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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Laryngitis And Dysphagia With An Antibody Test Of 400?

Hi, my question is this: Diagnosed with hypothyroidism last November with a TSH of 99 I have been on Levothyroxine 75 and my TSH is now 4.8. However my antibody test was 400 today and together with a hoarse voice and some difficulty in swallowing I was slightly concerned that something more sinister may be going on. Would you advice my requesting a referral to an endocrinologist. I am not a worrier by nature, but just feel slightly uneasy.

Thank you for your consideration of my question
Wendy Milburn
posted on Thu, 13 Mar 2014
Twitter Tue, 14 Mar 2017 Answered on
Twitter Tue, 14 Mar 2017 Last reviewed on
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Diabetologist,  's  Response
Hello,

Welcome to Healthcare Magic.

I have read your question fully and understand your concerns.

The commonest cause of hoarse voice is laryngitis (most possibly viral) and dysphagia commonly can be due to GERD. GERD can also cause hoarse voice. If your symptoms are of recent origin (about a week or so), then you can take some conservative treatment like sucking lozenges, gargles and paracetamol for your hoarse voice , and acidity controlling medications like Lansoprazole 30 mg or Rabeprazole 20 mg once a day for the next two weeks for your dysphagia. If the symptoms still persist after 2 weeks, kindly see your doctor for further evaluation.

You could continue your current dose of thyroxine as it has brought your TSH levels to near normal. Antibody of 400 suggests that your hypothyroidism is of an autoimmune origin.

Hoarse voice and dysphagia can also be due to thyroid problems – due to pressure effect from an enlarged thyroid (goitre) or from a thyroid nodule. But, I suspect your doctor would have already examined and assessed you for these.

I hope this answer has helped you.

Thank you
Regards
Dr Sunita Sayammagaru
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What Causes Laryngitis And Dysphagia With An Antibody Test Of 400?

Hello, Welcome to Healthcare Magic. I have read your question fully and understand your concerns. The commonest cause of hoarse voice is laryngitis (most possibly viral) and dysphagia commonly can be due to GERD. GERD can also cause hoarse voice. If your symptoms are of recent origin (about a week or so), then you can take some conservative treatment like sucking lozenges, gargles and paracetamol for your hoarse voice , and acidity controlling medications like Lansoprazole 30 mg or Rabeprazole 20 mg once a day for the next two weeks for your dysphagia. If the symptoms still persist after 2 weeks, kindly see your doctor for further evaluation. You could continue your current dose of thyroxine as it has brought your TSH levels to near normal. Antibody of 400 suggests that your hypothyroidism is of an autoimmune origin. Hoarse voice and dysphagia can also be due to thyroid problems – due to pressure effect from an enlarged thyroid (goitre) or from a thyroid nodule. But, I suspect your doctor would have already examined and assessed you for these. I hope this answer has helped you. Thank you Regards Dr Sunita Sayammagaru