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Hypothyroidism
My mother was diagnosed with hypothyroidism on May 2025 with 12 TSH then the doctor started the levothyroxine 25mcg tablet and after it we got the test in October and the TSH level was 6 then the another doctor started the 50mcg levothyroxine tablet and now again we got her tested on April 2026 and again her TSH was 12 and on November 2025 she was been under the IV iron treatment for low hb .
Currently she's taking the 50mcg only but she's suffering from swelling nd pain in body .
Plzzz help what to do ??
Answers (13)
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Whole body test rft lft ecg echo chest xray bnp ure albumin and protein..sod pot electrolytes..look for anasarca...arthralgia..rheumatism..rule out infection
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Needs treatment asap
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All r due to hypothyroidism. Consult superspecialist like endocrinologist
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Swelling and bodyache are due to hypothyroidism. Consult endocrinologist offline for clinical evaluation and titration of levothyroxine tablet.
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Avoid fried and spicy food. Water intake more Do connect and consult
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Her symptoms can happen when thyroid levels are still not properly controlled, so please don’t panic 😊 She may need dose adjustment and review of absorption and timing of medicine. Do consult once I’ll guide you properly.
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The present dose of levo thyroxin is either not sufficient or its effectiveness is impaired due to absorption.She may need a increase in the dose, under the supervision of her physician
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Your mother received IV iron in November. If she is currently taking oral iron or calcium supplements too close to her thyroid medicine, they will bind to the hormone in her gut and completely block its absorption.
Levothyroxine requires strict stomach acidity to absorb. Taking it with tea, milk, coffee, or food instead of plain water will cause the treatment to fail.
A TSH of 12 means her body is starving for thyroid hormone. The current 50 mcg dose is simply no longer enough for her body's metabolic needs, which is exactly why she is experiencing body swelling (myxedema) and generalized pain.
Next Steps
Proceed with the dose adjustment calmly. Seek immediate emergency care if she develops severe slowdowns, extreme lethargy, a dangerously low heart rate, or difficulty breathing (signs of severe untreated hypothyroidism).
Health Tips
To safely calculate her updated weight-based thyroid dosage and review her complete medication chart for interactions, please book a full consultation session via my Practo profile."
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Should be given based on body weight
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Dr. Shreya Pradip Gudka
General Physician
9 yrs exp
Mumbai
Overall health has to be considered as well
Check for thyroid, cbc , iron levels , ferritin, vit d and vitb12
If she has diabtes or blood pressure then other tests are needed too
Next Steps
Consult your physician
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Repeat tests
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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.