Patient's question:
My child is 39 days old today. The doctor tested the heel blood twice, and both results were (not qualified). Then, the venous blood test was also (not qualified) and the values were high. The doctor then prescribed medication. We haven't started taking it yet.Past Treatment and Effects:
We haven't started treatment yet.
Help Needed:
Our family lives in Yanjiao, Hebei. We gave birth in Yanjiao, and the thyroid test was done in Langfang, Hebei. I'm worried about whether the testing technology in Langfang Hospital is the same as that in Beijing Hospital. Do I need to go to Beijing Children's Hospital for further testing? Can this condition be cured? Will the medication affect the child's liver and kidneys? The heel test value was around 23, and the venous test value was around 30. The doctor just gave a prescription.
Doctor's answer:
Analysis of the Condition: Hypothyroidism is a syndrome that occurs due to a deficiency or insufficiency in the secretion of thyroid hormones. The causes of hypothyroidism include: ① Thyroid parenchymal lesions, such as thyroiditis, excessive destruction of glandular tissue caused by surgical procedures or radioactive isotope treatment, or developmental abnormalities; ② Impaired synthesis of thyroid hormones, such as long-term iodine deficiency, long-term use of antithyroid drugs, congenital thyroid hormone synthesis disorders, or idiopathic hypothyroidism possibly caused by an autoimmune antibody (TSH receptor blocking antibody); ③ Pituitary or hypothalamic lesions. Depending on the age of onset, it can be classified as cretinism or myxedema.Opinions and Suggestions: Thyroid diseases are often triggered by liver qi stagnation and hidden fire, leading to the exacerbation of liver fire, or emotional distress that causes liver qi stagnation. The pathogenesis is closely related to the dysfunction of physiological functions such as menstruation, pregnancy, childbirth, and lactation, as well as constitutional factors. An imbalance in the body's yin and yang, qi stagnation, phlegm coagulation, and accumulation in the front of the neck are the fundamental pathological changes. If left untreated for a long time, it can lead to blood stasis, resulting in the intersection of qi, phlegm, and blood stasis. In the early stages of the disease, it is often (excess syndrome), but as it progresses, it may transform into (deficiency syndrome) or a combination of both.
1. Interlocking of phlegm and heat, stagnation of qi and blood: Due to prolonged liver qi stagnation turning into fire, which burns body fluids into phlegm, the interlocking of phlegm and heat obstructs the middle energizer, disrupts the smooth flow of qi, and impairs blood circulation. Over time, phlegm and blood stasis interlock and accumulate in the neck, forming goiter.
2. Spleen deficiency and dampness retention, phlegm and water coalescence: Due to the patient's chronic kidney yang deficiency, there is an excess of phlegm and dampness in the body. Yang deficiency leads to internal cold, and the pathogenic factors of dampness and water accumulate.