2 recent tests show that my TSH is too high (223 & 53);?

Question

I don't feel any problem. What may be the possible diagnosis ?
I have analysed TSH on the advice of my doctor because of a consitent low hemoglobin - around 7.

Answer 1

it means you might have thyroid problems.

The TSH test is often the test of choice for evaluating thyroid function and/or symptoms of hyper- or hypothyroidism. It is frequently ordered along with or preceding a T4 test. Other thyroid tests that may be ordered along with it or following an abnormal TSH result include a T3 test and thyroid antibodies (if autoimmune-related thyroid disease is suspected).
TSH testing is used to:

diagnose a thyroid disorder in a person with symptoms,
screen newborns for an underactive thyroid,
monitor thyroid replacement therapy in people with hypothyroidism
diagnose and monitor female infertility problems,
help evaluate the function of the pituitary gland (occasionally), and
screen adults for thyroid disorders as recommended by some organizations, such as the American Thyroid Association

A high TSH result often means an underactive thyroid gland that is not responding adequately to the stimulation of TSH due to some type of acute or chronic thyroid dysfunction. Rarely, a high TSH result can indicate a problem with the pituitary gland, such as a tumor producing unregulated levels of TSH, in what is known as secondary hyperthyroidism. A high TSH value can also occur when patients with a known thyroid disorder (or those who have had their thyroid gland removed) are receiving too little thyroid hormone medication.
A low TSH result can indicate an overactive thyroid gland (hyperthyroidism) or excessive amounts of thyroid hormone medication in those who are being treated for an underactive (or removed) thyroid gland. Rarely, a low TSH result may indicate damage to the pituitary gland that prevents it from producing adequate amounts of TSH.

Whether high or low, an abnormal TSH indicates an excess or deficiency in the amount of thyroid hormone available to the body, but it does not indicate the reason why. An abnormal TSH test result is usually followed by additional testing to investigate the cause of the increase or decrease.

Answer 2

Some people with a TSH value over 2.0 mIU/L, who have no signs or symptoms suggestive of an under-active thyroid, may develop hypothyroidism sometime in the future. Anyone with a TSH above 2.0 mIU/L, therefore, should be followed very closely by a doctor.

Notice, that TSH levels increase ( above normal ), when a person begins to have too low levels of thyroid hormone. Thus if you have an elevated TSH level, you may be
moderated for hypothyroidism. If you are hypothyroid, you'll receive an Rx from your physician for thyroid hormone, i.e. synthroid.

Answer 3

What Does Low Tsh Indicate

Answer 4

TSH=Thyroid-stimulating hormone (also known as TSH or thyrotropin) is a hormone synthesized and secreted by thyrotrope cells in the anterior pituitary gland which regulates the endocrine function of the thyroid gland.

Diagnostic use

TSH levels are tested in the blood of patients suspected of suffering from excess (hyperthyroidism), or deficiency (hypothyroidism) of thyroid homone. Generally, a normal range for TSH is between 0.3 and 3.0 mIU/mL, but the interpretation depends also on what the blood levels of thyroid hormones (T3 and T4) are.
Source of pathology TSH level thyroid hormone level Disease causing conditions
hypothalamus/pituitary high high benign tumor of the pituitary (adenoma)
hypothalamus/pituitary low low hypopituitarism
thyroid low high hyperthyroidism or Grave's disease
thyroid high low congenital hypothyroidism (cretinism), hypothyroidism or thyroid hormone resistance

Clearly, both TSH and T3 and T4 should be measured to ascertain where a specific thyroid disfunction is caused by primary pituitary or by a primary thyroid disease. If both are up (or down) then the problem is probably in the pituitary. If the one component (TSH) is up, and the other (T3 and T4) is down, then the disease is probably in the thyroid itself. The same holds for a low TSH, high T3 and T4 finding."

The above from Wikipedia, the free, online encyclopedia at:
http://en.wikipedia.org/wiki/TSH

It sounds like you might have hyperthyroidism:

"Signs and symptoms
Major clinical features in humans are weight loss (often accompanied by a ravenous appetite), intolerance to heat, fatigue, weakness, hyperactivity, irritability, apathy, depression, polyuria, and sweating. Additionally, patients may present with a variety of symptoms such as palpitations and arrhythmias (notably atrial fibrillation), shortness of breath (dyspnea), loss of libido, nausea, vomiting, and diarrhea. In the elderly, these classical symptoms may not be present and they may present only with fatigue and weight loss leading to apathetic hyperthyroidism.

Neurological manifestations are tremor, chorea, myopathy, and periodic paralysis. Stroke of cardioembolic origin due to coexisting atrial fibrillation may be mentioned as one of the most serious complications of hyperthyroidism."

From http://en.wikipedia.org/wiki/Hyperthyroidism

But, the best advise is to go see a doctor!

Hope this helps!

Answer 5

Please don't go always by the test reports.
I am myself a Medical Student and we do see that sometimes test reports from reputed labs are misleading.
Please visit a doctor who would treat your problems,not your reports.


Coming to your problems,please tell clearly what problems do you experience.
And to diagnose a hypothyroid in tests,not only TSH but TSH,T3,T4,TRB, must be done.
TSH results alone are not of much significance.
If you want more info about it or want to discuss it,please email me.
Thank you!
I am speaking by my practical experience and not going by the pages on internet.Book knowledge and internet knowledge make a lot of difference.
Thank you!

Answer 6

Increased TSH is usually seen in hypothyroidism. Consult your doctor for medications. You have to take one.

Answer 7

actually, what you have is HYPOthyroidism. that's low thyroid levels. the body secretes extra TSH (thyroid stimulating hormone) in response to low levels of thyroxine (T4) and triiodothyronine (T3), the hormone made by the thyroid gland. essentially it's like the body is trying to get the thyroid to increase production of the hormones in response to low levels of the hormones. in your case, the thyroid gland is unable to do so.

typical symptoms of hypothyroidism are fatigue, and yes, the low blood count (low hematocrit or hemoglobin) can also be a manifestation of hypothyroidism.

you should be taking replacement thyroid hormones like thyroxine.

Answer 8

hi saudipta
i think yu 're suffering from hypothyroidism. thats probably also the reason why you have a low Hb! do yu have sleep disturbances, constipation, dry skin, and have yu put on a lot of weight? wat about your voice? do yu sense achange?
i think yu should answer these questions. laboratory investigations do guide us, but clinical sympyoms are needed.
dont worry, it is treatable. and needs to be treated esp if yu are young.

Answer 9

u probably have thyroid problem consult your doctor