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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does The CRP And TSH Values Rise On Using Antibiotics?

my 18 months old son was diagnosed with congenital hypothyroidism 29 days after birth and has been on Thyronorm ever since. currently he takes 21 mcg thyronorm daily. his next blood test is scheduled for next week. but since the past month he has been keeping unwell, with recurrent cough and cold and fever. last week he even had to take antibiotics for 5 days (Zocef). for the past 2 weeks, he has been passing hard stool, and of very little quantity as well. since starting the antibiotics he has got full blown constipation and i had to give him Duphalac once 2.5 ml. then i am giving him prune juice every day for the past 3 days but still his stool is hard and scanty. my question is, with all his infections, will his CRP levels rise and will that cause elevated TSH? should I wait for some time to let his body lower the CRP and let TSH come down on its own or get the blood test done right away? our paediatric endocrinologist was confident that his is a transient case and was actually looking forward to reducing the dose on our last visit but now i am afraid that the dose will have to be increased instead.
Wed, 17 Sep 2014
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Pediatrician 's  Response
Thanks for posting on HealthCareMagic. Congenital hypothyroidism needs to be treated with thyroxin (thyronorm) which is already being given. Generally the dose is reduced after 6 months after checking the levels. Do not worry about it and your paediatric endocrinologist will know what to do as it is a very simple condition.

Many children suffer from lower respiratory tract infections or another condition called bronchiolitis and your child could be suffering from the same CRP or C-reactive protein indicates an infection or inflammation in the body and antibiotics need to be given to control it. Your doctor is right in this regard.
CRP is unrelated to TSH levels and do not link the two.

Constipation can occur in response to medicines or diet. Assuming that your child is above 6 months (as you have introduced food like prune juice), you may give high fibre diet to your child although lactulose should also be effective.
Include green leafy vegetables in the mashed and boiled food to be given to him.
Vegetables are a major source of fibre. Lettuce, Swiss chard, raw carrots, and spinach are good.
You may also give:
Tender cooked vegetables, such as asparagus, beets, mushrooms, turnips, and pumpkin.
Broccoli, artichokes, squashes, sweet potatoes, and string beans.
Vegetable juices.
Legumes, such as lentils, black beans, split peas, kidney beans, lima beans, and chickpeas
Sunflower seeds, almonds, pistachios nuts, and pecans

Fruits are another good source of fibre. You can give:
Apples and bananas
Peaches and pears
Tangerines, prunes, and berries
Figs and other dried fruits

Grains are another important source of dietary fibre. You can include:
Hot cereals, such as oatmeal, farina, and Cream of Wheat
Whole-grain breads (whole wheat or whole rye)
Brown rice
High-fiber cereals (such as bran, shredded wheat, Grape Nuts, Ry Krisp, and puffed wheat)
Whole-wheat pastas
Bran muffins

Hope that helps. Feel free to revert back in case of further queries if any.
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Does The CRP And TSH Values Rise On Using Antibiotics?

Thanks for posting on HealthCareMagic. Congenital hypothyroidism needs to be treated with thyroxin (thyronorm) which is already being given. Generally the dose is reduced after 6 months after checking the levels. Do not worry about it and your paediatric endocrinologist will know what to do as it is a very simple condition. Many children suffer from lower respiratory tract infections or another condition called bronchiolitis and your child could be suffering from the same CRP or C-reactive protein indicates an infection or inflammation in the body and antibiotics need to be given to control it. Your doctor is right in this regard. CRP is unrelated to TSH levels and do not link the two. Constipation can occur in response to medicines or diet. Assuming that your child is above 6 months (as you have introduced food like prune juice), you may give high fibre diet to your child although lactulose should also be effective. Include green leafy vegetables in the mashed and boiled food to be given to him. Vegetables are a major source of fibre. Lettuce, Swiss chard, raw carrots, and spinach are good. You may also give: Tender cooked vegetables, such as asparagus, beets, mushrooms, turnips, and pumpkin. Broccoli, artichokes, squashes, sweet potatoes, and string beans. Vegetable juices. Legumes, such as lentils, black beans, split peas, kidney beans, lima beans, and chickpeas Sunflower seeds, almonds, pistachios nuts, and pecans Fruits are another good source of fibre. You can give: Apples and bananas Peaches and pears Tangerines, prunes, and berries Figs and other dried fruits Grains are another important source of dietary fibre. You can include: Hot cereals, such as oatmeal, farina, and Cream of Wheat Whole-grain breads (whole wheat or whole rye) Brown rice High-fiber cereals (such as bran, shredded wheat, Grape Nuts, Ry Krisp, and puffed wheat) Whole-wheat pastas Bran muffins Hope that helps. Feel free to revert back in case of further queries if any.