I got checked my blood report
for HbA1c 7.2
Anti Tg 1611.8
TPO 145.5
Mean blood glucose 160
The Dr asked me to take a protein drink,which has helped my stomach problem understand control.
I am getting cough with throat irritation through the day,which sometimes feels like I am wheezing.
Kindly suggest me
Answers (15)
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As per your clinical history, elevated HbA1c, anti-TG and anti-TPO, you are diabetic and have autoimmune thyroid disease. Cough and throat irritation might be because of thyroid disease.
Next Steps
Get free t3,t4 and TSH level test and consult with me for further evaluation and management
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
Your TPO is very high suggestive of autoimmune thyroiditis,,and your diabteic too for these you should consult endocrine,,some times this kind of throat irritation due to GERD ,throat infection etc
For cough and wheezing this you may get physical examination done by pulmonary medicine.
Next Steps
sputum ,XRay chest PA view
Health Tips
warm saline water gurgling for 5to 10 min 3 times a day
You have to take treatment for your Diabetes. Please consult a General Physician in your area for a physical examination and further management of throat infection.
ELEVATED HBA1C ANTI TG
CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST.
BETADINE GARGLE ADD 3ML SOLUTION IN HOT TO WARM WATER GARGLE IT BEFORE MEALS TWO TIMES.
CEFEXIM O200 TWO TIMES A DAY AFTER FOOD FOR FIVE DAYS.
ZERODOL SP3 TIMES A DAY AFTER FOOD FOR FIVE DAYS.
MONTEK LC ONE AT NIGHT AFTER DINNER FOR 5DAYS. AMBRODIL S SYR5 ML TWICE N 10ML AT NIGHT FOR 5 DAYS.
AUSCULTATION REQUIRED TO CONFIRM WHEEZ.
AB PHYLLINSR200 TWO TIMES AFTER FOOD FOR 3TO5 DAYS.
You need to consult an Endocrinologist immediately your HbA1c is elevated along with elevated TgAb .
For wheezing a more detailed history and evaluation is needed.
Hello. I've reviewed your blood reports and your symptoms. There are a few important things we need to address to get you feeling better.
1. Understanding Your Blood Reports
Diabetes: Your HbA1c is 7.2%, which confirms a diagnosis of diabetes. An HbA1c above 6.5% means your blood sugar has been consistently high over the last few months. This needs active management through diet and likely medication.
Thyroid: Your Anti-Tg and TPO antibodies are very high. This tells us you have Hashimoto’s Thyroiditis, an autoimmune condition where your body attacks your thyroid. However, antibodies only show the cause; I still need to see your TSH and Free T4 levels to know if your thyroid is actually underworking (hypothyroidism) right now.
2. The Persistent Cough & Wheezing
A cough lasting more than two weeks with "wheezing" is something we shouldn't ignore. In your case, it could be caused by a few things:
Acid Reflux (LPR): Sometimes, stomach acid can travel up to the throat (silent reflux) and cause irritation, a dry cough, and even a wheezing sensation. Since you mentioned a "stomach problem," this is a strong possibility.
Thyroid Pressure: If your thyroid is swollen due to the high antibodies, it can sometimes press against your windpipe, causing that throat irritation.
Airway Sensitivity: We need to rule out adult-onset asthma or a lingering bronchial irritation.
My Recommendations for You:
Check TSH & Free T4: If you haven't had these tests done yet, please do so immediately. The antibodies tell us "why," but the TSH tells us "how much" medicine you might need.
Physical Examination: You should see a doctor in person so they can listen to your lungs with a stethoscope to confirm if that "wheezing" is coming from your chest or just your throat.
Endocrinology Consultation: You need a specialist to help bring that 7.2% HbA1c down and manage the Hashimoto’s.
Reflux Precautions: Until you see a doctor, try eating smaller meals and don't lie down for at least 2–3 hours after eating. This will help if the cough is caused by acid reflux.
A quick question for you: Is the cough worse at night or after you eat? Also, have you noticed any swelling or a "full" feeling in the front of your neck?
Thanks for sending across your query.
Consultation is required. We will take a detailed medical history and conduct the necessary investigations based on your symptoms. We will also examine your chest using a stethoscope. After that, we will decide on the appropriate medication and advise you on exercise, walking, and sugar charting diet charting and dietary modifications
You have high Hba1c, cut down sugar, oily food, do regular physical exercise, repeat Hba1c after 12 weeks.
For high TPO, please consult an endocrinologist.
For cough and throat irritation, get cbc done and share result.
Take tab cefi'xime 200mg one morning and one evening for 5days.
Tab mondeslor one daily for 5 days.
Tab combiflam one every 8hours for 2 days.
Syp Tusq dx 5m.l. every 8hours for 5 days.
Do gargles with hot water and povidone solution.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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