I did respond- please see the May 27th post -your questions are too complex and must seek out a doctor for further answers. Thank you.
Can you please respond to my previous questions ? Thanks.
Thanks Kenneth. Just couple of more questions -
1) Do you think the current ESR "29 mm (R < 30 mm 1st hr)" is ok for my mother ?
2) Do you suggest any dietary or lifestyle change for her (considering the details in my first post) ?
At this point, your questions are complex enough to have a good evaluation with an official doctor-patient relationship. Florida's Board of Medicine allows for Telemedicine (with the exception of controlled substances). iPhone pics sent via e-mail or Skype connections work, so if you can't find a doctor near you, and you can't travel to Boca Raton, that may be your next step to resolve your troublesome symptoms.
Hello Doctor,
Recently we have again done her few tests, results of which are mentioned below -
Current haemoglobin : 11.4 (R 12 - 16)
Current ESR : 29 mm (R < 30 mm 1st hr)
Considering all these details, can you please help me with the below mentioned questions -
1) Regarding TSH, she started taking the new dosage as suggested by our doctor (i.e. 75 mcg).
a) When should she again go for Thyroid tests ? Is there any other test (except TSH) needed ?
b) Is there any dosage adjustment needed ?
2) Regarding her high BP (160/110), she started taking Olsar 40mg daily. After one month BP shows 135/80 & after two more months, it shows 120/70.
a) How frequently her BP should be checked ?
b) Is there any dosage adjustment needed ?
3) Overall is there anything to worry about ?
4) Any other specific suggestion (e.g. precaution, diet, life style etc.) for her ?
With minimal symptoms nor signs of worsening heart disease or osteoporosis, most patients and docks are not overly concerned. Any infection/inflammation can raise the sed rate (ESR), but it should be re-tested when not sick, to see if it came down. Same is true for vitamin D, if it doesn't come up (50-100 is optimal), dose adjustments are needed.
As for thyroid, if patients have symptoms that are troublesome, I get more aggressive with the Eltroxin or other thyroid meds (Cytomel, natural desiccated thyroid, etc). Otherwise, I don't force patient's to come in every other week for blood draws and medication adjustments.