What should I do if I have a positive TSH test result after collecting heel blood?

Patient's question:

Hello doctor, the heel blood collection for newborns is to promote thyroid-stimulating hormone, so what if it's positive?

Doctor's answer:

Hello, based on your description and thyroid function tests, this consideration is hyperthyroidism, and it cannot be ruled out that thyroid function may be reduced. Blood TSH is a reliable indicator for diagnosing congenital hypothyroidism. If neonatal screening shows high TSH, it is necessary to recheck thyroid function to rule out transient hyper-TSH syndrome. After the diagnosis of congenital hypothyroidism is confirmed, treatment should be initiated as early as possible to avoid affecting intellectual development. Treatment involves supplementing thyroid hormones, and there are no other methods. Further endocrinology clinic evaluation or oral medication treatment is required, along with regular follow-up of thyroid function.

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