A new question is answered every 9 seconds

Different results of THYROID LAB work. Cause?

Resolved Question:

Hello,

I am a 33 year old female. I recently had some Thyroid Lab Work Done on 02/08/2015 which the results from the first time are:

TSH -0.700

T4-7.37

Sed Rate - 40

I had them rechecked by another physican on 02/19/2015 , and the results from this time were:

TSH-0.39

T4- 1.26

Sed Rate - 27

My question/concern are I am scheduled to see an Endocrinologist due to the first set of labs, Should i see them even though the labs from the recheck are different?


Category: Endocrinologist

Ask Your Own Question

Category: Diabetologist
Dr. J Muthukrishnan is online now

Expert:  Dr. J Muthukrishnan replied 4 Days.

Hello,
Thank you for your query at DoctorSpring.com
I understand your concern.
The reports seem normal, in both the situations. You haven't mentioned the units for T4 especially in the second report. And the symptoms because of which you got the tests done.
I can further advise based on that,
Regards.


Patient replied :


The First set of labs drawn on 02/08/2015
TSH -0.700
T4-7.37
Sed Rate - 40
The Recheck Labs Drawn on 02/19/2015
TSH-0.39
T4- 1.26
Sed Rate - 27
My Gastrologist is the one that ordered my Inital labs b/c I am having Stomach Issues which Both a colonoscopy and EGD were done and the EGD showed Gastrits, Esophagitis, Hiatal Hernia, Which a Biopsy was done and showed Barretts Esophagus , During my follow up visit with the Gastro Doctors I was still having these symptoms which were not resolved from medicines -Bloating, Diarrhea, Weight Loss, VERY fatigue, Irregular Heartbeats, Moodiness
I went to See My Rheumatologist ( I do Have Rheumatoid Arthritis) and She wanted a recheck done along with additional labs.


Expert:  Dr. J Muthukrishnan replied 3 Days.

Hello,
Update on your consult : ( From InHouse Physician )
This consult has been reviewed by our endocrinologist and gastroenterologist. The endocrinologist has ruled out any thyroid abnormalities based on reports. Since your follow-up had predominant gastric symptoms, I requested our medical gastroenterologist to review and give his suggestions. So kindly review his reply and you can further post follow-ups for him.
Reply :
On the thyroid aspect, there is no need to be worried.
Your symptoms are not suggestive of any thyroid disorder. Moreover the thyroid levels are all normal, so there is no need of an endocrinologist opinion as of now.
You have esophagitis and gastritis. Also, barrets esophagus has been confirmed. These all point towards severe GERD, and chronic reflux leads to such changes in the mucosa. So it is extremely important you start taking a proton pump inhibitor like Omeprazole or Rabeprazole 20 mg once daily before breakfast and also take Syrup. Sucralfate 2 teaspoons twice daily after meals till your symptoms subside.
I will also advise an ECG for your irregular heartbeat. Although, anxiety can lead to such irregular heartbeats.

Regards.


Dr. J Muthukrishnan
Category: Diabetologist
Experience: 
Fellowships/Training: 
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

Make informed and better medical decisions.

We believe that getting medical questions answered and getting qualified opinions from certified Doctors should be easier.



Specialists from
UK, US, Ind,
Aus & NZ


48000+ consults
in 2015


98.1% Satisfied
users


MEDNET Board,
100% Satisfaction
guarantee

How it works


  • Submit question, upload files, if any
  • Consult is assigned to a specialist
  • Doctor replies, Mean response time: 2 hours
  • Intimation by email, ask follow-ups

Recommendations based on

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in News

News

Make informed and better medical decisions.

Close x


Your account has been deleted.

PS: You can unsubscribe from emails from DoctorSpring, by going to
Unsubscribe link provided in them.