Hypothyroidism, Internal Medicine FAQ - Page 6

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Understanding Abnormal TSH Levels: Effects and Improvement Strategies

Thyroid-stimulating hormone (TSH) Abnormal thyroid-stimulating hormone (TSH) levels (4.703) can indicate potential thyroid dysfunction. Elevated TSH levels may suggest hypothyroidism, where the thyroid gland is underactive, leading to symptoms such as fatigue, weight gain, and de...


Dr. Yang Hongzhi Reply:
A slightly elevated TSH generally indicates a tendency toward hypothyroidism, but it has not yet reached the level of true hypothyroidism, and it is unlikely to cause clinical symptoms. It is advisable to follow up in 3 to 6 months to see if it progresses to true hypothyroidism. ...

[Read More] Understanding Abnormal TSH Levels: Effects and Improvement Strategies


Understanding Thyroid Issues: Weight Gain and Management Tips

I would like to inquire about thyroid issues? I was diagnosed with thyroid issues this year. Initially, I had hyperthyroidism, which was controlled with medication, but now it has turned into hypothyroidism. When I had hyperthyroidism, I lost a lot of weight, but now that it has ...


Dr. Yang Hongzhi Reply:
Weight gain after treatment for hyperthyroidism is common and typically stabilizes at a certain point. Controlling lifestyle and diet can help reduce the extent of weight gain. The timing of medication related to hyperthyroidism has little impact on this.

[Read More] Understanding Thyroid Issues: Weight Gain and Management Tips


Fast Heart Rate and Cold Extremities: What Could Be the Cause?

What disease is characterized by a rapid heartbeat and cold extremities? Hello doctor, my father had surgery for hyperthyroidism several decades ago. He does not smoke or drink, and his blood pressure is considered normal, but his cholesterol levels are slightly elevated. His BMI...


Dr. Yang Hongzhi Reply:
After thyroid hyperactivity surgery, there is a possibility of recurrence or developing hypothyroidism. The symptoms you described do not clearly align with manifestations of thyroid dysfunction; however, it is advisable to undergo an examination. You may consider consulting with...

[Read More] Fast Heart Rate and Cold Extremities: What Could Be the Cause?


Understanding Nighttime Abdominal Pain: Possible Causes and Solutions

excuse me? Dear Dr. Hsiao, I suddenly experienced intermittent abdominal pain (below the navel) in the middle of the night, which was severe enough to cause a fever, accompanied by symptoms of belching and nausea. I went to the hospital for blood tests, and it seems that my prol...


Dr. Xiao Yongxun Reply:
Hello: In response to your question, here are the details: 1. There are many causes of abdominal pain, including gastrointestinal diseases, biliary diseases, irritable bowel syndrome, chronic pelvic inflammatory disease, endometriosis, mesenteric lymphadenitis, chronic pancreat...

[Read More] Understanding Nighttime Abdominal Pain: Possible Causes and Solutions


Managing Symptoms After Thyroid Surgery and Radioactive Iodine Treatment

Symptoms after thyroid surgery and radiation therapy? Hello, Dr. Yang. My mother, who is 56 years old, underwent a total thyroidectomy and radioactive iodine treatment due to malignant thyroid cancer. The doctor has prescribed thyroid hormone medication for her, and she has been ...


Dr. Yang Hongzhi Reply:
Thyroid hormone supplementation for one month is expected not to cause any issues related to hypothyroidism. After some time, further monitoring of thyroid function will be necessary. Currently, there are no special dietary restrictions.

[Read More] Managing Symptoms After Thyroid Surgery and Radioactive Iodine Treatment


Understanding Sudden Blood Sugar Spikes: Possible Causes Beyond Glycosuria

Please provide the content you would like Hello, I would like to ask you: Besides glycosuria, what other diseases could cause a sudden increase in blood glucose levels? A month ago, my fasting blood glucose levels after 8 hours were between 90 and 106, but in the past week, they ...


Dr. Xiao Yongxun Reply:
Hello: The causes of elevated blood sugar include Type 1 diabetes, Type 2 diabetes, congenital disorders, chronic pancreatitis, hemochromatosis, acromegaly, Cushing's syndrome, metabolic tumors, hypothyroidism, pregnancy, and drug-induced factors, among others. Your fasting ...

[Read More] Understanding Sudden Blood Sugar Spikes: Possible Causes Beyond Glycosuria


Understanding Behçet's Disease: Causes, Effects, and Treatment Concerns

excuse me? What is the true cause of Behçet's disease and how significantly does it affect the body? Is there a correlation between having gastric ulcers and hypothyroidism occurring simultaneously? I am currently receiving weekly steroid injections; are there any side effec...


Dr. Yang Hongzhi Reply:
Behçet's disease is generally considered to be caused by an autoimmune response leading to vasculitis. Gastric ulcers may occasionally occur in this condition, and hypothyroidism can also be classified as an autoimmune disease, which may occur concurrently, although it is no...

[Read More] Understanding Behçet's Disease: Causes, Effects, and Treatment Concerns


Can Hypothyroidism Be Cured After Thyroid Hormone Replacement?

Hypothyroidism? After thyroid hormone supplementation, under what conditions can a patient recover and no longer need to take medication?


Dr. Chen Qingbin Reply:
Hypothyroidism should not be managed by discontinuing medication on your own; long-term outpatient follow-up and treatment are necessary.

