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What Do These Thyroid Test Report And Vitamin D Levels Indicate?
Question: Hi Doctor,
I got pain in the big toe and doctor told me to check the uric acid . So i have tested Uric acid level and also tested t3, t4, tsh and vitamin D along with it. Below is the lab report. Can you help me to understand this
Uric Acid 7.9* mg/dL 0
T3 0.73 ng/mL
T4 6.21 ug/dL
TSH 4.27 ulU/mL
Vitamin D Total 9.94 ng/ml
Regards,
XXXXX
I got pain in the big toe and doctor told me to check the uric acid . So i have tested Uric acid level and also tested t3, t4, tsh and vitamin D along with it. Below is the lab report. Can you help me to understand this
Uric Acid 7.9* mg/dL 0
T3 0.73 ng/mL
T4 6.21 ug/dL
TSH 4.27 ulU/mL
Vitamin D Total 9.94 ng/ml
Regards,
XXXXX
Brief Answer:
Vitamin D deficiency and Arthritis of big toe
Detailed Answer:
Hello XXXXX,
Welcome to HCM.
Thank you for the query.
In my opinion your serum uric acid is considered high normal and is not too high to cause great toe pain. Is the ESR raised acutely?
First thing that comes to my mind is Osteoarthritis of great toe the most common reason for toe pain in this age group. To confirm you need to get Xray of the 1st Interphalyngeal joint. If the joint space is narrowed with growth it is arthritis.
Sometimes narrow toe footwear can cause this pain. Check this as well.
All in all tab DOLO 650mg should be the initial treatment for great toe pain.
I find the Vitamin D is deficient so I suggest to take TAB CALCIFEROL 60000 IU one tablet a week with milk for 12 weeks.
Hope this helps.
Take care, Bye.
Vitamin D deficiency and Arthritis of big toe
Detailed Answer:
Hello XXXXX,
Welcome to HCM.
Thank you for the query.
In my opinion your serum uric acid is considered high normal and is not too high to cause great toe pain. Is the ESR raised acutely?
First thing that comes to my mind is Osteoarthritis of great toe the most common reason for toe pain in this age group. To confirm you need to get Xray of the 1st Interphalyngeal joint. If the joint space is narrowed with growth it is arthritis.
Sometimes narrow toe footwear can cause this pain. Check this as well.
All in all tab DOLO 650mg should be the initial treatment for great toe pain.
I find the Vitamin D is deficient so I suggest to take TAB CALCIFEROL 60000 IU one tablet a week with milk for 12 weeks.
Hope this helps.
Take care, Bye.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Deepak
Answered by
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