Recently Answered Questions
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Please explain on cyclical Cushing's syndrome.
Query: Hi doctor, I am 21 years now. I weigh 132 lbs and was diagnosed with cyclical Cushing's syndrome at the age of 20. I had an MRI scan for a pituitary tumor in my brain. But, the clinical findings did not match up. I went to a top end endocrinologist who is a professor in endocrinology. I have beard ... Read Full »
Answer: Hi, Welcome to icliniq.com. No, there is no other pituitary in the brain and sometimes urinary test fails to detect hormones. In cyclical Cushing's, the cortisol levels fluctuate over time, making the diagnosis even more difficult. The source of ectopic hormone production should be searched for,... Read Full »
I have trigeminal neuralgia and other issues. Kindly help.
Query: Hello doctor, My age is 27 years, my height is five feet four inches and my weight is 143 pounds. I have trigeminal neuralgia, for which I take Lyrica 75 mg during flare-ups. I recently had a blood test that indicated low vitamin D (6 ng/ml), for which the doctor advised me to take a D-rise of 60,00... Read Full »
Answer: Hello, Welcome to icliniq.com. Your increased WBC (white blood cells) and lymphocytes, I could certainly relate it to your trigeminal neuralgia as this is an inflammation of a nerve which would rise WBC levels even if you are in recovery period with no symptoms. But, what I am concerned about is you... Read Full »
Should I continue taking the thyroid medications even after the results are normal?
Query: Hello doctor, I am a 24 year old female. I am six weeks pregnant. I currently weigh 145.5 lbs. I have thyroid problems and am taking Thyroxine 100 mg daily. My current report is normal. Should I continue 100 mg and what precautions should I take for a safe pregnancy weight? Read Full »
Answer: Hello, Welcome to icliniq.com. Thyroid levels tend to vary in pregnancy and hence needs to be checked every three months. If your thyroid level was checked soon after pregnancy you have to continue the same dose. And, after three months, you will have to check the levels again and your doctor will ... Read Full »
What if I do not take medicine for hypothyroidism?
Query: Hi doctor, I was diagnosed with hypothyroidism and growth hormone deficiency as a child, but stopped taking the medication at 18. I am now 23 and have noticed a few symptoms. Extreme fatigue, depression, anxiety, weight gain and headaches. I feel that the symptoms have worsened. What could be the po... Read Full »
Answer: Hello, Welcome to icliniq.com. I have a few follow up questions. Please answer them. 1. What was the reason for the hypothyroidism and growth hormone deficiency? 2. Were there any other hormone deficiencies as well? What other medical problems do you have? 3. When did you last have your thyroid bl... Read Full »
Why do I have thyroglobulin antibody?
Query: Hello doctor, I had depression symptoms. When I checked thyroid, it was normal. but when I checked my thyroid antibody the result shows thyroglobulin antibody (ATG), serum: 32.77 IU/mL. Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned, it appears that you have antithyroglobulin antibodies. The presence of antibodies only suggests that you may develop thyroid dysfunction in the future but as of now your thyroid gland is functioning well. I wou... Read Full »
Why is there continuous itching in a thyroid patient?
Query: Hello doctor, My mother has a big-time issue with itching on all parts of her body. She is 66 years old and has blood pressure and thyroid. Kindly suggest. Read Full »
Answer: Hello, Welcome to icliniq.com. Itching can be due to dry skin (xerosis), eczema (dermatitis), psoriasis, scabies, liver disease, kidney failure, iron deficiency anemia, thyroid disease, lymphoma or medications. Please get comprehensive blood work done to rule out these causes. Please treat accordi... Read Full »
I am dealing with abnormal thyroid functions. Kindly help.
Query: Hi doctor, A 51-year-old female is presenting with abnormal thyroid functions, primarily manifesting as hot flashes. Notably, her TSH (thyroid stimulating hormone) is low at 0.088, and FT-4 is recorded at 0.99. A thyroid ultrasound revealed an enlarged thyroid, while a fine-needle aspiration (FNA) ... Read Full »
Answer: Hi,Welcome to icliniq, and thank you for choosing us as your health care provider. I understand your medical condition, and I am here to support you. I have reviewed your inquiry, and while it seems that the 51-year-old woman may have hyperthyroidism, I would need to personally examine the laborator... Read Full »
Can increased TSH levels harm the baby's brain growth?
Query: Hi doctor, I am 26 years old. My height is 5 feet inch and weight is 115.5 lbs. I am 20 weeks pregnant now. I underwent a surgery for complete thyroidectomy and I am taking Thyroxin 100 mcg regularly. In my first trimester, the TSH level was 0.31 and the doctor advised me to continue the same dosa... Read Full »
Answer: Hi, Welcome to icliniq.com TSH (thyroid stimulating hormone) is very important for the baby's brain growth as rightly said by you. Therefore, it is imperative that we treat aggressively. Target TSH in the first trimester is 0.3 - 2.5 mIU/L and therefore the doctor did not change the treatment. I ho... Read Full »
I have delayed periods and weight gain. Please help.
Query: Hello Doctor, Free TSH 5.96, freeT3 2.49, freeT4 0.76. Age 33 years. Symptoms - weight gain, depression, late periods since second delivery and 2 years back. Do I need thyroid medicine? Read Full »
Answer: Hi, Welcome to icliniq.com. I would like to know when was this thyroid test done? This seems to be a very mild thyroid dysfunction. Does anyone in your family have thyroid problem? I would recommend you to consult an endocrinologist online to go for some more testing (like thyroid antibodies and rep... Read Full »
I have hypertension and palpitations. Please help.
Query: Hi doctor, I am a 26 year old male. I am having hypertension, palpitation, depression and anxiety. ECG, 2D echo, renal Doppler, VMA culture, cortisol and lipid profile are normal. I need advice. Read Full »
Answer: Hi, Welcome to icliniq.com. The tests you have mentioned are used to find a cause for significant hypertension. You have not mentioned anything about your BP levels and whether they are really significantly high. We have no details of your weight, your lifestyle and your family history. ... Read Full »