Hi, I think my daughter who is 11 has hypothyroidism. Her TSH came back at 10.3 mIU/L (0.2 - 4.2) and Free T4 11.2 pmol/L (12 - 22) and GP refuses to treat her because her TSH is only just over 10. She has thyroid antibodies of 805.4 IU/mL (<34)
She has been feeling unwell for quite some time; she is prone to sickness and has had vomiting bugs, diarrhoea and viruses which she seems to pick up from anywhere. I am worried about potential balance issues as well - she fell and injured her tibia bone 6 years ago, causing a massive bone bruise and she fell forward and again injured her tibia bone in the same area as before about 3 weeks ago. Since then she has had tenderness and aching in her bone and I am sure she needs to be seen by a GP though after looking on the internet bone bruises should be given a longer time to heal?
She gets tired very easily, sweats a lot, is uncharacteristically moody sometimes and her work at school is deteriorating. I have been told by her teacher that she caught her sleeping at her desk one day.
Any advice appreciated, thank you.
Her fT4 is quite low which suggests hypothyroidism, especially with the high antibody count. I'm not sure these symptoms are a consequence of hypothyroidism. I would ask for a referral to a paediatric endocrinologist as childhood hypothyroidism can be complicated. It's possible her thyroid hormone levels will settle down. A second blood test a month or two later might give an indication but it seems sensible to try and get a referral and let the endocrinologist do the follow-up.
Diarrhoea and sweating are signs of hyperthyroidism but with high antibodies you can swing from hypo to hyper, another reason to have more expert care. I would adivse the teachers of the potential thyroid problem, they can make allowances for her and perhaps alert you if they notice a change.
I agree a referral is necessary, we've been through this with my daughter and have great sympathy for you at this time as it is terrifying to see it happen.