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Suggest Treatment For Hypothyroidism In A Child

Posted on Tue, 9 May 2017

Question: Hi
My daughter got blood test today for TSH and D3 levels

She got

D3 - 10.89

TSH - 11.53

Only problem I can see is her weight is on higher side. Her age is 8 years and weight is 37 kg.

Please suggest medication options and if she has to be under medication life long.

Her mother has history of hypothyroidism.

Answered by Dr. Minal Mohit (13 hours later)

Brief Answer:
PLEASE START HER ON THYROXINE

Detailed Answer:
dear sir, hi and welcome to HCM.
As the report says, the child is primary hypothyroid, and needs treatment.
as per weight, please put her on tab thyroxine 50 mcg , empty stomach , early morning. keep a gap of 30 minutes over the tablet before giving her anything to eat or drink.
review her after 6 -8 weeks with TSH and FT4.
keep her physically active and also watch her diet.
regards!

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Minal Mohit (2 days later)

I have done re-test blood test from lalpathlabs and reports are as follows

T3, Free - 4.06
T4, Free - 1.10
TSH Ultrasensitive - 6.703

Anti TG - 230.50
Anti TPO - > 1300

Worried about this autoimmune Thyroid disease.

Please suggest.

She had previous history of vaginal discharge.

Can medication lower Antibodies level.

Answered by Dr. Minal Mohit (1 hour later)

Brief Answer:
needs treatment.

Detailed Answer:
Dear sir, we treat the child , antibodies are not targeted. antibodies re confirm that child is autoimmune thyroiditis and may need life long treatment .
regards!

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