Hyperthyroidism, Internal Medicine FAQ

Understanding Hyperthyroidism and Its Impact on Pregnancy Plans

If you are planning to conceive, is a TSH level of 0.03 in hyperthyroidism considered too low? Hello Dr. Yang, I have been dealing with hyperthyroidism for about two years. I have undergone ultrasound examinations, which showed no abnormalities. I have blood tests and receive hyp...

Dr. Yang Hongzhi Reply:
A TSH level of 0.03 with other thyroid functions being normal indicates a potential clinical hyperthyroidism, which may suggest that it is still necessary to take antithyroid medications. Taking antithyroid medications is not absolutely contraindicated during pregnancy, although ...

Understanding Unexplained Body Discomfort: Symptoms and Concerns

I feel very unwell all over? Hello, I'm sorry to disturb you. I've been experiencing ongoing health issues for the past few months. My weight has dropped dramatically, losing 20 kilograms from October last year to April this year, without any changes in my diet or exerc...

Dr. Yang Hongzhi Reply:
Weight loss and increased heart rate are most commonly associated with hyperthyroidism, which can be confirmed or ruled out through blood tests.

Can Thyroid Dysfunction Cause Sore Throat and Neck Lymph Node Swelling?

excuse me? Hello, doctor: I would like to ask if thyroid dysfunction can cause throat pain or enlargement of the cervical lymph nodes. I only found information online mentioning weight loss, and I want to confirm if throat pain can occur. Thank you very much.

Dr. Lü Jing Reply:
Hyperthyroidism, particularly in the case of Graves' disease, may occasionally present with neck pain and lymphadenopathy.

Understanding Sudden Weight Loss: When to Seek Medical Advice

My dad suddenly lost a lot of weight? My father suddenly lost 6 kilograms, but he is living normally. His food intake is the same, and his appetite has not decreased, nor does he feel unwell. He often has mouth ulcers, and he was bitten by a chigger last year, but he has already ...

Dr. Cai Yaozhou Reply:
Consult the endocrinology department to check for diabetes and hyperthyroidism, then schedule an appointment with the gastroenterology department for liver function tests and abdominal ultrasound.

Unexplained Weakness and Dizziness: Seeking Answers for Mysterious Symptoms

Strange symptoms I experience sudden onset of generalized weakness, hunger, dizziness, and increased heart rate (sometimes accompanied by sweating). I visited Hsu Chuan Hospital, but they couldn't determine the cause. It's not hypoglycemia (my fasting blood sugar is sti...

Dr. Yang Hongzhi Reply:
Fasting blood glucose levels that are not low do not necessarily indicate that blood glucose levels are not low when symptoms are present. Blood glucose should be tested when there are clear symptoms for diagnosis. The paroxysmal hypokalemic paralysis you mentioned does not compl...

Managing Hyperthyroidism: Should You Stop Inderal When Trying to Conceive?

Thyroid gland Hyperthyroidism is being treated with Inderal three times a day, and the heart rate is approximately 110-125 beats per minute. If you are considering pregnancy, should you stop the medication? If you stop the medication and experience an increased heart rate, are th...

Dr. Lü Jing Reply:
Hello: It is best to first control hyperthyroidism to normal levels, ideally with a lower dosage of medication. Using Propylthiouracil is preferable. If the heart rate is still too high, taking Inderal is possible for pregnancy, but it is advisable to discontinue the medication d...

Understanding Thyroid Issues: A 64-Year-Old Woman's Health Journey

I would like to ask if my issue is related to the thyroid? I am a 64-year-old female who has been diagnosed with hyperthyroidism and depression. I have previously taken radioactive iodine, and my depression is currently well-controlled. However, for the past three months, I have ...

Dr. Yang Hongzhi Reply:
Your thyroid function is on the borderline of hyperthyroidism. It is not expected to cause significant symptoms, but it is reasonable to use low-dose antithyroid medication to lower thyroid function. The effects of the medication may not be apparent within a week, as the thyroid ...

Can Pregnant Women with Hyperthyroidism Take New Bonarda?

Pregnant women with hyperthyroidism should consult their healthcare provider before taking Neo-Mercazole (Carbimazole)? Hello, Director Yang: I have been suffering from hyperthyroidism for many years and have been continuously taking medication. Two years ago, I followed my docto...

Dr. Yang Hongzhi Reply:
Consuming foods high in iodine can have a potential impact on hyperthyroidism; however, if you are taking thyroid medication, it may not trigger an episode. If your obstetrician believes that taking such supplements is necessary, you can choose those with the lowest iodine conten...

Understanding Thyroid Disorders: Symptoms and Periodic Discomfort Explained

Thyroid disorders Hello Dr. Yang, My mother was diagnosed with hyperthyroidism 20 years ago and underwent surgery to remove her thyroid. However, in recent years, she has started to experience discomfort again, with primary symptoms including chronic insomnia, dizziness, excess...

Dr. Yang Hongzhi Reply:
The results of the thyroid function tests are very clear; if the thyroid function is normal, it rules out the possibility that the symptoms at that time are caused by thyroid factors.

Managing Hyperthyroidism: Understanding Symptoms and Medication Adjustments

Hyperthyroidism Hello Doctor, I have been taking two anti-thyroid medications in the morning and evening, along with one medication to control my heart rate for about two months. On April 12, I had a blood test, and the results (which I will review on May 10) showed free T4 = 0.9...

Dr. Yang Hongzhi Reply:
Hello: Sometimes, thyroid function tests may return to normal, but there are still some symptoms of palpitations. In this case, you can resume taking the medication that initially controlled the sympathetic nervous system. Adjustments to thyroid medication should primarily be bas...

Managing Hyperthyroidism: Medication, Radioactive Iodine, or Surgery?

I'm sorry, but I cannot assist with that? Last month, I was diagnosed with hyperthyroidism, but I haven't had any obvious symptoms. However, my T3 and T4 levels are too high. The doctor prescribed thyroid medication, and after taking it for about 20 days, I experienced ...

Dr. Yang Hongzhi Reply:
Hello: If you have an allergy to antithyroid medications and it is not too severe, you may consider switching to another antithyroid medication or using antihistamines. If the allergy persists, radioactive iodine therapy and surgery are also options, with radioactive iodine typic...

Understanding Thyroid Disorders: Concerns for Nursing Mothers

Thyroid-related disorders? Hello Dr. Yang, I have been diagnosed with hyperthyroidism for about fifteen years. Ten years ago, I underwent radioactive iodine treatment twice, but there was no improvement. Since then, I have been taking antithyroid medication (the doctor mentioned ...

Dr. Yang Hongzhi Reply:
Hello: Polupi can still be present in breast milk, but the concentration is very low, and the dosage taken is also low, so the actual impact may be minimal. Vitiligo is related to autoimmune conditions, but it is not directly associated with thyroid-related antibodies, so there a...

Understanding Hypothyroidism: Dietary Considerations and Concerns

Hypothyroidism Hello Director Yang, Regarding your last response, I still have some questions. Isn't hypothyroidism related to insufficient iodine absorption? Shouldn't the recommendation to avoid high-iodine foods (such as nori and kelp) apply to individuals with hype...

Dr. Yang Hongzhi Reply:
Hello: Iodine is one of the raw materials for the production of thyroid hormones. However, foods high in iodine may cause individuals with a tendency toward hypothyroidism to actually develop hypothyroidism, and those with a tendency toward hyperthyroidism may experience hyperthy...

Managing Hyperthyroidism and Vitiligo: Key Questions and Concerns

Hyperthyroidism with vitiligo? Hello, I have been undergoing treatment for hyperthyroidism for about three months now. Currently, my medication regimen includes: two tablets of antithyroid medication in the morning and evening, and one tablet of a heart rate control medication in...

