What thyroid tests should I do for an accurate diagnosis?

Question

Hello doctor,

I think I have suffered from liver and gastric problems for the past two years. Food is not digested properly. Lower abdomen, left side, some burning sensation, swelling, and pain were present.

Sometimes, I feel the hardness in the lower left abdomen. Bilirubin total is high, and bilirubin direct and indirect are also high. Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Your liver tests are normal. The small increase in indirect billirubin alone (as the one you have) most commonly corresponds to Gilbert syndrome, which is totally harmless. This syndrome is hereditary but has no serious consequences. Mild jaundice may appear under conditions of exertion, stress, fasting (as the one you need for the laboratory tests), and infections. Please let me know:

About your gastric problem, what do you mean by food is not digested properly?
Do you mean you have remnants of food in your stool?
Do you mean you have bloating, nausea, and vomiting?

Chronic pain in the left abdomen, especially after eating and with changes in your stool, may be colitis or irritable bowel syndrome. For this, you may take over-the-counter medicines that contain Pinaverium bromide or/and/or Cinitapride. This should be taken every 12 hours for two weeks. This medication is intended to reduce swelling and irritation associated with this condition.

About your thyroid tests. You have subclinical hypothyroidism (which means you have increased thyroid-stimulating hormone and normal thyroid hormones). If you have other symptoms like intolerance to cold weather, an increase in weight without another reason, or constipation, then you may need thyroid replacement hormones. If you do not have these symptoms, you may repeat this laboratory test in four to six months.

I hope this helps.

Kindly revert in case of further queries.

Thank you.