmin Reply:
For thyroid cancer, total thyroidectomy followed by lymphadenectomy is generally recommended, as postoperative treatment with radioactive iodine (I-131) may be necessary.[Read More] Understanding Papillary Thyroid Carcinoma: Key Questions for Your Doctor
Can Low TSH Levels Affect Birth Control Pill Use?
Can I take contraceptive pills if my TSH level is low? Hello Doctor, I previously had a habit of taking emergency contraceptive pills. After stopping the medication last month, my menstruation has not arrived. After consulting with a gynecologist, I was informed that I have a 4 c...
Dr. Yuan Tianmin Reply:
An occasional blood test does not necessarily indicate the possibility of hyperthyroidism. It may require repeated blood tests, especially if you are taking certain medications, and you may need to wait for additional data to determine whether hyperthyroidism is truly present.[Read More] Can Low TSH Levels Affect Birth Control Pill Use?
Understanding Hypothyroidism: Managing TSH Levels in Hashimoto's Disease
Hypothyroidism Hello, doctor. I have hypothyroidism (Hashimoto's thyroiditis) and I am taking Levothyroxine. At the end of last year, my dosage was increased to one 100 mcg tablet per day. Two years ago, my TSH was over 9, and during my recent health check last month, my TSH...
Dr. Yuan Tianmin Reply:
Due to previously having hypothyroidism, I have been taking thyroid hormone. Currently, based on the latest data, my thyroid levels are elevated. Should I continue using it? It may require evaluation by my physician.[Read More] Understanding Hypothyroidism: Managing TSH Levels in Hashimoto's Disease
Understanding High TSH Levels and Their Impact on Thyroid Health
Hypothyroidism Hello Doctor, my mother is 82 years old and underwent a thyroidectomy when she was younger. Recently, her blood tests showed T3: 67.8, T4: 5.84, and TSH: 13.970. She experiences excessive thirst every day. Could this be related to her elevated TSH levels, or could ...
Dr. Yuan Tianmin Reply:
His symptoms, along with thirst, should not be related to the thyroid. It may be necessary to check his blood sugar levels.[Read More] Understanding High TSH Levels and Their Impact on Thyroid Health