Question 1

I'm really worried about my baby's growth since the scan at 30 weeks and 5 days showed a weight of 1265 grams with a variation of 185 grams. The report mentioned 28 weeks and 6 days with mild IUGR. I've started on argipreg sachets and alamine forte twice daily, and I'm trying to eat as well as I canmilk with protein powder, three eggs, dry fruits, curd, coconut water, and fresh fruits every day. Is there anything else I should be doing or keeping an eye on?

Accepted Answer

Your TSH levels have increased from 4.04 to 6.95.

_TSH Interpretation_

1. _Normal range_: 0.4-4.5 UmL (may vary slightly depending on the lab)
2. _Your result_: 6.95 UmL (elevated)

_Elevated TSH Indicates_

1. _Hypothyroidism_: Your thyroid gland might not be producing enough thyroid hormones.
2. _Thyroid gland dysfunction_: The increase in TSH suggests that your thyroid gland is not functioning optimally.

_Consult a Doctor_

1. _Endocrinologist_: A specialist who deals with hormonal imbalances and thyroid disorders.
2. _Primary Care Physician (PCP)_:
    - If you don't have an endocrinologist, start with your PCP.
    - They'll evaluate your results, medical history, and perform a physical examination.

_Seriousness_

1. _Mild hypothyroidism_: Your TSH level is mildly elevated, which might not require immediate attention.
2. _Monitoring and treatment_: However, it's essential to consult a doctor to determine the best course of action and prevent potential complications.

Please schedule an appointment with an endocrinologist or your PCP to discuss your test results and determine the next steps.

Question 2

I'm experiencing severe pain in my thighs and entire leg, and a 5 cm cyst was found in Vadodara. The doctor is recommending surgery to remove my ovary, but I'm unmarried and would prefer laparoscopic surgery. Can you advise if this is the right approach and suggest any specialist doctors or hospitals for this procedure in Ahmedabad or Delhi?

Accepted Answer

Laparoscopic surgery is a safe and fertility-sparing option‚Äîseek a gynecologist in Ahmedabad or Delhi with minimally invasive expertise.

Question 3

I'm really concerned about my wife. She started having sudden shivering at night, and it's the third day of her monthly period. There's no fever, so I gave her hot milk and a 650 mg dose of paracetamol. I'm trying to understand what might be causing this. Could it be related to her period, or is there something else going on?

Accepted Answer

Shivering may be caused due to hormonal imbalance or dehydration and muscle cramps. It is advisable to get a blood test done for safety, but there should be no major cause for concern.

Who is at risk for gestational diabetes?

Pregnant women who can't make enough insulin during late pregnancy develop gestational diabetes. Being overweight or obese is linked to gestational diabetes which may already have insulin resistance when they become pregnant. Gaining too much weight during pregnancy may also be a factor.

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