Hyper or not?

[Idalmis]

Hi. I’ve written before but I now have my blood results. 2 gps are not concerned but one referred me to endo and she sent me for an ultrasound scan where I was told my thyroid was slightly enlarged and I had some nodules. I am waiting for a biopsy. The endo put me on Carbimazole 5mg a day.

Serum free T4 level 13.1 range (10.00 - 18.70)

Serum THS level 0.09 range (0.30 - 5.00)

Serum free T3 level 4.8 range (2.50 - 5.50)

So I am a bit puzzled. I have lot a stone very quickly but was put on sertraline 50mg 6 weeks ago and it made me nauseous and stopped my appetite.

I have been on Carbimazole for 5 days and I am still nauseous. It might be anxiety as I was told this week I have a nodule in my pelvic floor. As i’ve Had ovaries, tubes and a borderline ovarian tumour removed in March, I am very worried. I will know more next week but the wait is hard.

Any replies would be appreciated. Thanks

[Idalmis]

Could Carbimazole make me nauseous nd bloated?

[Ansteynomad]

Are these the results that led to you being put on carbimazole?

[Idalmis in reply to Ansteynomad]

Yes

[Clutter]

Idalmis,

Are those results from before you started Carbimazole or after?

[Idalmis]

Before

[Ansteynomad]

Your results look slightly unusual to me (I’m a historian, not a doctor) but I don’t see how you can be hypER with both FT4 and FT3 well in range.

[Idalmis in reply to Ansteynomad]

So what am I to do now? Get in touch with the endocrinologist ‘s secretary with a query?

[Angel_of_the_North]

Definitely not HYPER. Possibly hypo or going that way because of low free T4 - wonder about secondary/central hypo - low everything - or the end of a Hashi's flare. Carbi will make you very ill, I suspect, as your Frees will drop off the bottom of the range. I would ask for a second opinion.