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Suggest Treatment For Subclinical Hyperthyroidism In Child
Question: hello sir,
my baby was born with congenital arthrogryposis affecting the legs and hip dislocation which he is being treated for by an orthopedic surgeon.My concern was when my baby was born his TSH was checked and it was 4.13 which was well with normal limits fr a new born baby..now my baby was hospitalised for cough and chest congestion and nose blockage ..because he was sweaty they did tsh t3 t4 test again..at 3 months his t3 AND T4 WERE well within normal but his tsh was very low...0.05...can u telme if it is subclinical hyperthyroidism what is the treatment like..i just wana knw can it be treated with medication itself and what could be the course duration of those medications.....he was being treated with monocef and azithromycin antibiotic fr 10 days...could it lower the tsh? i am very worried...i hope you can show me the way..thnks
my baby was born with congenital arthrogryposis affecting the legs and hip dislocation which he is being treated for by an orthopedic surgeon.My concern was when my baby was born his TSH was checked and it was 4.13 which was well with normal limits fr a new born baby..now my baby was hospitalised for cough and chest congestion and nose blockage ..because he was sweaty they did tsh t3 t4 test again..at 3 months his t3 AND T4 WERE well within normal but his tsh was very low...0.05...can u telme if it is subclinical hyperthyroidism what is the treatment like..i just wana knw can it be treated with medication itself and what could be the course duration of those medications.....he was being treated with monocef and azithromycin antibiotic fr 10 days...could it lower the tsh? i am very worried...i hope you can show me the way..thnks
Brief Answer:
Yes could be drug induced low TSH
Detailed Answer:
Hi
Thanks for writing to us.
I have seen the report
As you have mentioned, it is unlikely for a normal TSH to become very low at this age especially if TSH was normal at birth.
Many drugs lower TSH .
Even paracetamol, analgesics can lower TSH.
Antibiotics may not be the reason, but if steroids had been used, then it could lower TSH.
I advice you to do free T3 and free T4 now, If normal, repeat full thyroid profile after 6 weeks.
I do hope TSH normalises by then.
If still low after 6 weeks, consult your endocrinologist to evaluate further for subclinical hyperthyroidism like anti thyroid antibodies , etc.
Treatment is with medicines like propylthiouracil duration will depend on antibodies type and levels.
Wishing your child good health
Regards
DR Arun
Yes could be drug induced low TSH
Detailed Answer:
Hi
Thanks for writing to us.
I have seen the report
As you have mentioned, it is unlikely for a normal TSH to become very low at this age especially if TSH was normal at birth.
Many drugs lower TSH .
Even paracetamol, analgesics can lower TSH.
Antibiotics may not be the reason, but if steroids had been used, then it could lower TSH.
I advice you to do free T3 and free T4 now, If normal, repeat full thyroid profile after 6 weeks.
I do hope TSH normalises by then.
If still low after 6 weeks, consult your endocrinologist to evaluate further for subclinical hyperthyroidism like anti thyroid antibodies , etc.
Treatment is with medicines like propylthiouracil duration will depend on antibodies type and levels.
Wishing your child good health
Regards
DR Arun
Above answer was peer-reviewed by :
Dr. Prasad
thank you so much for your response...i would like to mention that we were using budecort respules which is a corticosteriod i guess...can it be the culprit?
Brief Answer:
yes it could be the reason
Detailed Answer:
Yes it could be the reason for low tsh.
Yes, budecort is a corticosteroid and can lower tsh.
I will suggest to repeat the test after 6 weeks.
Regards Dr Arun
yes it could be the reason
Detailed Answer:
Yes it could be the reason for low tsh.
Yes, budecort is a corticosteroid and can lower tsh.
I will suggest to repeat the test after 6 weeks.
Regards Dr Arun
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Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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