Understanding Hyperthyroidism: Insights on Autoimmune Thyroiditis and Future Risks
Hyperthyroidism Hello Doctor: This is Lin, who asked you a question on March 28. The results of my blood test at the hospital in mid to late March showed that my FT4 level has risen from 3.07 to 6.57 within one to two months, and my TSH is <0.005. I have started medication. Ad...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. Hashimoto's disease is indeed an autoimmune disorder; its diagnosis requires the examination of specific antibodies or antigen responses, as well as imaging studies. Additionally, it is essential to differentiate it from other thyroid diseases. This means t...[Read More] Understanding Hyperthyroidism: Insights on Autoimmune Thyroiditis and Future Risks
Understanding Hyperthyroidism: Key Questions and Considerations for Patients
Hyperthyroidism Hello Doctor: Recently, during a routine health check at my company, I found that my Thyroid Stimulating Hormone (TSH) level was 0.01, Free Thyroxine (Free T4) was 3.07, fasting blood glucose was 100, heart rate was approximately 100 beats per minute, and my white...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. In our country, most testing laboratories are certified, and to maintain their reputation, the likelihood of significant errors in test results is low. Additionally, Free T4 and TSH levels do not fluctuate rapidly under normal physiological conditions. This mean...[Read More] Understanding Hyperthyroidism: Key Questions and Considerations for Patients
Understanding Weight Loss: Thyroid vs. Gastrointestinal Issues
Gastrointestinal issues / Thyroid problems Recently, I have noticed a slight trend of weight loss. Last September, I weighed 60 kg, and by last Tuesday, I was around 58 kg, and this morning, I weighed 57 kg. Although my eating habits have changed (I no longer eat late-night snack...
Dr. Hong Yuanbin Reply:
Hello, based on your symptom description, it does not appear to be typical hyperthyroidism symptoms. As for the weight change, a fluctuation of one kilogram is not significant and may not indicate actual weight loss. The increased hunger you are experiencing is likely due to bein...[Read More] Understanding Weight Loss: Thyroid vs. Gastrointestinal Issues
Understanding Hyperthyroidism: Symptoms, Treatments, and Dietary Guidelines
Thyroid issues Hello, doctor! Over the past one to two years, my thyroid function tests have been normal. However, six months ago, I started feeling hot all the time, not sensitive to cold, and my heart rate increased from 70-80 to around 100. I also noticed slight swelling in my...
Dr. Hong Yuanbin Reply:
Hello, 1. Due to the complex composition of traditional Chinese medicine, it is difficult to generalize whether it will have an effect. 2. Corticosteroids can help with exophthalmos caused by hyperthyroidism, but they are not very effective for neck swelling. 3. If thyroid fu...[Read More] Understanding Hyperthyroidism: Symptoms, Treatments, and Dietary Guidelines
Understanding the Link Between Acute Tonsillitis and Worsening Hyperthyroidism
Symptoms of hyperthyroidism significantly worsened after acute tonsillitis? Hello, Doctor Gao. I have a few questions to ask you. Last week, I visited a large hospital due to acute tonsillitis. While examining my neck, I noticed some swelling, so I asked the doctor to order a blo...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I am an allergist and immunologist, so my experience with thyroid dysfunction (endocrinology) is limited. I recommend that you consult with an endocrinologist regarding your concerns. As for traditional Chinese medicine, it is advisable to see ...[Read More] Understanding the Link Between Acute Tonsillitis and Worsening Hyperthyroidism
Dietary Guidelines for Children with Hyperthyroidism: What to Avoid
Thyroid issues in children Hello Doctor, my 10-year-old son was diagnosed with hyperthyroidism after a blood test yesterday. He started taking Methimazole 5mg/tablet and Propranolol 10mg/tablet, one tablet after breakfast and dinner. I would like to know what dietary restrictions...
Dr. Hong Yuanbin Reply:
Hello: There are two main types of foods to avoid. First, foods high in iodine, such as kelp, kombu, and nori. Second, stimulating foods, such as caffeinated beverages like coffee and tea. When eating out, it's important to also avoid these two types of foods. Legumes genera...[Read More] Dietary Guidelines for Children with Hyperthyroidism: What to Avoid
Understanding Hashimoto's Thyroiditis and Its Impact on Thyroid Enlargement
Regarding thyroid enlargement caused by Hashimoto's thyroiditis? Hello, Doctor. I was diagnosed with Hashimoto's thyroiditis earlier this month after experiencing thyroid enlargement. I underwent an ultrasound and blood tests at the hospital. My outpatient physician inf...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I am not an endocrinologist, so I can only provide a general response. Ultimately, your question should be discussed with your physician during your clinic visit. From what I understand, Hashimoto's thyroiditis can lead to either hyperthyr...[Read More] Understanding Hashimoto's Thyroiditis and Its Impact on Thyroid Enlargement
Understanding Heart Palpitations: When to Seek Further Testing
Cardiac issues? Hello, doctor. In March, I experienced daily palpitations and went to the emergency room at two different hospitals. I underwent blood tests, a CT scan, and an electrocardiogram, all of which showed no abnormalities. Later, I was referred to a psychiatrist who dia...