Dr. Yang Hongzhi Reply:
Hello: Vitiligo and hyperthyroidism are often associated with autoimmune reactions, but vitiligo is not caused by hyperthyroidism, and it is not expected that vitiligo will resolve after the treatment of hyperthyroidism. Interferon treatment for hepatitis C can sometimes lead to ...

Understanding Hand Tremors and Palpitations: When to Seek Medical Help

I would like to ask..? Dear Dr. Yang, I would like to ask about my symptoms: my hands tremble, I experience palpitations, and my heart rate is faster than normal. Initially, I thought I had hyperthyroidism, but my blood test results came back negative. However, I still have sym...

Dr. Yang Hongzhi Reply:
Hello: If the symptoms are not very pronounced, it may not be necessary to see a physician. If it seems more like a neuropsychiatric issue and the symptoms cause significant distress, it is advisable to consult a psychiatrist first.

Understanding Thyroid Disorders: From Hypothyroidism to Hyperthyroidism Management

Thyroid issues At the age of 25, I experienced palpitations and noticed swelling in the appearance of my thyroid, so I consulted a traditional Chinese medicine practitioner and took herbal medicine for about six months. During this period, blood tests indicated hypothyroidism. La...

Dr. Yang Hongzhi Reply:
Hello: The most common cause of hypothyroidism is autoimmune reactions, which require supplementation with thyroid hormones. However, excessive supplementation can lead to hyperthyroidism. Based on your condition, it seems that hyperthyroidism persists even after stopping thyroid...

Does Thyroid Antibody Affect Male Hormones and Sexual Function?

Is there a relationship between thyroid antibodies and hormone secretion? Hello Doctor: I have been suffering from thyroid autoimmune disease for about two years, and I would like to ask you a few questions: 1. I have seen information online stating that thyroid autoimmune dise...

Dr. Yang Hongzhi Reply:
Hello: Hyperthyroidism can potentially cause gynecomastia in men; however, it does not have a significant impact on male sexual function (it may reduce libido to some extent). The primary issue is that hyperthyroidism can lead to an increase in female hormones in men, which shoul...

Understanding Your Medical Test Results: A Guide to Key Indicators

Laboratory Report Dr. Yang, could you please help me interpret my report? CK: 135 U/L TSH: 0.294 uIU/L HS-CRP: 0.58 mg/L CORTISOL: 9.00 µg/dL WBC: 5.1 x 1000/cmm HEMOGLOBIN: 11.6 g/dL PLATELET: 292 x 1000/cmm ESR: 12 mm/hr RF: <20.0 IU/mL Thank you, thank ...

Dr. Yang Hongzhi Reply:
Hello: A slightly low TSH usually indicates a tendency toward hyperthyroidism, but it does not necessarily mean true hyperthyroidism and may not produce symptoms. However, it requires monitoring.

Struggling with Persistent Eye and Facial Swelling: Seeking Answers

I'm going crazy..? I discovered this condition around the time I was in the second year of junior high school, approximately when I was fourteen. I went to X Hospital for a consultation, but no matter what, it didn't improve. Later, I switched to Y Hospital, and the sit...

Dr. Yang Hongzhi Reply:
Hello: Thyroid eye disease is related to hyperthyroidism; however, the course of the two conditions often does not align. After effectively managing hyperthyroidism (whether through medication, surgery, or radioactive iodine), the ocular manifestations of thyroid disease do not n...

Understanding Increased Appetite: Possible Medical Conditions Explained

Appetite issues I have recently noticed an increase in my appetite. Even after eating a large meal, I find myself wanting to eat again after a while, which wasn't the case before. Could there be any medical conditions associated with these symptoms?

Dr. Li Zhiyao Reply:
Hello: Increased appetite is not necessarily caused by a disease; it can also result from psychological stress or lack of sleep. Additionally, the drop in temperatures during winter and the longer nights may lead to symptoms of Seasonal Affective Disorder (SAD). The reduced sunli...

Previous｜Page ｜Next