i have hashimotos disease normal tsh and norml t 3 and t4 , but high antibodies , do i need medication?
hashimoto's thyroiditis is an autoimmune disease of the thyroid that can result in hypothyroidism. however, early in the course of the disease, one might only see an enlarged thyroid and high thyroid antibodies. no treatment is indicated until thyroid levels become abnormal. they can go high initially rather than low. there is no treatment for the autoimmune part of the disorder. see more...
hello,
welcome to icliniq.com.
i can understand your situation through which you are going. i have reviewed your query and below is my advice for your case. usually, in case of essential thrombocythemia, there is no need to undergo treatment with hydroxyurea in all case of et. it is myeloproliferative neoplasm and the chance of acute myeloid leukemia is less in such case. in young age group people usually there is no need for starting hydroxyurea. you need to check your blood pressure, sugar level and cholesterol value to decide further regarding treatment. it is advisable to maintain a healthy lifestyle and take more green leafy vegetables. regular exercise advisable in such case to prevent clot formation. the smoking should be avoided strictly. in such high platelet count to reduce clot formation in the blood, you may need to given aspirin in a low dose which you are taking. you can continue aspirin and maintain a healthylifestyle with active exercise. Cholesterol is related to thyroid function with low thyroid function hypothyroidism giving high cholesterol and those with hyperfunction hyperthyrodism giving lowed cholesterol values.   

The TSH is elevated and abnormal indicating that free T4 and free T3 should be measured and if abnormally low and symptoms suggestive of hypothyroidism present then meds can be started. If they are still normal then the condition is called subclinical hypothyroidism.   

  

As to the bilirubin, I would repeat the bilirubin in a non-fasting state. Some people with Gilberts syndrome have elevations in total bilirubin and normal direct bilirubins upon fasting which aggravated the total bilirubin. I would also look at your CBC closely for indications of a hemolytic anemia which would also account for indirect bilirubinemia (total bilirubin) such as what happens with certain medications or conditions.   

  

The AST/ALT, you don't give the upper limit of normal and so generally the values are referenced with regards to how how many times normal they are out. Those are low level abnormalities that can be due to many causes including medications, alcohol, fatty liver, chronic hepatitis and other possibilities. Low levels are usually repeated several weeks later to see if they are still there after looking at things that may contribute to the liver elevations.   

  

All of this must be taken within a clinical context. That means that lab values can be be understood without a valid clinical history and physical. You state known and so the comments above are general in nature and would defer to the doctor for a clearer picture and understanding pertaining to your case. Hello Satish ,
 Along with medication you need to avoid other trigger factors like - 
Caffeine 
Sugar and processed food 
Any food allergies or sensitivities that goes unnoticed. 
Be careful of your digestion. 
Drink plenty of water.
 
Home remedy -
1. 1tsp turmeric +1tsp raw honey + 1tsp milk apply this pack and wash after 30 mins.
2. Fresh cucumber blended into facial mask also helps .
 For customised treatment of naturopathy or homoeopathy you can contact me .
Regards, 
Dr. Heena if your doctor has suggested than yes... and it's very important, keep taking the medicines dear sham park<br>cholesterol medication can cause abnormal liver functions - one is usually worried when the count is 2-3 times higher than normal. i would just monitor this to see that the levels stay stable and change or stop medication if it constantly increases. It is difficult to say till I know what tests have been done so far and what are your wife's symptoms other than fever.
However if [malaria](https://www.lybrate.com/topic/malaria) test is negative usually it is better to avoid antimalarials. Please repeat the test from another [lab](https://www.lybrate.com/medicine/lab100-mg-tablet) if in doubt.
Also she will need a series of blood tests done if [fever](https://www.lybrate.com/treatment-for-fever) continue beyond 72 hours. hello,
welcome to icliniq.com.
i understand your concern.
see as you said, your mother is suffering from active tb (tuberculosis), tb in the child should also be ruled out first.
it may be just pneumonia, but tb should be ruled out with some more investigations mentioned below.
is the child gaining weight adequately? what is her present weight?
was bcg (bacillus calmette-guerin) given at birth? when was your mother diagnosed and when tb treatment started? no problems with that. it's quite normal Hi Nur,



  

Thank you for asking HealthReplies.com.











Maybe you mean TB lymphadenitis (tuberculosis).



  

Mycobacterium tuberculosis can indeed infect a variety of organ systems, including the lymph nodes. These bacteria usually enter through the respiratory tract, especially in people who come in close contact with other TB sufferers, children, the elderly, and people with poor immune system. Under normal conditions, this lymph node functions as a haven and proliferation of white blood cells in warding off infections, including TB infection. However, along with its development, this lymph node itself can actually become infected, so that arises lymphadenitis. Clinically, TB lymphadenitis sufferers will experience lumps (often in the neck, armpits, or groin) that are round, smooth, springy, and often feel painful, especially when pressed. Not only that, TB lymphadenitis can also make sufferers experience fever, excessive sweating, weight gain is difficult to rise, weakness, fatigue, and various other complaints.



  

Handling TB lymphadenitis is done by giving OAT (anti-TB drugs) that must be consumed by sufferers for at least 6 consecutive months. Every month, the patient will be re-evaluated by a doctor to assess his responsiveness to the treatment given. After more than 2 months of treatment, complaints will generally improve slowly.



  

However, you need to know, that the treatment of TB lymphadenitis must also be accompanied by appropriate natural treatments, including those related to diet, regulation of activities, and also lifestyle modification. This inadequate treatment is likely to make your mother appear to be undergoing improvement despite long-term treatment. It could also, the slow healing process occurs due to the non-optimal resistance of your mother's body, resistance (immunity) of bacteria to the treatment given, as well as a variety of other factors. Compared with other complaints. lumps in lymph nodes due to TB lymphadenitis often will indeed not disappear completely, even though the patient's status has recovered from illness.



  

The itching that your mother is experiencing right now could be a side effect of the OAT she is taking. It could also, this itching occurs due to other reasons, for example allergies, skin irritation, infections, disorders of liver function, disorders of the thyroid gland, dry skin, atopic dermatitis, contact dermatitis, and so on.



  

Our advice, you check your mother back to the doctor or a specialist in internal medicine in order to get the right treatment. Meanwhile, at home, help your mother do the following steps:







Take OAT as recommended by your doctor  

Give your mother healthy and nutritious food, containing rich calories and protein  

Give him too much to drink  

Let your mother take a break from exhausting activities  

Accompany him to exercise  

Create a clean, well-ventilated and well-lit environment  

If you or someone else around your mother shows symptoms of TB infection, see your doctor directly to treat them properly



Hope this helps ... Sometimes yes. But let your doctor know.