Taking thyroxine100cmg now TSH 0.04--low T3, T4 normal should I change dosage

Hello Sudipta Ji,

We are sorry to hear about your father’s condition. Recovery after an ischemic stroke can take time and often requires a multidisciplinary approach.

1. Consult a neurologist or stroke specialist at a reputed hospital. They may re-evaluate his treatment plan and suggest additional therapies.

2. Stroke patients often require physical therapy, occupational therapy, and speech therapy to regain movement, balance, and communication skills. Intensive rehabilitation programs can sometimes help improve outcomes.

3. Focus on his nutrition and hydration and prevent complications like infections, bedsores, or blood clots, which are common in bedridden patients.

We wish him a speedy recovery!

Hello Ramachandran ji,

Black spots on the legs can be caused by various factors, such as hyperpigmentation, skin infections, or poor circulation. It's important to monitor for any accompanying symptoms, such as pain, swelling, or redness.

For general care:

• Keep the area clean and moisturized.
• Apply sunscreen to prevent further pigmentation.
• If the spots persist or worsen, consult a dermatologist for an accurate diagnosis and specific treatment.

Hello Abhishek ji,

The HRCT report suggests the presence of a loculated left pleural effusion, which is fluid accumulation in the pleural space around the lungs, associated with thickened parietal and visceral pleura on the left side. This is indicative of empyema, a condition where the pleural fluid becomes infected, often following pneumonia or other lung infections. Additionally, fibro-parenchymal strands in the left lower lung suggest previous scarring or fibrosis, possibly from a past infection or inflammation.

Treatment usually involves draining the pleural fluid (via thoracentesis or chest tube) and antibiotic therapy to treat the infection. In some cases, surgical intervention may be needed. It's important to follow up with a pulmonologist or a chest specialist for further evaluation and management, including the potential need for drainage or further imaging.