How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr Basu Your Own Question

Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 28707
Experience:  MD
23744323
Type Your Medical Question Here...
Dr Basu is online now

Hi there lately I have experienced heavy eyes heavy head and

Resolved Question:

Hi there lately I have experienced heavy eyes heavy head and general lethargic feeling I havd tsh tested and it was 4.7 and t4 was 13 doc said repeat itin 8 weeks....is this sign of low thyroid
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Basu replied 2 years ago.
Dr Basu :

Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.

Dr Basu :

Yes it is.

Dr Basu :

TSH should be below 3.5

Dr Basu :

Yours is high.

Dr Basu :

So you have low thyroid.

Dr Basu :

TPO antibody level also should be checked.

Dr Basu :

If your TPO antibody level is high, then that also confirms hypothyroidism.

Customer:

Would this cause the fatigue and why wont my doc treat me

Dr Basu :

free T4 level also should be checked not just T3

Dr Basu :

Ideally you should be on levothyroxine 25 mcg daily.

Dr Basu :

yes of course.

Dr Basu :

You should be treated.

Customer:

Free t4 was 13

Dr Basu :

not total right?

Customer:

I also have allergies and was blaming it on the fatigue

Customer:

Yeah free t4 I think

Dr Basu :

ok

Dr Basu :

you have definite hypothyroidism

Dr Basu :

your symptoms will improve dramatically with levothyroxine.

Dr Basu :

low dose levothyroxine is perfectly safe for you.

Customer:

Im so angry he wont give me it though they dont treat in uk unless your tsh is above 10 she said and said my tsh wouldn't be causing my symptoms but im convinced it it

Dr Basu :

No that is not correct anymore.

Customer:

I was treated in the past for hyperthyroidism but now its low

Dr Basu :

WE find TSH above 3.5 can cause significant symptoms even if it does not seem very high va;ue

Dr Basu :

that is another sign your thyroid went underactive

Customer:

Why

Dr Basu :

what medication was used to treat your hyperthyroidism?

Customer:

Carbizamole I think its called

Dr Basu :

ok

Dr Basu :

see you have autoimmune thyroiditis.

Dr Basu :

immune system destroying your gland.

Dr Basu :

initially there will be hyperthyroidism as more hormones are relased from destruction.

Dr Basu :

then gland becomes exhausted

Dr Basu :

and hypothyroidism sets in .

Dr Basu :

cabimaxole may worsen the hypo

Customer:

I had full blood count liver test kidney and all was fine too

Dr Basu :

they are not affected usually from thyroid

Dr Basu :

do you get regular period?

Customer:

Not lately no

Dr Basu :

ok that is another typical sign of thyroid problem.

Dr Basu :

Now there can be estrogen deficiency as well.

Customer:

Im going on holidays on Monday and just feel like rubbish

Dr Basu :

understand that

Dr Basu :

you can try natural thyroid extract --over the counter

Dr Basu :

also L tyrosine supplement and selenium supplement boost thyroid function.

Customer:

I dont think that exists in uk

Dr Basu :

L tyrosine and selenium should be

Dr Basu :

or order online

Dr Basu :

and you should see a thyroid specialist if possible.

Dr Basu :

endocrinologist

Customer:

Yeah them two exist. I must get some.....also one more question have u ever heard of anyone having systematic effects from flonase

Dr Basu :

not that common --but possible from long term use

Customer:

Yeah wil see a specialist when I get home from hols

Dr Basu :

after all it is a steroid and can get absorbed through nose

Dr Basu :

that will be better

Customer:

I experienced systemic effects with flonase

Dr Basu :

ok

Dr Basu :

by the way, steroids make thyroid symptoms more prominnent.

Customer:

I know its not common

Dr Basu :

it suppresses thyroid further

Dr Basu :

so avoid flonase

Customer:

Yeah funny u say that as I have got worse sonce using that spray..wat about cetirizine does it affect it

Dr Basu :

no that should be fine

Dr Basu :

I am a thyroid specialist :)

Customer:

Ok I need it for allergies... so you think I should be treated then with that tsh

Dr Basu :

yes definitely and your symptoms.

Customer:

It affectsvevery part of your body any other meds I should avoid for thyroid

Customer:

Is heavy head and heavy eyes usually symptoms and sligbt off balance feeling

Dr Basu :

these symptoms are non specific but possible with thyroid also.

Dr Basu :

they are more likely from sinus congestion.

Customer:

Yep was thinking that myself wil ceterizine help I cant tolerate sudafed

Dr Basu :

yes cetrizine should help.

Dr Basu :

also you can use neti pot to cleanse your sinuses

Customer:

How long is usually recommended to take...wat will be better? Do u mean sudafed?

Dr Basu :

Cetrizine for at least 2 weeks.

Customer:

Right ok....hopefully that helps the heavy eyes then.

Dr Basu :

yes it should

Customer:

Ok just need to get thyroid sorted and thanks for the info regarding flonase and thyroid

Customer:

I didnt know it could affect thyroid..some docs say it doesnt enter bloodstream but surely it must in some way

Dr Basu :

very welcome

Dr Basu :

no you should avoid flonase since you are not on any medication for thyroid yet.

Customer:

Can I have some wine on holidays with cetrizine

Dr Basu :

yes you can

Dr Basu :

Best wishes

Customer:

Ok thanks

Dr Basu :

very welcome

Dr Basu :

It was my pleasure to help you today.
I am Dr Basu experienced in Metabolic Diseases.
If I have answered all your questions, Please rate my response Excellent (click on the smiley faces) under this chat box only.
Please bookmark my profile for asking further questions!
This is the link to my profile:
http://www.justanswer.com/medical/expert-mysticdoc/

Customer:

Was good to talk to someone who thought my tsh was too high can I ask before I go is t4 normal at 13

Dr Basu :

this is on the low end

Dr Basu :

it should be higher than that

Customer:

Wats norma

Customer:

NormalI mean

Dr Basu :

above 20

Dr Basu :

pmol/L

Dr Basu :

or around 20 at least

Customer:

Eeeek really

Dr Basu :

yes for proper functioning

Customer:

Is range 9-22

Dr Basu :

yes

Dr Basu :

around 20 is fine

Customer:

I have been doin my homework on this! Doc ignores my tsh grrr

Dr Basu :

yes understand

Customer:

Ok thanks again and bye

Dr Basu :

very welcome

Dr Basu :

Please leave a positive feedback by clicking below the chat box :)

Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 28707
Experience: MD
Dr Basu and 3 other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.co.uk/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.co.uk/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.co.uk/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.co.uk/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.co.uk/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.co.uk/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.co.uk/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions