Suggest Remedies For Sensitivity When Diagnosed With Under Active Thyroid

Posted on Sun, 22 May 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 22 May 2016 Answered on

Tue, 28 Jun 2016 Last reviewed on

Question : Have underactive thyroid recently diagnosed and on levothyronine 25 mg in morning and self catherizing while curing urinary tract infection.Saw urologist on wednesday and self catherizing going well. getting test in few weeks to see if kidney affected.seeing primary to check on levels and psych with meds so not to go below sodium levels, which happened once. I am sensitive to temperature changes in house but adjusting inside and out.Seeing endocrinlogist in XXXXXXX . Any suggestions to maintaining levels in summer and temperature changes in house during this time of year?

Answered by Dr. Shehzad Topiwala (4 hours later)

Brief Answer:
Thyroid

Detailed Answer:
I suppose you are asking if temperature levels inside the house and outside would affect the thyroid levels?
Is I understand this to be your question then I would like to reassure you that ambient temperature does not affect the thyroid medication dose.

So I see you are on 25 mcg of levo thyroxine. As per endocrinologists' plan you must go for your next blood test which will guide further therapy.

Aim for TSH and Free T4 levels in target range. Discuss with your endocrinologist what your goal is with regard to this.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (12 minutes later)

My face is still swollen once heat is on in house from drinking too much water in short amount of time-drank 1 16 oz poland spring bottle, at once and face got swollen. How do I get rid of that? Also how do I fight dehydration since only allowed 4 bottles of 16 oz poland spring bottles a day. with heat in this season. I tend to get dehydrated without noticing it. Watching diet.What food should I eat to bring up sodium levels so they do not get below, which did once, and ended up in hospital?

Answered by Dr. Shehzad Topiwala (3 hours later)

Brief Answer:
Follow up

Detailed Answer:
Low sodium in blood is a tricky medical condition that requires systematic assessment.

Examples of tests include

Serum Osmolality by direct method
Urine Osmolality
Urine Sodium
Serum Uric acid

These tests give an idea as to the cause of the low sodium problem, Treatment is begun accordingly. For example, water restriction is the first line of treatment of the cause is SIADH (Syndrome of Inappropriate Anti Diuretic Hormone secretion).
Furthermore, attempts are made find a treatable cause of SIADH such as a lung infection for instance

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar