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Old 04-02-2011, 11:41 AM
 
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I'm 54, female. Go to Dr., orders standard blood tests including I'm guessing TSH. I get a call from the Dr.s office that my TSH is low and my cholesterol is up. My TSH has been low for at least several years but neither this Dr., or the last and maybe the one before were concerned. Apparently this Dr. now thinks that its starting to affect my cholsterol.
So the call from the Dr.s office was to tell me they are going to set up an ultrasound for my thyroid.
Its not like she's palpated it and felt a lump. Doesn't this seem a little weird?
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Old 04-02-2011, 01:47 PM
 
Location: Mostly in my head
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How low is a "little"?
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Old 04-02-2011, 01:59 PM
 
Location: in your dreams
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Ultrasounds are perfectly normal and advanced way to look inside your body for trouble in areas that things like x-rays cannot.


Good Luck.
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Old 04-02-2011, 02:20 PM
 
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I don't know how "little". A couple of years ago a different Dr. told me it was on the bottom of what was considered normal.
I'm reading some opinions on the internet that the range has been too narrow. Ok. I have some of the symtoms of low thyroid but by no means all.

D217 - Ultrasounds aren't that routine. I don't know of any women on thyroid meds that have had ultrasounds. Everything I can find on thyroids and ultrasounds are when if and only - looking at nodules. Nodules they know are there from palpations.

I wonder if this is medical padding. And yet after smoking for 25 years I have to beg for a screening lung x-ray.
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Old 04-02-2011, 02:54 PM
 
2,596 posts, read 4,637,991 times
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Quote:
Originally Posted by Giesela View Post
I don't know how "little". A couple of years ago a different Dr. told me it was on the bottom of what was considered normal.
I'm reading some opinions on the internet that the range has been too narrow. Ok. I have some of the symtoms of low thyroid but by no means all.

D217 - Ultrasounds aren't that routine. I don't know of any women on thyroid meds that have had ultrasounds. Everything I can find on thyroids and ultrasounds are when if and only - looking at nodules. Nodules they know are there from palpations.

I wonder if this is medical padding. And yet after smoking for 25 years I have to beg for a screening lung x-ray.
Sounds like she's trying to be thorough. An ultrasound is one of the more harmless tests you can have done and a reasonable step if your blood work has come back out of the normal range and you have some symptoms of low thyroid levels.
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Old 04-02-2011, 03:39 PM
 
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A low TSH many indicate hyperthyroidism and high TSH hypothyroidism. Elevated cholesterol levels may be secondary to an underactive (hypo) thyroid. I'm guessing your TSH was high. That being said, I would think your physician would now order a full thyroid panel. Ultrasounds are usually ordered if the thyroid is enlarged or nodules are appreciated.
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Old 04-02-2011, 03:44 PM
 
15,732 posts, read 17,283,367 times
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Quote:
Originally Posted by Giesela View Post
I don't know how "little". A couple of years ago a different Dr. told me it was on the bottom of what was considered normal.
I'm reading some opinions on the internet that the range has been too narrow. Ok. I have some of the symtoms of low thyroid but by no means all.

D217 - Ultrasounds aren't that routine. I don't know of any women on thyroid meds that have had ultrasounds. Everything I can find on thyroids and ultrasounds are when if and only - looking at nodules. Nodules they know are there from palpations.

I wonder if this is medical padding. And yet after smoking for 25 years I have to beg for a screening lung x-ray.
Are your TSH levels low or is your thyroid function low? If TSH is low than you would be hyperthyroid. That is very hard to control with meds and something that needs to be dealt with.

Low thyroid function (TSH is typically high but not always) is hypothyroid and typically the patient is put on TSH (synthyroid) to get regulated.

A doctor will usually feel the thyroid, but that doesn't always tell them the whole story. They can't always feel a goiter and they can't always tell if the thyroid is a normal size just by feeling.

I had an u/s done when my TSH levels were a bit high. I will have another one in 3 months to recheck and make sure my thryoid isn't growing any larger. If your doctor is thorough, it's a routine procedure. Most GP's don't order an u/s and most aren't well versed in thyroid function so you are lucky your doc is taking this potential issue seriously.
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Old 04-03-2011, 06:39 AM
 
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I think low TSH, hyper thyroid. With hypo I guess the thyroid can be enlarged and u/s would make more sense.
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Old 04-03-2011, 07:29 AM
 
Location: zone 5
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You can have a goiter with either hypothyroid or hyperthyroid (aka Grave's Disease). High cholesterol can be associated with hypothyroid. You need to talk to your doctor or his nurse again about your test results and what they're looking for. The low TSH being associated with high thyroid hormones and vice versa can make conversations confusing. Make them go slow and spell it out.
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Old 04-03-2011, 07:34 AM
 
4,805 posts, read 19,556,085 times
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Very few people with thyroid problems have all the symptoms. So that's not a good evaluation of your situation. And an ultrasound is more effective than palpating. Lumps oftentimes cannot be felt but are visible with equipment.
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