A high thyroid stimulating hormone (TSH) should be seen by an endocrinologist.
High TSH is most commonly seen in primary hypothyroidism, subclinical hypothyroidism, and central hyperthyroidism, which are all endocrine diseases.
High TSH is recommended to improve the thyroid function five, thyroid-related antibodies (TRAb, TPOAb, TgAb, etc.), thyroid ultrasound and other examinations. The cause of the disease should be clarified according to the test results.
1. Primary hypothyroidism is characterized by high TSH and low T3 and T4, and is commonly caused by Hashimoto’s thyroiditis.
2. Subclinical hypothyroidism is characterized by high TSH and normal T3 and T4.
3. Central hyperthyroidism is caused by pituitary or hypothalamic disease, which is characterized by high TSH and high T3 and T4.
In conclusion, high thyroid stimulating hormone should be timely to the endocrinology department to improve the relevant examination to clarify the cause of the disease, and then under the guidance of the doctor for standardized treatment.