Question 1

I'm wondering if a TSH level of 12.20 Micro IUmL is considered normal or high? If it is high, how many micrograms should a 33-year-old woman take to manage it? Could you give me some guidance?

Accepted Answer

Elevated Bilirubin and Liver Enzymes

_Interpretation_

1. _Total Bilirubin_: Above 1.5 mgdL is mildly elevated.
2. _SGOT (AST) and SGPT (ALT)_: Above 50 UL is mildly elevated.

_Possible Causes_

1. _Liver inflammation_: Mild elevation in liver enzymes can indicate liver inflammation.
2. _Bile duct obstruction_: Elevated bilirubin can indicate bile duct obstruction or liver dysfunction.
3. _Medication side effects_: Certain medications can cause elevated liver enzymes.
4. _Underlying medical conditions_: Conditions like fatty liver disease, viral hepatitis, or autoimmune hepatitis.

_Recommendations_

1. _Repeat tests_: Repeat liver function tests (LFTs) and bilirubin levels to confirm the elevations.
2. _Imaging studies_: Consider ultrasound or MRI of the liver and bile ducts to rule out obstruction or structural abnormalities.
3. _Autoimmune and viral markers_: Test for autoimmune hepatitis and viral hepatitis (e.g., hepatitis B and C) to rule out underlying infections.
4. _Medication review_: Review your medications with your doctor to determine if any are contributing to the elevated liver enzymes.
5. _Consult a gastroenterologist_: Consider consulting a gastroenterologist for further evaluation and guidance.

_Quantity Follow-Up_

1. _Regular monitoring_: Regularly monitor your LFTs and bilirubin levels to track any changes.
2. _Adjust frequency_: Adjust the frequency of follow-up appointments based on the stability of your test results.

Question 2

I'm feeling feverish on and off for the last couple of weeks, but every time I take my temperature, it's at 98.6. I've also got a bit of a sore throat, but I'm not having any issues with breathing or a dry cough. A person in my building was diagnosed...

Accepted Answer

1. *Self-monitor*: Continue tracking your temperature and overall health.
2. *Mask up*: Wear a mask when leaving your home or interacting with others.
3. *Social distancing*: Maintain a safe distance from others, especially in your building.

*Medical Consultation*

1. *Call your doctor*: Schedule a teleconsultation or in-person appointment to discuss your symptoms and concerns.
2. *Disclose exposure*: Inform your doctor about the COVID-19 case in your building.

*Anxiety and Stress Management*

1. *Stay informed*: Follow credible sources (e.g., WHO, CDC) for COVID-19 updates.
2. *Practice relaxation techniques*: Engage in activities like deep breathing, meditation, or yoga to help manage anxiety.
3. *Connect with others*: Reach out to friends, family, or a therapist for emotional support.

Question 3

I'm about 6 weeks pregnant and I've been having this light green vaginal discharge every day since week 4. There's no itching, but I'm really worried about why it's happening. I'm on thyroxine, progesterone, and folic acid tablets. Could this be rela...

Accepted Answer

Green vaginal discharge during pregnancy can be caused by a number of infections, including:Bacterial vaginosis: An overgrowth of common bacteria that causes inflammation and a fishy-smelling discharge that may be gray or green and watery. It can cause problems during pregnancy, such as preterm birth. 
Trichomoniasis: A sexually transmitted infection (STI) caused by the parasite trichomonas vaginalis. It can cause a green discharge. 
Gonorrhea or chlamydia: Other STIs that can cause green discharge. 
Yeast infection: Also known as candidiasis, this is one of the most common vaginal infections during pregnancy. 
Urinary tract infection (UTI): Can cause discharge during pregnancy and may need to be treated.So consult gynaecologist for the same

Question 4

Can I take Becosules Z, Evion 400, and Shelcal 500 all at once? What's the recommended dosage for each, and how long should I be taking them? I'm just trying to figure out if combining these is okay, and how to do it safely.

Accepted Answer

Visit your Physician for evaluation and appropriate management

Question 5

I'm 28 and just got my health checkup results. My serum triglyceride level is 386 mgdL. I'm really concerned about how this high number might affect my health. Can you explain the possible complications?

Accepted Answer

Visit Physician for evaluation and appropriate management

Question 6

I'm a bit worried because my guinea pig bit me on the finger about 10 days ago, but there wasn't any blood drawn. I've had a pretty thorough vaccination history with anti-rabies shots, like 5 full doses of Abhayrab in January 2021, 2 booster doses in...

Accepted Answer

you take vaccination.

I'm wondering if a TSH level of 12.20 Micro IUmL is considered normal or high? If it is high, how many micrograms should a 33-year-old woman take to manage it? Could you give me some guidance?

I'm wondering if a TSH level of 12.20 Micro IUmL is considered normal or high? If it is high, how many micrograms should a 33-year-old woman take to manage it? Could you give me some guidance?

Related Questions

I'm feeling feverish on and off for the last couple of weeks, but every time I take my temperature, it's at 98.6. I've also got a bit of a sore throat, but I'm not having any issues with breathing or a dry cough. A person in my building was diagnosed...

I'm about 6 weeks pregnant and I've been having this light green vaginal discharge every day since week 4. There's no itching, but I'm really worried about why it's happening. I'm on thyroxine, progesterone, and folic acid tablets. Could this be rela...

Can I take Becosules Z, Evion 400, and Shelcal 500 all at once? What's the recommended dosage for each, and how long should I be taking them? I'm just trying to figure out if combining these is okay, and how to do it safely.

I'm 28 and just got my health checkup results. My serum triglyceride level is 386 mgdL. I'm really concerned about how this high number might affect my health. Can you explain the possible complications?

I'm a bit worried because my guinea pig bit me on the finger about 10 days ago, but there wasn't any blood drawn. I've had a pretty thorough vaccination history with anti-rabies shots, like 5 full doses of Abhayrab in January 2021, 2 booster doses in...

General Physician/ Internal Medicine

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