HomeAnswersEndocrinologythyroid problemI have thyroid problem. Please help.

How is high TSH managed?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Shaikh Sadaf

Medically reviewed by

iCliniq medical review team

Published At March 2, 2024
Reviewed AtMarch 2, 2024

Patient's Query

Hi doctor,

I have a hypothyroidism issue, and my TSH (thyroid stimulating hormone) level is 522. I believe it is crucial to consult with an endocrinologist for proper guidance and treatment.

Answered by Dr. Shaikh Sadaf

Hi,

Welcome to icliniq.com.

I do understand your concern.

I have just read your query, and it seems that you may have hypothyroidism, given your elevated TSH (thyroid stimulating hormone) levels. Before commencing treatment, it is advisable to conduct an early morning serum cortisol test at 9 am. Once cortisol levels are confirmed to be normal, we can proceed with hypothyroidism treatment. Please test serum prolactin levels. It would be helpful if you could provide information about any other existing medical conditions and the treatments you are currently undergoing. If you experience any severe discomfort or feel unwell, it is important to seek immediate medical attention at the nearest emergency hospital.

If you have any clarifications, doubts, additional questions, or follow-up inquiries, please feel free to ask again at icliniq website. Wishing you better health.

Patient's Query

Hi doctor,

Thanks for the reply.

Thank you for providing the information. I will return with my lab test reports. I have a follow-up question: my TSH levels are significantly elevated, and I have been taking thyroid medication (Thyroid 75) for the past few days. However, I am uncertain about the next steps. Should I consider hospital admission, even though my symptoms are not severe? Is there a risk of fatality associated with my condition?

Answered by Dr. Shaikh Sadaf

Hi,

Welcome back to icliniq.com.

If you have significantly elevated TSH, it is essential to investigate for adrenal insufficiency, a condition that can occur with such high TSH levels. Seeking assessment in a hospital is advisable for a comprehensive evaluation. If adrenal insufficiency is ruled out, then the thyroid medicine can be administered. However, it is crucial to note that if adrenal insufficiency is present, it can be a very serious problem. Therefore, prompt evaluation in a hospital setting is recommended.

Once more, thank you for allowing us to be of service to you.

We value the high level of confidence you have in us!

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shaikh Sadaf
Dr. Shaikh Sadaf

Endocrinology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Read answers about:

tsh levelthyroid problem

Ask your health query to a doctor online

Endocrinology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy