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Viral Infection causing Thyroid problems

Long Story here but I really needs some help.


In the middle of february I believe I contracted HSVII (herpes) and for the last 4/5 weeks I have been having swollen eyes at night and the feeling for something wrapped around neck, temples hurt, constipation, anxiety/panick attacks, foggy brain. I had blood work done on Friday and everything came back "normal"

I have been doing my own reading and have found that sometimes your results can come back in range but you still have a Hyprthyroid problem and the ranges can come back as normal but the Pituary glad and TSH can be affected?  I just don't know where to turn to and what my next steps should be. I was a completely normal, functioning person 2 months ago and now my body is completely out of whack. I quick taking my birth control about a month ago as well. Am I experiencing a hormonal imbalance or something? Please help advise me where to turn.
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Avatar universal
I believe TA-TPO is Thyroid Antibodies - TPO.

Whiteshadowcgb, please post the reference ranges on those.  Ranges have to come from your own lab report.

Does your T3 test say FREE T3 or FT3?  It looks like a total T3 to me.
Helpful - 0
1139187 tn?1355706647
what is TA- TPO?   is that like TPO?  

with me it was weird.  All my labs were normal.  But i was going through hell on earth.  It took several months before my labs showed anything.  All thr doctors thought i was making the stuff up.

Later on in life i realized why this happened.   It takes just as long for the labs to change in a bad way as they do in a good way.  In my case, they think i had subacute thryoiditis which basically hit me very quickly.  I went to work one day and BAM!   it all hit me.   SO when i went to the doctor he drew my blood and checked my thryoid labs and everything came back fine because it just started.   Then months later the tsh shot up to the 40's, the antibodies were present and the throat pain as well, they finally believed me.
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Avatar universal
Results

TSH  1.35
TA-TPO 1
T3 94
T4 .99

I am still having the right eye swell at night. The mental fog is gone and my anxiety seems to fine. Could I just keep going hypo/hyper  hypo/normal throughout the day or should symptoms last like a day at a time? I am NOT on any medication.
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Avatar universal
The results are in I just need to pick them up, My Dr. said there is no cause for concern so I have no idea what could be going on. My right eye still swells while sleeping. I took benadryl last night and the eye still was swollen in the morning. will post results once I get them.
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Avatar universal
I am going today for blood work and will post results once I get them. Thanks for all your help, I really appreciate the responses, comforting.
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Avatar universal
"The nurse stated that my TSH would be "off" if my T3 or T4 was off. Does that make sense?"

That's true IF (that's the great, big, fat IF) everything is working as it should.  However, TSH is a pituitary hormone, and can be influenced by any number of factors other than thyroid hormone levels.  So, if you have symptoms or are on thyroid meds, it is totally inadequate to rule out thyroid dysfunction.  Sometimes, it's actually the pituitary malfunctioning that causes the thyroid to malfunction.  The result is still hypothyroidism with all its lovely symptoms, but the TSH isn't high, so it doesn't look like you're hypo.

As Gibbon1 stated, you can get online and order your own FT3 and FT4.  You don't need a doctor's order, and the results are sent directly to you.  Healthcheckusa is one site that I know forum members have had very good  luck with.  Last I looked, FT3, FT4 and TSH were $85 (for all three).  If you post results, we can help you interpret them.  

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Avatar universal
I can get a link, but I meant more that the effect on the thyroid of TSH is log.  IE, if you look at the range, say 0.4 to 4.  That's ten to one.  But the change in the amount of T4/T3 won't go up/down ten to one.

>The nurse stated that my TSH would be "off" if my T3 or T4 was off. Does that make sense?

If classic autoimmune disease or a nodule that's producing excess hormones, yes.  Not everyone falls into that category.  You could have FT4 and FT3 tested.  Those tests often aren't that expensive. less $100.
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Avatar universal
So, I called my gynecologist and am waiting for a call back from the nurse whether or not I will get testing done. The nurse stated that my TSH would be "off" if my T3 or T4 was off. Does that make sense?
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Avatar universal
Do you have a link supporting your comment?  I think you're misinterpreting something.

The TSH test measures the concentration of TSH in the blood, so many uIU/ml.  It is an absolute measure, so a TSH of 4.0 indicates twice as much TSH in the blood as a TSH of 2.0.  

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Avatar universal
So, TSH is the only test they ran?  For what it's worth, 1.97 is a really good level.

Typically, if hypo, swelling/puffiness around the eyes lasts all day/night.  

It is possible to swing between hypo and hyper or hypo and normal.  In fact, that's fairly common in the early stages of Hashi's.  

Reproductive hormones (B/C pills) are part of the endocrine system as are thyroid hormones.  An imbalance in one part can cause imballances in others.

I don't see any problem with holding off on further testing.  Give your body a chance to rebalance after discontinuing the B/C, see if your symptoms are only temporary and resolve on their own.  If they don't, ask for a repeat TSH and make sure they also order FT3 and FT4 this time.  Be sure to request your results and reference ranges.
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Avatar universal
Do you guys think I should hold off on testing further? My only symptom the last couple of days is eye swelling at night. Otherwise I have felt fine physically and mentally. Is is possible to go hypo/normal through out the day? Does getting off birth control affect a person's thyroid  ?
Helpful - 0
Avatar universal
You could have testing for Free T4 and Free T3.  Those might say more.  One thing, TSH follows a 'log pattern'  A TSH of 4.0 is clinically only 50% higher than a TSH of 2.0.

Acute thyroiditis usually clears up, but over weeks to months which is unfortunate.
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Avatar universal
All is says is TSH 1.97 so I need more accurate testing correct?
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Avatar universal
Thank for you the reply I am going after work today to retrieve my lab results and will post the results here once I receive them. Thanks again for the feedback.

Another quick question. Is it typical for symptoms to come and go throughout the day? My neck doens't always feel restrained but there are times when it does. In addition would my eyelids only swell at night? (which is what is happening)

Thanks in advacnce, will post results in a few hours.
Helpful - 0
1756321 tn?1547095325
The thyroid gland is very resistant to infection so the following types of thyroiditis are very rare..

Acute thyroiditis (or suppurative thyroiditis) - usually due to a bacterial infection such as staph or strep.

Subacute thyroiditis (or de Quervain thyroiditis) - looks to be due to a viral infection.

TSH, T4 and T3 are usually normal with acute thyroiditis.  Other diagnostic tests for acute thyroiditis include ultrasound, gallium scan, barium swallow, white blood cell count, ESR (inflammation marker), and fine needle aspiration (FNA) biopsy.
Helpful - 0
Avatar universal
If you have the actual results of your thyroid blood work, please post them with reference ranges, which vary from lab to lab so have to come from your own lab report.  If you don't, you might call your doctor and ask for the results.  We can then evaluate how adequately you were tested.  

With your own labs to look at, it will be easier for us to explain what's going on.  
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