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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Enlarged Thyroid, Have Symptoms Of Graves Disease. High Serum TSH Levels And Free T3 And T4. On Cipralex And Diazepam For Anxiety. Advice?

I have many syomtoms of thyrooid disorder and have done on and off for years its runs in my family and i have an enlarged thyroid, my doctor keeps taking blood tests which are coming back normal, but are creeping up on serum tsh level and free t4 and t3 many of my sypmtoms are more towards graves desiese, im booked in for a scan and to see a specialist but not till nov, my anxiety is so high im on cipralex 20mg and diazepam 20mg per day i have the iplant and am wondering if that could effect my test results
Tue, 18 Nov 2014
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Endocrinologist,  's  Response
Hi,
Welcome to HCM. I have gone through your question and understand your concern.

Please let me know your T3, T4, TSH values. In graves disease your TSH is usually low and T3, T4 is high. If it is you case you should be started on anti-thyroid medications. Dont worry. This is an easily treatable disease.

In my practice I start patients on carbimazole and make their thyroid function normal. Then I decide on permanent cure options like radio iodine treatment or surgery depending on the case.

Your anxiety and increased heart rate can be decreased using drugs like propranalol.

Hope I have answered your query. If you have any further questions I will be happy to help
With warm regards,
Dr Ajish TP (MD,DM)
Consultant Endocrinologist.
I find this answer helpful
Endocrinologist,  Dr. Ajish TP's  Response
Hi,
Welcome to HCM. I have gone through your question and understand your concerns.

Please share the thyroid function report with us for explaining your condition. High TSH,T3 and T4 is a rare thyroid function report. It is seen in rare conditions of thyroid like thyroid hormone resistance and central hyperthyroidism.

Hope I have answered your query. If you have any further questions I will be happy to help
With warm regards,
Dr Ajish TP (MD,DM)
Consultant Endocrinologist.
I find this answer helpful
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Suffering From Enlarged Thyroid, Have Symptoms Of Graves Disease. High Serum TSH Levels And Free T3 And T4. On Cipralex And Diazepam For Anxiety. Advice?

Hi, Welcome to HCM. I have gone through your question and understand your concern. Please let me know your T3, T4, TSH values. In graves disease your TSH is usually low and T3, T4 is high. If it is you case you should be started on anti-thyroid medications. Dont worry. This is an easily treatable disease. In my practice I start patients on carbimazole and make their thyroid function normal. Then I decide on permanent cure options like radio iodine treatment or surgery depending on the case. Your anxiety and increased heart rate can be decreased using drugs like propranalol. Hope I have answered your query. If you have any further questions I will be happy to help With warm regards, Dr Ajish TP (MD,DM) Consultant Endocrinologist.