Managing Hyperthyroidism: Medication Challenges and Allergic Reactions
Thyroid issues = Hyperthyroidism medication, urticaria, and medication-related problems? I was diagnosed with hyperthyroidism in mid-October last year (taking only one pill a day). I started with the first medication, Methimazole, but after three days I felt extremely uncomfortab...
Dr. Lin Jianliang Reply:
There are generally two to three types of medications used to treat hyperthyroidism, and typically, treatment lasts for one to two years. If medication is not suitable, surgical intervention or radioactive iodine therapy may be considered. Antihistamines commonly have side effect...[Read More] Managing Hyperthyroidism: Medication Challenges and Allergic Reactions
Understanding Thyroid Enlargement: Symptoms, Diagnosis, and Treatment Options
Goiter Hello Dr. Lin, I recently visited an endocrinologist after my physical therapist mentioned that my thyroid might be enlarged. The doctor performed a physical examination and noted a thyroid enlargement of grade I-II. My blood test results were Free T4 (1.32), TSH (1.31), a...
Dr. Lin Jianliang Reply:
1. The symptoms mentioned above are similar to those of hyperthyroidism. The dosage of Eltroxin can also affect the severity of symptoms; some doses may exacerbate symptoms while others may not. 2. There are several different types of thyroid enlargement, so it is advisable to ...[Read More] Understanding Thyroid Enlargement: Symptoms, Diagnosis, and Treatment Options
Understanding Anxiety Symptoms: Why Do I Feel Nervous and Sweaty?
Easily anxious? Hello, doctor. I often feel very anxious, sweat a lot, have a rapid heartbeat, experience diarrhea, and my neck feels a bit swollen. However, after seeing a doctor and having blood tests, everything came back normal, and there is no hyperthyroidism. Why do I still...
Dr. Lin Jianliang Reply:
The symptoms mentioned above are not exclusive to hyperthyroidism. Other diseases may also present similar symptoms. It is also possible that no abnormalities are detected upon examination.[Read More] Understanding Anxiety Symptoms: Why Do I Feel Nervous and Sweaty?
Thyroid Levels and Their Impact on Altitude Sickness: Key Insights
Thyroid levels and altitude sickness issues? Hello, I would like to ask about my condition. I have been diagnosed with hyperthyroidism and have been on medication for over two years. For the past year, both my TSH and FT4 levels have been within the normal range. However, my most...
Dr. Lin Jianliang Reply:
1. During the medication period for hyperthyroidism, this situation may occur. You can discuss with your attending physician whether a medication adjustment is necessary. 2. Being in a state of physical and mental stress, having irregular routines, or experiencing environmental c...[Read More] Thyroid Levels and Their Impact on Altitude Sickness: Key Insights
Understanding Thyroid Issues: Family History, Testing, and Dietary Concerns
Thyroid issues Hello, doctor. Since my mother, aunt, and grandmother all have issues with thyroid enlargement, I feel that my neck is swollen. Recently, I went to the hospital for an examination. The thyroid surgeon performed a physical examination and a blood test. The doctor sa...
Dr. Lin Jianliang Reply:
1. You can undergo tests to check. 2. Additional test results may be needed to determine if any restrictions are necessary. 3. Hyperthyroidism may be associated with goiter, but it is not always the case. Thyroid enlargement may be accompanied by thyroid abnormalities, but it may...[Read More] Understanding Thyroid Issues: Family History, Testing, and Dietary Concerns
Understanding Hypothyroidism: Symptoms, Treatment, and Genetic Factors
Hypothyroidism issues? Hello, Doctor. I have been diagnosed with hypothyroidism since birth and have been regularly undergoing blood tests and taking levothyroxine tablets. However, during puberty and after becoming an adult (while taking birth control pills), my dosage has incre...
Dr. Lin Jianliang Reply:
1. It is recommended to have a blood test to measure thyroid levels; if the results are within the normal range, hypothyroidism can likely be ruled out. 2. A normal, balanced diet, along with a healthy lifestyle and regular exercise, greatly contributes to overall health. 3. Cert...[Read More] Understanding Hypothyroidism: Symptoms, Treatment, and Genetic Factors
Understanding TSH Levels: Medication Dilemmas in Hyperthyroidism Treatment
Issues related to undetectable TSH levels due to medication? Hello, doctor. I have a question I would like your assistance with. 1. I have been diagnosed with hyperthyroidism and have been on medication for 23 days: methimazole 10mg three times a day and propranolol 10mg once a d...
