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hypo thyroid (tsh=5.62, t3 & t4 normal)

I can consider your case but you need to give many answers, copy the questions list in notepad,
write answers in same way with questions and then paste in post reply, NO SHORT answers explain MAXIMUM you can.


1. Age,sex,weight,body and face appearance, country, occupation.
ANS. 29, Male,61 kgs, height 1.65 mtrs, face appearance-Oval,wheatish colour with no face shine,India, Pvt. Job

2. Main complaints and other associated troubles.
a)Where is the trouble; The exact locality of the complaint like hands,legs etc; duration of trouble.
ANS. I have diagonised with hypo thyroid in dec 2013 with TSH 84. Then i started taking thyroid medicine. Now i am taking eltroxine 75 mcg
daily in the morning. Recent August month TSH = 5.62. T3 & T4 normal.
b)What exactly do you feel, Sensation as pain, how pain feels or burn etc.
ANS.I feel tired always after adequate sleep also, Sensation as pain in left side of the upper portion, low pain with burning and cold sensation.
c)What are the factors that causes this trouble according to you.
ANS. can not say anything. It could be stress or any thing
d)Condition under which the complaint is reduced or you feel better like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
ANS. Always same condition
e)Condition under which the complaint is increased like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
ANS.During stress
f)Any other complaint any where in the body.
ANS. no
g)Onset time of troubles in detail, i.e which came first, after that what problem and so on.
ANS. Hypo Thyroid in dec 2013 with TSH 84.
h)Treatment method adopted and its result.
ANS. Started taking ELTROXINE 25 Mcg daily gradually increased to 75 MCG. TSH came normal 2.91.

3. History of diseases in family.
ANS. No ailment

4. Personal History.
a)About childhood.
ANS. No
b)Academic performance.
ANS. Average
c)Any major incidents in life and the effect of it on life.
ANS. No
d)How you are satisfied with your sex life, friends, family members, company etc.
ANS. Average

5. Habits/Addiction.
a)Smoking, Alcohol,Sleeping pills, Laxative etc.
ANS. No, Alcoho- ocasaionally 2-4 times in a year, No, No
b)Masturbation and frequency.
ANS.Once in a week, When have sex regularly no masturbation for months .

6. How is your Appetite and Thirst.
ANS. Normal, Normal

7. Likes and Dislikes.
a)Alcohol Bread Butter Bitter Salt Sweet Sour Fats Milk Mud Chalk Egg Spicy food Meat Fish Fruits Fried Food
Warm food-drink Cold food-drink Ice Ice cream Chocolates Tea Coffee.
ANS. Egg,Spicy food for some time,Meat twice a week, Fish once in a week, No cold drinks, Tea or coffee 4-5 times in a month.
b)Anything else about like and dislike of any activity with you or surrounding.
ANS. Nil

8. Bowel movements.
a)Nature of stool, frequency, satisfactory or not.
ANS.Semi Solid, 2-Times (1-time morning,2-Time-Evening daily), Satisfatory
b)Any discomforts associated with stool.
ANS. No

9. Urine.
a)Frequency, nature, volume.
ANS.8 - 10 Times daily, because i drink water more water (approx 5 - 6Ltrs daily),Whitish, More than 500 ml each time
b)Any discomfort before, during or after urination/odour
ANS.

10. For men.
a)Any difference in erection/want of erection/weak erection/Ejaculation early/late.
ANS. Ejaculation time early for first time approx 3-5 minutes, 2nd will be more
b)Any other trouble in sex.
ANS. No

11. For Females.
a)Menses, Regular, Irregular,Early, Late.
ANS.
b)Duration of menses.
ANS.
c)Nature of flow, Scanty, Blood colour, Consistency, Odour, Staining, itching/ when and what makes it worse/better.
ANS.

12. Sleep.
a)The quality of sleep, the quietness or restlessness of sleep,
position of sleep, times of waking and reasons for waking,
need for cover over various parts of the body,
whether the window must be open or closed etc.
common dreams, peculiar sounds or gestures during sleep, etc.
ANS. Good, OK, Flat facing top and side-ways slipping, Need to cover the body in the early morning, Window open and close,depends on climate.
some times different dream, No sound, No Gesture, But in morning my heart pouunds heavily. i checked for TMT, Trade Mill Test and electrolytes,
Results were OK.

13. Sweat
a)How much, what parts, staining, Odour.
ANS. Some Times in warm condition, Back of the body,No stains on body, No odour

14. Weather
a)Tolerance to heat and cold, dryness, humidity, weather changes, sun,
foggy weather, wind drafts, closed rooms, etc.
ANS. Normal, Body texture and hair is dry, Not affect too much

15. Mental Status
a)The quality of the patient's life in relationship to loved ones, family, friends and colleagues. Overall quality of energy available to function in daily life, and under various circumstances.
ANS. Good
b)Any mental/emotional shocks occurring in the patient's life-grief, major financial losses separation from loved ones, death, identity crisis and other stress in life.
ANS. Not at all
c)Memory,ability to concentrate/comprehend.
ANS. Normal, Normal, Average
d)Are you fearful of anything eg: Animals, people, being alone, darkness, death, disease, robbers, thunder, storm, high places.
ANS. Being Alone
e)Are you anxious about anything: if yes, give details.
ANS. No
f)Are you impatient.
ANS. Yes
g)Are you doubtful or suspicious.
ANS. Yes
h)Are you hurt easily (emotionally)how do you react. Does it cause hatred/revenge.
ANS. yes, My facial expressins will chnage to red. No
i)Does your pride get hurt easily.
ANS. Yes
j)Are you depressed, if so, reason/circumstances.
ANS. Yes, Because i am not able to talk publically. I think i have social anxiety and performance problem.
k)Do you like to share your problems.
ANS. I think i have social anxiety and performance problem. I am not able to give presentations (PowerPPT) for mass.
l)Effect of consolation.
ANS. Some time and forget
m)Do you ever become suicidal when? How.
ANS. Not at all.
n)Memory- quality if poor, for what ( eg. Names, places, people, what you read).
ANS. Average
o)Do you weep easily, effect of weeping, ie, does it make you worse or better.
ANS. No,
p)Are you easily irritated. What makes you angry, how do you express it.
ANS. Yes, Someones who do not listen my words and belief, Silently without telling to someone
q)Are you destructive.
ANS. No
r)How good are you in making decisions.
ANS. Moderate
s)Do you like company or like to remain alone.
ANS. Like to remain alone, depends on mood
t)How seriously are you affected by disorder and uncleanness in your surroundings.
ANS. Moderately, for some time
u)How does failure appear to you?
ANS. It bothers me
v)Are there any matters that you deeply dislike?
ANS. I dislike those persons who makes fun on me
w)What activities you deeply like? How does it affect your mood?
ANS. I like to do gossips and read novels. It works fine for me.
x)Are you affectionate? How does others sorrow affect you?
ANS. Yes, Some extent
y)Any present fears in your life or future.
ANS. No
z)Any present life or future life desires.
ANS. No

THANKS......
 
  pradeephyp1 on 2016-09-16
This is just a forum. Assume posts are not from medical professionals.
Hello Doctor,

Please, reply for the above post. The above post is self explanatory in nature.

Regards,
Pradeep
 
pradeephyp1 2 years ago

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