- male
- 60 Years
- 22/01/2025
I've been feeling dizzy all the time and really weak for the past 15-20 days. I'm diabetic, and my PP is usually around 100, but my fasting varies between 200-250. Im on Piosys 30 mg once daily at breakfast around 8 a.m., Eurepa 0.5 four times a day, Vobit twice a day, and Basalog at 10 units around 10 p.m. I also take CTD for blood pressure. I tried Stugeron for 20 days, but it didnt help. Can you suggest something for the dizziness and weakness? Its becoming a big issue.
Answered by 1 Apollo Doctors
Your sugar levels are very high and may be your BP has increased.
Dr. Dr Khaleel Suggests...
Consult a Endocrinologist
Answered 04/07/2025
0
0
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View allI was diagnosed with thyroid issues back in 2008, and my TSH level was 5.2. Initially, I was on 75 mcg of thyronorm for a year, and then my TSH level dropped to 3.1, so my doctor changed my dose to 50 mcg. I've been taking that ever since. I recently got my TSH checked again, and it's now 2.39. My doctor suggested I stick with the same dosage. Is that alright? I'm feeling tired all the time, and I'm wondering if it's the dosage or something else entirely. Can you give me some advice?
Since your TSH level is currently 2.39, which is within the normal range, it indicates that your current dosage of 50mcg of thyronorm is appropriate for you. However, feeling tired all the time could be due to various reasons, including thyroid issues or other health conditions. Considering your symptoms of persistent tiredness, it would be advisable to discuss this with your doctor. They may want to evaluate other factors such as your T3 and T4 levels, as well as assess for any other underlying causes of fatigue. Additionally, they may consider adjusting your medication dosage or investigating other potential reasons for your fatigue. In the meantime, make sure you are maintaining a healthy lifestyle with regular exercise, balanced diet, and adequate sleep. If you experience any new or worsening symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and management.
Answered by 1 Apollo Doctors
I'm really worried about my mom. She's 55 and has been dealing with hypothyroidism for the past 15 years. Lately, her TSH levels shot up to 25, and her Anti Thyroglobulin Antibodies are at 230, though they should be around 4. To make things more complicated, her calcium and phosphorus levels are highphosphorus is at 7.9 and calcium at 10.1. We also got a 2D echo done, and it points to some type of 2LV diastolic dysfunction. The ECG is suggesting possible ischemia. With all these numbers and reports, I'm not sure what we should do next. Her cholesterol is also at 203. What could be the next steps?
Based on the reports you have provided, it seems like your mom is facing multiple health issues related to her hypothyroidism, elevated TSH levels, high anti-thyroglobulin antibodies, high calcium and phosphorus levels, type 2lv diastolic dysfunction, possible ischemia, and elevated cholesterol levels. 1. For Hypothyroidism with TSH level of 25 and high Anti Thyroglobulin Antibodies, she may need to adjust her current thyroid medication dosage. I recommend increasing the dosage of Levothyroxine to bring the TSH levels within the normal range. The dosage adjustment should be done under the supervision of her endocrinologist. 2. For high calcium and phosphorus levels, she may need to limit her intake of dairy products and foods high in phosphorus. Additionally, a medication like Calcitriol may be prescribed to help regulate calcium and phosphorus levels. Please consult with a nephrologist for further evaluation and management. 3. Type 2lv diastolic dysfunction indicates a problem with the relaxation of the heart muscle. Treatment may include medications such as ACE inhibitors like Enalapril or ARBs like Losartan to help improve heart function. It is important to follow up with a cardiologist for further assessment and management. 4. Possible ischemia based on ECG findings requires further evaluation with a stress test or coronary angiography. Depending on the severity, medications like Aspirin, Clopidogrel, and statins such as Atorvastatin may be prescribed to reduce the risk of cardiovascular events. Please consult with a cardiologist for a comprehensive cardiac evaluation. 5. With a cholesterol level of 203, lifestyle modifications such as a healthy diet low in saturated fats and regular exercise are important. Medications like Atorvastatin may also be prescribed to help lower cholesterol levels and reduce the risk of heart disease. Please ensure regular follow-up visits with the respective specialists to monitor her progress and adjust the treatment plan as needed.
Answered by 1 Apollo Doctors
Biopsy report came out to be suspicious. Is immediate surgery needed. Nodule size 15 mm x13 mm. Smears are moderately cellular and shows papillary pattern of follicular cell. Most of the cells are entrapped in hemorrhage and fibrinous material. The morphology of the cell can not be ascertained for certain. Some of the cells show inclusions. IMPRESSION Features suspicious of Papillary carcinoma thyroid
Whether surgery is needed depends on the exact diagnosis, size, and severity of the condition. Some cases can be managed without surgery, while others may require it for effective treatment. A detailed evaluation will help decide the best course of action.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.