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Have thyroid and ESR UPTO 80
Hi mother has thyroid from past many years just did blood test found out thyroid is still high and ESR is 80.
From past few weeks she is having Paronychia in her right index finger and itchiness in other index finger . Could you please suggest what needs to be don't she have 50mg thyroid medication.
Attaching report for assistance.
Answers (18)
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Be more specific abt the thyroid medication that she is already taking.
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Is she in carbinazole ? Or methimazole..? Also thyroid is high we need to increase dose..
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There need not to be worried about TSH as it's near normal.
As such for ESR is concerned it can be due to any inflammation as you were telling g about paronychia.
Next Steps
continue thyroid Medication
and consult to doctor for paronychia
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Hello Ma’am,
Your mother’s report shows TSH still high despite thyroid medicine, which means her dose may need adjustment. ESR of 80 is raised and can be due to ongoing inflammation — the paronychia (finger infection) can also contribute to this. She should have her thyroid dose reviewed and get the finger infection treated properly, as both together can be causing the symptoms.
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For itchiness, give her tab cetrizine 10mg one daily for 5 to 7 days. Apply candiderm ointment locally 2 times daily for 14 days.
For thyroid issue, and paronychia,consult your endocrinologist.
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-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ....
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TSH very slightly raised: This often does not warrant a change in thyroid medication if the patient is asymptomatic. Continue the current thyroid dose and repeat thyroid function tests after 8-12 weeks.
ESR 80: High ESR suggests inflammation, most likely related to the paronychia (infected nail fold) or other underlying issues.
Paronychia and itchiness: These symptoms should be managed locally with proper hygiene and possible topical antibiotics (such as mupirocin ointment) or oral antibiotics if there is pus or increased swelling
Next Steps
Maintain current thyroid medication; no increase or decrease unless symptomatic hypothyroidism develops.
Consult a doctor for finger examination; if pus is present, incision and drainage may be needed.
Start appropriate antibiotics for paronychia as per local protocols.
Monitor ESR; if persistently elevated, further evaluation for other sources of inflammation (autoimmune, chronic infection) may be warranted.
Recheck thyroid profile in 2-3 months.
Health Tips
Avoid self-medicating or increasing thyroid dose without medical supervision.
Keep the affected fingers clean and dry; avoid trauma to nails.
High ESR warrants follow-up but is common in infection or chronic inflammation.
If systemic symptoms develop (fever, malaise), seek urgent medical attention.
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