Dr. Chen Shunfu Reply:
This question requires a complete blood test report and a physical assessment to answer. If you would like to consult further, please make an appointment with Dr. Li Jian. If no additional medications or tests are prescribed on that day and only a simple consultation is conducted...[Read More] Understanding TSH Levels: Medication Dilemmas in Hyperthyroidism Treatment
Understanding Thyroid Dysfunction: Impact on Weight and Ear Issues
Hyperthyroidism? Hello doctor, I have been taking the third pack of oral contraceptives, alternating between YAZ and NINA. I have had issues with ear congestion for several years, which initially did not affect my daily life. Recently, however, I have been experiencing multiple e...
Dr. Hong Yuanbin Reply:
Hello: Based on your description, here are a few points to clarify: 1. Regarding thyroid issues: I'm not sure if you have symptoms of hyperthyroidism, such as sensitivity to cold, weight loss, increased anxiety, or frequent diarrhea. If you do not have these symptoms, an i...[Read More] Understanding Thyroid Dysfunction: Impact on Weight and Ear Issues
Managing Thyroid Issues During a Cold: What You Need to Know
Thyroid-related issues due to cold exposure? Doctor, I would like to ask about my condition. I have been suffering from hyperthyroidism for over two years. A few days ago, I caught a slight cold and have been experiencing intermittent high fever. When I visited the doctor, my hea...
Dr. Lin Jianliang Reply:
It is recommended that you see a physician for diagnosis and treatment as soon as possible, without delay, to prevent the condition from worsening and endangering your health. Thank you for your message.[Read More] Managing Thyroid Issues During a Cold: What You Need to Know
Understanding Intermittent Numbness and Weakness in Feet: Causes and Solutions
Intermittent numbness in both feet? Hello Doctor: I am 24 years old and have been working for some time. I have hyperthyroidism, which I have been treating for six months. I have been going to the hospital for follow-ups, and my condition is currently stable and normal. However, ...
Dr. Chen Shunfu Reply:
Based on the brief medical history you provided, it is recommended that hyperthyroidism be managed according to medical advice and that regular follow-ups are conducted. You should first rule out the possibility of having Thyrotoxic Periodic Paralysis (TPP). Statistics indicate t...[Read More] Understanding Intermittent Numbness and Weakness in Feet: Causes and Solutions
Post-Thyroid Surgery: Understanding Recent Health Issues and Symptoms
6.7 years post-thyroidectomy, experiencing some recent health issues? I previously had hyperthyroidism and underwent surgery six to seven years ago. I have been taking Antithyroid medication regularly, and recently I have been taking two 50 mg tablets a day. However, I have been ...
Dr. Hong Yuanbin Reply:
Hello, I'm not sure if you have been continuously monitoring your thyroid function. If you are on medication, you should be regularly tracking it. If your thyroid function is normal, based on your described symptoms, the most likely cause is a strain. I wonder if you have re...[Read More] Post-Thyroid Surgery: Understanding Recent Health Issues and Symptoms
Understanding Thyroid Function Changes During Pregnancy: Key Concerns
Is there a trend for hypothyroidism to progress to hyperthyroidism? Hello Doctor: I am currently 34 weeks pregnant. At the end of May this year, I had my thyroid function tested at the hospital, and the blood test results were as follows: Free T4: 0.79 (normal range: 0.89-1.76), ...
Dr. Lin Jianliang Reply:
There are many factors to consider regarding thyroid diseases, and the complexities increase during pregnancy. It is recommended that you schedule a follow-up appointment to discuss this with your attending physician without delay. This is the most timely and effective way to add...[Read More] Understanding Thyroid Function Changes During Pregnancy: Key Concerns
Can You Work in Food Service with Hyperthyroidism?
Hyperthyroidism Hello, I would like to ask the doctor if someone with hyperthyroidism can work in the service industry, specifically in the food and beverage sector, considering that I just started medication in mid-September.
Dr. Gao Jiankai Reply:
Hello Mr. Chuang, thank you for your question. To my knowledge, thyroid function should be monitored again two weeks to one month after starting medication, and the physician will decide whether to adjust the medication based on the test results. In principle, as long as hyperthy...[Read More] Can You Work in Food Service with Hyperthyroidism?
Understanding Hyperthyroidism: Test Results and Treatment Options
Hyperthyroidism At the Taipei Hospital of the Ministry of Health and Welfare, the thyroid examination results are as follows: 1. Test Name Test Value Reference Range Result Anti-TPO Ab 1.450 0~5.61 IU/mL Nor...
