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Hypothyroidism: Looking for Suggestions to help my son

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Hypothyroidism: Looking for Suggestions to help my son
Posted: 09-08-06 12:02pm

I have an 11 year old son and I just took him to see a specialist. During the office visit after looking over test result for the last year he said that it looked like my son was borderline hypothyroidism but a few days later his office called with the new test result from that office visit. The nurse said that everyting is fine. My son symptoms are as follows: extremely tired & sleepy, dry skin, constipation, short stature, coarse hair, hoarseness, cold intolerance, memory and concentration trouble, severe forgotfulness, delayed tooth development,paper thin nails, headaches, and moody. My son was always so full of energy and never stopped. My son's TSH level have been going up over the last year and my son's fatigue has just gotten worse. I really don't know if I'm worrying too much but thyroid problems run in the family. I want to see my son healthy and happy again. He used to be so full of energy. I don't know what to do and no one wants to explain why the THS levels are going up. Please any suggestion would help.

THS 1year ago - 2.3 2 months -3.2 last week 3.58
FT4 1.25
Cortisol 18.2
IGF-1 182


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DoctorAnswer
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Gland Disorders Answer A1497
Posted: 09-19-06 07:23am

According to your son’s symptoms (extremely tired and sleepy, dry skin, constipation, short stature, coarse hair, hoarseness, cold intolerance, memory and concentration trouble, severe forgetfulness, delayed tooth development, paper thin nails, headaches, and moody) he might be experiencing congenital hypothyroidism but this must be confirmed with laboratory analyses of levels of Thyroid-Stimulating Hormones (TSH), Free Thyroxins (FT4) and Thyroxin Binding Globulins (TBG). To confirm hypothyroidism, FT4 levels must be under the normal reference values. TBG is also decreased in hypothyroidism. TSH can be increased in primary hypothyroidism or decreased in secondary hypothyroidism. In primary hypothyroidism, the problem is in the thyroid gland itself while in secondary hypothyroidism the problem is in the pituitary gland. Other examinations that have to be performed are an X-ray image of the long bones and a radio-scan of the thyroid gland. I can’t now make a judgment about your son’s laboratory reports because every laboratory has its own reference values when dealing with hormones. You can ask for expert help from a pediatrician-endocrinologist.


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