[Read More] Can Hypothyroidism Be Cured After Thyroid Hormone Replacement?


Impact of Thyroid Dysfunction on Male Sexual Health: Is It Reversible?

Thyroid issues Hello, I would like to inquire about thyroid dysfunction. Does hyperthyroidism or hypothyroidism affect male sexual function? Additionally, is this effect reversible? If thyroid function returns to normal, will sexual function also return to normal?


Dr. Yang Hongzhi Reply:
Hyperthyroidism or hypothyroidism can affect male sexual function to some extent, but it generally does not become a primary issue. After treatment for thyroid problems, function should typically return to normal.

[Read More] Impact of Thyroid Dysfunction on Male Sexual Health: Is It Reversible?


Understanding the Link Between Hypothyroidism and Liver Enzymes

Hypothyroidism I have mild hypothyroidism, and whenever I engage in more intense exercise, my GOT and GPT levels suddenly spike and then seem to gradually decrease. Could you please tell me if there is a relationship between hypothyroidism and GOT/GPT levels?


Dr. Lü Jing Reply:
GOT levels will increase during low activity, and they will also rise after intense exercise.

[Read More] Understanding the Link Between Hypothyroidism and Liver Enzymes


Post-Thyroid Surgery Follow-Up: Do I Need Regular Check-Ups?

Postoperative follow-up after thyroid surgery? Hello, doctor. I have had a benign tumor on my right thyroid for ten years. I underwent fine needle aspiration at Linkou Chang Gung Memorial Hospital for monitoring every year, and it was confirmed to be benign. Later, I heard that m...


Dr. Yang Hongzhi Reply:
After thyroid surgery, some patients may develop hypothyroidism; however, if only one side of the thyroid is removed, the likelihood of developing hypothyroidism in the future is low. It is not necessary to actively monitor this, but testing should be conducted if there are any s...

[Read More] Post-Thyroid Surgery Follow-Up: Do I Need Regular Check-Ups?


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...

[Read More] Understanding Thyroid Disorders: Concerns for Nursing Mothers


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...

[Read More] Understanding Hypothyroidism: Dietary Considerations and Concerns


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 ...

[Read More] Managing Hyperthyroidism and Vitiligo: Key Questions and Concerns


Post-Thyroid Surgery Care: Dietary Tips for Hypothyroidism Management

Hypothyroidism Hello Dr. Yang, I underwent surgery for hypothyroidism in September 2007 due to a tumor on the left side of my thyroid. The attending physician's report indicated "left thyroid follicular adenoma." I would like to inquire about any special consider...


Dr. Yang Hongzhi Reply:
Hello: If only one side of the thyroid gland is removed, it is expected that thyroid function will not be significantly affected. There are no special dietary precautions necessary; however, foods high in iodine (such as seaweed and kelp) may still have potential effects, so it i...

[Read More] Post-Thyroid Surgery Care: Dietary Tips for Hypothyroidism Management


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...

[Read More] Understanding Thyroid Disorders: From Hypothyroidism to Hyperthyroidism Management


Should You Seek Medical Attention for Hypothyroidism Symptoms?

Should I seek medical attention for hypothyroidism? Hello, doctor. I am currently seeking treatment for mental health issues. Aside from psychological problems, I do not have any major physical illnesses. The psychiatrist mentioned that hypothyroidism might affect emotional issue...


Dr. Yang Hongzhi Reply:
Hello: Your symptoms suggest that you should consider the possibility of hypothyroidism, and it is advisable to see a specialist in metabolic disorders.

[Read More] Should You Seek Medical Attention for Hypothyroidism Symptoms?


Understanding Hyperthyroidism: Symptoms, Treatment, and Concerns

Hyperthyroidism Hello Dr. Yang: I discovered symptoms of hyperthyroidism nearly six months ago. I have reduced my medication from two pills a day to one and a half pills a day, and my thyroid hormone levels have returned to normal a month ago. However, I have two questions for yo...


Dr. Yang Hongzhi Reply:
Hello: 1. If the dosage is not reduced, it may lead to hypothyroidism. 2. The likelihood of significant hyperthyroidism has been low for a long time.

[Read More] Understanding Hyperthyroidism: Symptoms, Treatment, and Concerns


Understanding Low TSH Levels: Implications and Treatment Options

Low TSH levels? Hello Dr. Yang, About five years ago, I was diagnosed with hyperthyroidism and after three months of medication, I developed hypothyroidism. I promptly reduced my medication dosage and continued taking the medication for another three months, after which my docto...


Dr. Yang Hongzhi Reply:
Hello: Normal T3 and T4 levels with a decrease in TSH indicate clinical hyperthyroidism. There is a possibility that hyperthyroidism may recur after some time, so monitoring is necessary. Currently, medication treatment may not be required.

[Read More] Understanding Low TSH Levels: Implications and Treatment Options


Understanding Congenital Hypothyroidism in Newborns: Next Steps for Parents

Congenital Hypothyroidism During the newborn health check at birth, it was indicated that there is congenital hypothyroidism with a level of 14. The hospital did not inform whether further detailed examinations are necessary. Based on your expertise, could you provide recommendat...


Dr. Yang Hongzhi Reply:
Hello: It is advisable to consider blood tests for further examination, and if necessary, thyroid hormone replacement therapy may be required.

[Read More] Understanding Congenital Hypothyroidism in Newborns: Next Steps for Parents


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