Hello doctor,I am having a persistent fever of 99.5 since one and a half months and gurgling sensation near the liver area. I also had slight burning sensation when passing urine. I am hypothyroid since 10 years, on 50 mcg. I am also pre-diabetic. I was asked to do CBC, liver panel test, thyroid test and urine analyses. Attached are my reports.
Hello. I went through your post and investigations (attachment removed to protect patient identity). You have low hemoglobin and low T4 which meant you are having iron deficiency and your dose of Thyronorm is low although TSH is normal. Ideally, when TSH is normal T3 and T4 has to be normal but in your case, you need to be investigated for secondary hypothyroidism by doing a pitutary profile. For the time being, I suggest you increase the dose to 75 mcg Thyronorm. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Start taking iron supplements (such as tablet Levogen Z) morning and evening. You can take alkalizer for urine symptoms (Liq K Cit) two teaspoons with a glass of water in the morning and evening as there is no urine infection on your one examination. For more information consult an internal medicine physician online -->