Can it be Grave’s if the tests are normal?

DEAR DR. GOTT: I am desperate! I have all the symptoms of Grave’s disease, including a medium-sized multi-nodular goiter (which has been biopsied and the results were benign); but in spite of seeing numerous doctors, including three endocrinologists, they say I do NOT have it because my blood tests fall “within normal” range!! I am having a difficult time functioning in my day-to-day activities and am praying you can help me.

DEAR READER: Graves’ disease is hyperthyroidism, a disorder of the immune system that causes the overproduction of thyroid hormones. Normal thyroid function is regulated by a hormone released by the pituitary gland. The antibody associated with Graves’ disease, thyrotropin receptor antibody (more simply known as TRAb), has the ability to mimic the action of the pituitary hormone and essentially overrides normal regulation of the thyroid gland, [Read more...]

Medical jargon baffles patient

DEAR DR. GOTT: The results of my thyroid ultrasound reveal abnormal echogenicity of the right lobe without a discrete lesion identified within the thyroid gland. I have been taking 25 micrograms of thyroid medication since May. The goiter on the right side of my neck is noticeable. On May 21, my TSH was 4.53. In July, it was 3.5. Can you please explain the ultrasound results in English? Should I ask my doctor for an increase in my Synthroid dosage or wait for the next lab work in October?

DEAR READER: The thyroid gland is situated in the lower neck — below the larynx and above the collarbone. This gland uses iodine to make hormones essential for the proper function of every cell in the body. [Read more...]