Talk to Endocrinologist on Hypothyroidism. Feel Pressure On The Back Side Of Ears In The Lower Head
Asking For Self, Female 26, rahim yar khan
mjhy thyriod ka issu hy .. ab phr report ai hy jis mn above then 100 hyn tu mn throxin ki kitni dose ly skti hon..or mjhy apny head ki back side py ears k pichy bht pressure feel hota hy .. or mery ears ma bht shor feel hota mjhy jb mn relax bhyti hon tu musalsal ears mn awazyn ati hyn iska koi solution bta dyn
Dr. Muhammad Ayub Khan - Endocrinologist
MBBS, FCPS Medicine, Speciality Certificate (Endocrinology and Diabetes) | Lahore
For proper evaluation and treatment of your medical problems, full medical history physical examination and some lab tests will be required. You can book your appointment through Marham for online consultation or a clinic visit
In addressing your concerns about hypothyroidism and the symptoms you're experiencing, it's important to consider both the management of your thyroid condition and the additional symptoms you are facing. Here’s a structured approach to your situation:
### Hypothyroidism Management
1. Thyroid Function Test Results:
- A TSH level above 100 mIU/L indicates severe hypothyroidism. It is crucial to start or adjust levothyroxine (thyroxine) therapy under the guidance of a healthcare professional.
2. Levothyroxine Dosage:
- The initial dose of levothyroxine can vary based on individual factors such as age, weight, and the presence of any other health conditions. For adults, the typical starting dose is around 50-100 micrograms per day, but given your high TSH level, a higher starting dose might be needed.
- It is essential to consult with your doctor to determine the appropriate starting dose and to adjust it based on follow-up TSH levels. Regular monitoring is necessary to avoid overtreatment, which can lead to hyperthyroidism.
3. Monitoring:
- After starting or adjusting the dose of levothyroxine, TSH levels should be rechecked after 6-8 weeks to assess the adequacy of the dose and make further adjustments if necessary.
### Additional Symptoms
1. Pressure and Noise in Ears:
- The sensation of pressure behind the ears and persistent noise (tinnitus) can be concerning. These symptoms may not be directly related to hypothyroidism and could indicate other conditions such as:
- Eustachian tube dysfunction
- Middle ear infections
- Temporomandibular joint (TMJ) disorders
- Stress or anxiety-related symptoms
2. Recommended Actions:
- ENT Consultation: It would be advisable to consult an Ear, Nose, and Throat (ENT) specialist to evaluate these symptoms further. They can perform a detailed examination and possibly recommend audiological tests or imaging if needed.
- Stress Management: If stress or anxiety is contributing to your symptoms, consider stress management techniques such as mindfulness, relaxation exercises, or speaking with a mental health professional.
### General Advice
- Consistency with Medication: Take levothyroxine consistently on an empty stomach, ideally 30 minutes before breakfast, to ensure optimal absorption.
- Follow-up: Regular follow-up with your healthcare provider is crucial to manage your thyroid condition effectively and address any other symptoms.
- Lifestyle Modifications: Maintain a balanced diet, regular exercise, and adequate hydration to support overall health.
Please ensure you consult with your healthcare provider to tailor the treatment plan to your specific needs and to address any additional concerns you may have.
detailed history needed for better outcome
Book appointment online or call at
042-34500888, 427,
https://www.marham.pk/online-consultation/general-physician/khanewal/dr-m-sanaullah-qureshi-042-34500888, 427
book for as low as Rs 0 for today
ur issue would be resolved IA.
kindly book an online appointment for proper evaluation and further management plan
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