Dr. Xiao Yongxun Reply:
Dear Mr. A-Kuo: Based on the values you provided: - Anti-TPO Ab: 1.450 (Reference range: 0–5.61 IU/mL) - Anti-Tg Ab (ATA): 4.380 (Reference range: 0–4.11 IU/mL) - Free T4: 1.520 (Reference range: 0.7–1.48 ng/dL) - TSH: <0.0025 (Reference range: 0.35–4.94 µIU/mL) - T3: 2....[Read More] Understanding Hyperthyroidism: Test Results and Treatment Options
Understanding Hyperthyroidism: Symptoms, Tests, and Treatment Options
Hyperthyroidism Test Name Test Value Anti-TPO Ab 1.450 Anti-Tg Ab (ATA) 4.38 Free T4 1.52 TSH <1.52 T3 2.220 Is this hyperthyroidism? Should medication be taken to control it? Does tak...
Dr. Xiao Yongxun Reply:
Dear Mr. A-Guo: 1. Your test results are as follows: - Anti-TPO Ab: 1.45 IU/ml (Reference range: <5.61) - Anti-Tg Ab (ATA): 4.38 IU/ml (Reference range: <14.4) - Free T4: 1.52 ng/dl (Reference range: 0.89–1.76) - TSH: <1.52 μIU/ml (Reference range: 0.39–4.2...[Read More] Understanding Hyperthyroidism: Symptoms, Tests, and Treatment Options
When to Stop Medication for Hyperthyroidism: A Patient's Concern
The issue of when to discontinue medication for hyperthyroidism? Hello, doctor. This April, I experienced a noticeable increase in heart rate along with other uncomfortable symptoms. At the beginning of May, I visited a family medicine clinic where blood tests diagnosed me with h...
Dr. Xie Rongyuan Reply:
Hello: It is recommended to visit the endocrinology department for further examination. If it is subacute thyroiditis, there will be no need for medication once recovery is achieved. Thank you for your message![Read More] When to Stop Medication for Hyperthyroidism: A Patient's Concern
Can Eltroxin Medication Cause Hyperthyroidism After Thyroid Surgery?
After taking ELTROXIN, blood tests indicated that the patient has hyperthyroidism? Hello doctor, I had thyroid nodule surgery 10 years ago, and since then, I have undergone annual ultrasound examinations to monitor for any new nodules. In June of this year, an ultrasound revealed...
Dr. Gao Jiankai Reply:
Hello Ms. Chang, thank you for your question. I am a rheumatologist, so I can only provide a general response. For a more precise explanation and treatment, please consult an endocrinologist. Eltroxin is a synthetic thyroid hormone, so taking this medication can indeed result in ...[Read More] Can Eltroxin Medication Cause Hyperthyroidism After Thyroid Surgery?
Understanding Thyroid Issues After Total Thyroidectomy: Free T4 Levels and Heart Health
Thyroid issues? Hello, doctor! I have undergone a total thyroidectomy due to papillary thyroid carcinoma. Currently, I am taking Eltroxin 0.1 mg, averaging 1.5 tablets per day. During my follow-up visits, my doctor has mentioned that my reports are normal. However, recently I hav...
Dr. Xiao Yongxun Reply:
Dear Ms. Liang: 1. After undergoing a total thyroidectomy due to papillary thyroid carcinoma, secondary hypothyroidism often occurs, necessitating long-term thyroid hormone replacement therapy. Levothyroxine (T4) is typically used for this treatment; due to its long half-life, i...[Read More] Understanding Thyroid Issues After Total Thyroidectomy: Free T4 Levels and Heart Health
Understanding Hyperthyroidism: Heart Rate, Anxiety, and Symptoms
Hyperthyroidism? Panic? Anxiety? I would like to ask about hyperthyroidism. My heart rate has been consistently high. Recently, during the day, my heart rate is quite fast, sometimes reaching 80-90 beats per minute while sitting, but at night when I sleep, it drops to about 50 be...
Dr. Hong Yuanbin Reply:
Based on your description and the examination data, it does not appear to be a case of hyperthyroidism. In a normal individual, the heart rate should be between 50 and 100 beats per minute, so your heart rate should still be within the normal range. As for the palpitations, there...[Read More] Understanding Hyperthyroidism: Heart Rate, Anxiety, and Symptoms
Understanding Urticaria and Thyroid Medication: Key Insights for Patients
Urticaria and Thyroid Medications Hello Doctor: At the end of March, I was diagnosed with hyperthyroidism and started taking methimazole in early April. However, about three weeks into the treatment, I began experiencing widespread itching and hives. The doctor prescribed one ant...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin, Please read the following explanation, primarily based on the recommendations from the U.S. Food and Drug Administration for healthcare professionals in January 2016: Procil® (Propylthiouracil, PTU; 50mg/tablet) primarily works by inhibiting the production of thyro...[Read More] Understanding Urticaria and Thyroid Medication: Key Insights for Patients