Posts by rustycobra17

rustycobra17 said:Old post: Male, early 20s, no underlying health issues or medications, though there's a history of hypertension and one case of leukemia among my grandparents. I went in for testing because for about a month I've been feeling this weird sensation under my left rib cage—mostly in the front—that comes and goes, sometimes for minutes, sometimes for an hour, occasionally every day and sometimes not at all. My temperature was hovering around 98.6-99.0°F in the afternoons for a few days, but it's gone now, along with some nausea on an empty stomach that eventually cleared up. They suggested I might just be anxious, but I pushed for more tests. An abdominal ultrasound showed everything looks good: mucous membranes are normally perfused, and no enlarged thyroid or lymph nodes were felt. All organs are positioned normally and look fine: liver at 13.5 cm, gallbladder head 2.3 cm, body 1.8 cm, spleen 8.9 cm, kidneys 10.5x4.5 and 12x5.5... all within range. Blood, urine, enzymes, and metabolic panels came back: RBC 5.69 (4.34-5.72), Hemoglobin 170 (138-175), Hematocrit 0.497 (0.415-0.530), MCV 87.4 (83-97.2), MCH 29.9 (27.4-33.9), MCHC 342 (320-345), RDW-CV 13.1 (9-15), WBC 9.3 (3.4-9.7), Platelets 275 (158-424), MPV 12.1 (6.8-10.4), ESR 2 (2-13). Glucose 4.9 (4.2-6). AST 17 (11-38), ALT 21 (12-48), GGT 37 (11-55), (S)AMY 50 (23-91), (U)AMY 276 (ketones 1 (0/neg), blood/hemoglobin negative, protein negative, urobilinogen normal, nitrites negative, leukocyte esterase negative, microscopic sediment shows 3-5 leukocytes (0-2), moderate mucus. ..... RESPONSE to post: "The results are normal"

Despite those normal results, they found an elevated TSH. No treatment was prescribed yet, just a plan to recheck TSH, T4, and T3 in three months. Those minor symptoms I mentioned earlier are pretty much gone now (maybe once a month), and the fever has completely stopped.

Results:
TSH 6.21 mU/L (0.55-4.78)
Total T4 98.8 nmol/L (58.1-140.6)
Total T3 1.7 nmol/L (0.9-2.8)

Any thoughts? Is waiting three months okay? If my TSH settles into the normal range, can I stop checking? And if it stays high, should I see an endocrinologist?...

Male, early 20s. I’m healthy and don't take any medications, though there's some family history: three cases of hypertension and one case of leukemia among my grandparents. I decided to get checked out because for the last month, I've been feeling this weird sensation—like something is swollen just under my left rib cage, maybe near the bottom of the spleen. It's on the front side, and it comes and goes unpredictably... sometimes for a few minutes, sometimes for an hour, sometimes daily, sometimes not at all. My temperature hit about 98.2–99.0°F in the afternoons for a few days after it started, but it's normal now. I also had some nausea on an empty stomach for a bit, but that cleared up. Some people told me I'm just being a hypochondriac, but I went ahead with extra testing anyway. I had an abdominal ultrasound, and here's the gist: mucous membranes look normally perfused, and no enlarged thyroid or lymph nodes were felt. All organs are positioned normally with these sizes: liver at 13.5 cm, gallbladder head 2.3 cm, body 1.8 cm, spleen 8.9 cm, and kidneys at 10.5x4.5 cm and 12x5.5 cm. The conclusion was a positive normal finding. I also did blood work, urine tests, enzymes, metabolites, and substrates: RBC 5.69 (4.34-5.72), hemoglobin 170 (138-175), hematocrit 0.497 (0.415-0.530), MCV 87.4 (83-97.2), MCH 29.9 (27.4-33.9), MCHC 342 (320-345), RDW-CV 13.1 (9-15), WBC 9.3 (3.4-9.7), platelets 275 (158-424), MPV 12.1 (6.8-10.4), ESR 2 (2-13). Glucose 4.9 (4.2-6). AST 17 (11-38), ALT 21 (12-48), GGT 37 (11-55), (S)AMY 50 (23-91), (U)AMY 276 (neg), ketones 1 (0/neg), Er/Hb neg (0/neg), proteins neg (0/neg), urobilinogen norm (norm), nitrites neg (0/neg), leukocyte esterase neg (0/neg), microscopic sediment exam shows leukocytes 3-5 (0-2), mucus present (0/neg). I'm looking for a second opinion—are these results okay? Should I be doing more follow-ups or checkups, especially since a few blood values are right on the edge, the MPV is high, and there were some findings in my urine (leukocytes)? Most of all, I want to know if that MPV level is actually a concern or if I really am overthinking things...