Dr. Li Zhiyao Reply:
Hello: If you are concerned about heart problems, you should first consult a cardiologist. If it is confirmed that there are no heart issues, then you can return to the psychiatrist for follow-up. Additionally, consider the possibility of hyperthyroidism.[Read More] Understanding Heart Palpitations: When to Seek Further Testing
Post-Thyroid Cancer Surgery: Fertility Plans and Considerations
Post-thyroid cancer surgery considerations for fertility planning? Dear Dr. Hsiao, I underwent thyroid cancer surgery in early October 2015, which involved a total thyroidectomy and partial lymphadenectomy. I received radioactive iodine (I-131) treatment in early November 2015, ...
Dr. Xiao Yongxun Reply:
Dear Ms. H: 1. The half-life of iodine-131 is approximately 8 days. You may want to consult your attending physician regarding the dosage at that time to estimate the current residual amount in your body. Logically, from November 2015 to the present, it should theoretically have...[Read More] Post-Thyroid Cancer Surgery: Fertility Plans and Considerations
Is Seaweed Calcium Safe for Patients with Hyperthyroidism?
Is it appropriate for patients with hyperthyroidism to take seaweed calcium? Hello Dr. Hsiao: My mother is a patient with hyperthyroidism. After treatment and several years of follow-up, her thyroid levels have returned to normal, and her thyroid has not been surgically removed. ...
Dr. Xiao Yongxun Reply:
Dear Mr. Hank: 1. There are many causes of hyperthyroidism, including Graves' disease, toxic diffuse goiter, and thyroiditis, among others. The majority of patients fall under Graves' disease, while the others are relatively less common. 2. I am not familiar with the ...[Read More] Is Seaweed Calcium Safe for Patients with Hyperthyroidism?
Is It Irritable Bowel Syndrome? Understanding Your Digestive Symptoms
Is it irritable bowel syndrome? Hello, Dr. Hsiao! I would like to ask you some questions... For the past few months (over 3 months), I have been experiencing some unusual bowel habits. I have been having bowel movements 4-5 times a day, and about 10 minutes after eating, I feel t...
Dr. Xiao Yongxun Reply:
Dear Ms. Chen: 1. The diagnosis of Irritable Bowel Syndrome (IBS) lacks effective physical examination or biochemical blood markers. It is generally accepted that abdominal pain lasting more than three months, occurring more than three days per month, along with any two of the f...[Read More] Is It Irritable Bowel Syndrome? Understanding Your Digestive Symptoms
Managing Hypothyroidism and Hyperthyroidism: Risks of Mixed Medication Use
Mixing medications for hypothyroidism and hyperthyroidism? Hello! I was diagnosed with hypothyroidism in 2010 and have been taking medication regularly until 2015. However, at the beginning of 2016, I found out that I had developed hyperthyroidism. I have been taking hyperthyroid...
Dr. Xie Rongyuan Reply:
Hello: Regarding issues related to the thyroid, it is best to discuss treatment options directly with your attending physician. Thank you for your message![Read More] Managing Hypothyroidism and Hyperthyroidism: Risks of Mixed Medication Use
Understanding Low TSH Levels After Thyroidectomy: Causes and Implications
Hypothyroidism I underwent a total thyroidectomy about 4 years ago and have been taking thyroid hormones since then. My T3 and T4 levels are maintained within the normal range, but my TSH levels have consistently been very low. I would like to know the reason for this. Is it beca...
