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High TSH in 12 days old baby
Please see TSH report of my 12 days old baby .Is it abnormal .please share your opinion on the report.
Answers (11)
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TSH values are physiologically higher in the first days of life and gradually fall over 2–4 weeks. A TSH around 19 at day 12 is elevated enough to require follow-up, but by itself it does not automatically confirm congenital hypothyroidism unless Free T4 is low or repeat TSH remains elevated/rises.
That’s why the important next step is:
• Free T4
• Repeat TSH in follow-up
• Correlation with newborn screening report
Persistent TSH >10–20 beyond 2 weeks, especially with abnormal FT4, is taken more seriously and may need treatment for the same.
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Only TSH Value is available. It is borderline value. Please repeat the test after 1-2 weeks TSH and FT4. The normal value for TSH 10 around 3-4 weeks of age. Child requires ultrasound examination and some more tests based on the values.
Next Steps
Child requires clinical evaluation and recommendations. Mother also requires investigation.
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I need to ask few more questions before answering your query.
Early consultations can prevent complications.
Kindly contact me on whatsapp chat
(84960595 six five)
Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), FELLOWSHIP IN NEONATOLOGY ( Newborn and vaccination specialist )
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Please answer the following:
1) At what age was this test conducted?
2) Was this a normal vaginal delivery?
3) Is mother having thyroid disease?
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Dr. Kamini Mashkaria
Paediatrics
30 yrs exp
Ahmedabad
High TSH suggesting hypothyroidism.In small babies it can cause mental impairment.so thing to be taken seriously.
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Dr. Keerthana Sarapu
Pediatrician
2 yrs exp
Hyderabad
Thyroid profile done at which day of life??
To repeat at 6weeks of age
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Dr. Supe Vishal Laxman
Neonatologist
16 yrs exp
Pune
Do not wait for more than 1 months as seen some suggestions asking to repeat after 1,3 months.But better do either this week or in next week and do TSH and Free T4 level both.If required follow up with good Pediatrician
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
5 yrs exp
Rajkot
Repeat after 1 months
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Dr. Venkatesh Badugu
Pediatrician
9 yrs exp
Hyderabad
Yes the value is high
Again repeat the test after 2 weeks
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Dr. Prathibha Reddy
Pediatrician
12 yrs exp
Hyderabad
Repeat again after 3 mnths .
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Dr. Shebin C E
Pediatrician
10 yrs exp
Kanyakumari
Greetings the value is high for the age kindly repeat the test after 2 weeks
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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.