William asks…

hashimoto’s disease question ?

hi there, well just got told ive got thyroid antibodies but tsh is normal, my thyroid been playing up since the birth of my son since then i have got those facial skin burning and flushing,last night i had what i think its hot flush it took 2 hours for me to cool down in the end i had to open the window, im no sure if its hashi as gp said i need to wait to see endocrine but for what i read it sounds like hashi, im confused about my symthoms is this possible or should i be looking into other avenue like rosacea , cos of my skin flushing?anyone with the conditions can you help thanks for reading

Helen answers:

You could have Graves disease. Auto immune thyroid. Opposite to Hashi. It can cause flushing. But as thyroid affects the hormones as does pregnancy it could be a bit of both, it takes time for it all to settle. Does not sound like rosacea. You can have antibodies but a normal tsh. Anti bodies means the type of thyroid problem is to do with the auto immune system.

Susan asks…


has anyone had this before? what gets rid of it?any home remedies?when should i seek medical help?thanks!!

Helen answers:

The major and generally accepted modalities for treatment of hyperthyroidism in humans are:

Surgery (to remove the whole thyroid or a part of it) is not extensively used because most common forms of hyperthyroidism are quite effectively treated by the radioactive iodine method. However, some Graves’ disease patients who cannot tolerate medicines for one reason or another or patients who refuse radioiodine opt for surgical intervention. Also, some surgeons believe that radioiodine treatment is unsafe in patients with unusually large gland, or those whose eyes have begun to bulge from their sockets, claiming that the massive dose of iodine needed will only exacerbate the patient’s symptoms. The procedure is quite safe – some surgeons even perform partial thyroidectomies on an out-patient basis.

In Iodine-131 (Radioiodine) Radioisotope Therapy, radioactive iodine is given orally (either by pill or liquid) on a one-time basis to destroy the function of a hyperactive gland. The iodine given for ablative treatment is different from the iodine used in a scan. Radioactive iodine is given after a routine iodine scan, and uptake of the iodine is determined to confirm hyperthyroidism. The radioactive iodine is picked up by the active cells in the thyroid and destroys them. Since iodine is only picked up by thyroid cells, the destruction is local, and there are no widespread side effects with this therapy. Radioactive iodine ablation has been safely used for over 50 years, and the only major reasons for not using it are pregnancy and breast-feeding.

Often, due to the difficulty of picking the correct dose, the treatment results in an opposite condition – hypothyroidism. However, that is usually easily treated by the administration of levothyroxine, which is a pure synthetic form of T4.

Thyrostatics are drugs that inhibit the production of thyroid hormones, such as methimazole (Tapazole®) or PTU (propylthiouracil). Thyrostatics are believed to work by inhibiting the iodination of thyroglobulin by thyroperoxidase.

If too high a dose is used in pharmacological treatment, patients can develop symptoms of hypothyroidism. Hypothyroidism is also a very common result of surgery or radiation treatment as it is difficult to gauge how much of the thyroid gland should be removed. Supplementation with levothyroxine may be required in these cases.

Beta blockers do not treat, but rather mask, common symptoms of hyperthyroidism such as palpitations, trembling, and anxiety. Metoprolol is most frequently used to augment treatment for hyperthyroid patients.

Sandy asks…

Would You Tell?

If you knew someone had HIV/AIDS and they were out there spreading the disease, would you tell or do you feel that’s on the borderline of snitching and it’s none of your business?

There are people out there like that and that’s what alarms me! Also there are people who are afraid to get tested and would rather NOT know if they are spreading it. It’s an epidemic within an epidemic…

I suggest never trust anyone by their word that they’re STD or HIV/AIDS negative. Go and get tested together and make sure to see each other’s results. People lie and will take it to their graves. You need proof, not just going by what they say and how clean they appear or seem to be!
It’s not about you sleeping around. Your husband/wife could be. Also, condoms don’t protect you from all diseases like herpes, syphilis, genital warts.
I forgot that having bad dental hygiene can help you catch something as well. I would first converse with the infected person and give them the opp to tell of their status. If they don’t, then I’m tellin! I would want someone to tell me. It’s humiliating for both parties but the right thing to do to protect others. I wish this disease didn’t exist amongst others but it does. It’s preventative and we should heed precautions everyone.

Helen answers:

First: Miss Hotpepper is nuts! If you want to spew Godly virtues, then be Godly and protect the unsuspecting victim. Sinner or Saint, the God I worship loves them all. To be Christlike, you should feel the same way, regardless of what your brain tells you. It is not for you to judge, it is for you to spread the word of God, even when it bothers you. You can’t “fix” the world but you can make a difference. This every woman for herself attitude is why the world is what it is.

Back to the question at hand. Yes, you should tell. You could be waiting on Mr or Miss right (or righteous in this case) never sleeping with anyone in your life, marry someone with HIV and end up a victim.

And you are right, condoms don’t provide you with 100% protection against ANYTHING, not even pregnancy. But unless you are planning on NEVER having sex, not even with your husband (because they tip toe every now and then), you are going to always be taking a risk.

Laura asks…

High T4 and normal TSH?

My T4 is 12.40 (above normal) and TSH is 3.91. What does it mean?
And T3 is 1.51

Helen answers:

A typical normal range of T4 is 4.5 to 11.2 micrograms per deciliter (mcg/dL).
Greater than normal levels of T4 along with low levels of TSH may be due to conditions that involve an overactive thyroid, including:
* Early Hashimoto’s disease
* Graves disease
* Germ cell tumors
* High levels of the protein that carries T4 in the blood (can occur with pregnancy, use of birth control pills or estrogen, liver disease, and as part of an inherited condition)
* Iodine-induced hyperthyroidism
* Subacute or chronic thyroiditis
* Toxic multinodular goiter
* Trophoblastic disease
Normal values of TSH are 0.4 – 4.0 mIU/L.
Consult an Endocrinologist.

Ruth asks…

thyroid storm?

what are the symtoms if you are having a thyroid storm?

Helen answers:

Thyroid storm is considered a medical emergency. Some of the symptoms of thyroid storm include heat intolerance, diaphoresis (excessive sweating), tachycardia (rapid heart rate), hypertension (high blood pressure), arrhythmias, diarrhea, vomiting, jaundice, severe agitation, seizures, and coma.

Graves disease is the most common cause, but surgery, I-131 radiation therapy, DKA (diabetic ketoacidosis), trauma, and pregnancy-related toxemia can also cause the condition.

As I stated before, thyroid storm is a MEDICAL EMERGENCY. If you suspect you are experiencing thyroid storm, please see medical help immediately!

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