Dr. Xiao Yongxun Reply:
Dear Ms. Ting: 1. This question should be directed to your attending physician, as it involves what specific thyroid disease you have, the reasons for total thyroidectomy, whether you are taking other medications, if there are any other endocrine issues, and if there are any oth...[Read More] Understanding Low TSH Levels After Thyroidectomy: Causes and Implications
Understanding Immunological Factors in Miscarriage and Thyroid Issues
Immunological Issues in Miscarriage Hello, Doctor: I would like to ask about pregnancy issues. I have hyperthyroidism and have been on medication for a long time; my T3 and T4 levels are normal. Since I had surgery to remove an empty follicle, I have not been able to conceive, an...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Regarding your inquiry, I will respond as follows: 1. If you have already consulted with an obstetrician-gynecologist and ruled out issues related to reproductive anatomy and hormones, I believe it would be worthwhile to investigate potential...[Read More] Understanding Immunological Factors in Miscarriage and Thyroid Issues
Managing Arrhythmias in Hyperthyroidism: Insights and Recommendations
Arrhythmia in Hyperthyroidism Hello, Doctor. I was diagnosed with Graves' disease and hyperthyroidism at the age of 40. I have been taking medication for hyperthyroidism for a year now, but I still occasionally experience arrhythmias, with a heart rate of about 120, especial...
Dr. Xie Rongyuan Reply:
Hello: You should go to the hospital for further examination of thyroid function abnormalities. As for your daughter's T4 and TSH levels, they are within the normal range. If her symptoms persist, you should promptly visit the hospital to identify the underlying cause. Thank...[Read More] Managing Arrhythmias in Hyperthyroidism: Insights and Recommendations
Understanding Hypothyroidism Management in Patients with Atrial Fibrillation
Hypothyroidism Consultation Hello Dr. Hsiao, my mother is 65 years old and has a history of atrial fibrillation. From March 2014 to July 2015, she was treated with Dronedarone (Multaq). During the treatment, she developed hypothyroidism, and her attending physician prescribed Lev...
Dr. Xiao Yongxun Reply:
Dear JJ, Based on the information you provided, the medications and units may be as follows: Cordarone® 200 mg (Amiodarone), Eltroxin® Tablets 100 mcg (synthetic Thyroxine), Rytmonorm® 150 mg Film-coated tablets. The lab results are as follows: T3: 0.8 ng/ml (reference range: 0....[Read More] Understanding Hypothyroidism Management in Patients with Atrial Fibrillation
Thyroid Issues: Understanding Symptoms Like Tinnitus and Muscle Spasms
Endocrinology A family member has been diagnosed with hyperthyroidism and is currently taking medication for it. They are now experiencing occasional symptoms such as tinnitus, tongue numbness, loss of taste, and neck cramps. Are these symptoms related to the thyroid condition?
Dr. Zeng Guosen Reply:
Hello, internet user: I am a rheumatologist and I recommend consulting an endocrinologist. Thank you.[Read More] Thyroid Issues: Understanding Symptoms Like Tinnitus and Muscle Spasms
Fast Heart Rate and Dizziness: Understanding the Connection and Causes
Rapid heartbeat and dizziness? About a week ago, I consulted a doctor at a clinic due to chest tightness. The doctor noted that my heart rate was quite fast and suggested that it might be due to stress or other psychological factors, prescribing medication to help slow it down. H...
Dr. Xie Rongyuan Reply:
Hello: If you frequently experience a rapid heartbeat and dizziness, please go to the hospital for an examination. Conditions such as anxiety, high stress, hyperthyroidism, or arrhythmias can cause a rapid heartbeat. Additionally, if you notice any lumps in your body, you should ...[Read More] Fast Heart Rate and Dizziness: Understanding the Connection and Causes
Understanding Blood Sugar Management: Key Indicators and Medication Options
Blood sugar issues Dear Dr. Hsiao, I have been concerned about my blood sugar levels since my health check in 2004, when my fasting blood glucose was 100. I only started medication in 2015, but my weight has decreased from my usual 38 kg to the current 34 kg. For the past ten ye...
Dr. Xiao Yongxun Reply:
1. For a 65-year-old diabetic patient, a fasting blood glucose level of 155 mg/dL, a postprandial blood glucose level of 169 mg/dL two hours after eating, and a hemoglobin A1c level of 6.6% indicate relatively good control. Each of these values carries individual significance, an...[Read More] Understanding Blood Sugar Management: Key Indicators and Medication Options
Managing Medication Gaps in Hyperthyroidism Treatment
Reschedule the follow-up appointment; medication is insufficient? Hello, I have been diagnosed with hyperthyroidism and have started medication treatment. I received a month's supply of medication, but I cannot make my original follow-up appointment due to a scheduling confl...
Dr. Zeng Guosen Reply:
Hello, I suggest consulting an endocrinologist. Thanks.[Read More] Managing Medication Gaps in Hyperthyroidism Treatment