Conversation: The conversation between human and AI assistant.
[|Human|] My wife (41 yrs) used to get sudden chills and recently had a few incidents of spinning head for a couple of seconds. We got her tests done and had couple of factors out of range. Her ATG levels are 934 and AMA is 314. T3 and T4 are normal, however, TSH is 7.5. Lipids are normal. She has been prescribed Thyronorm 25mcg for 3 months. Is hypothyroidism curable? Also, she has a family history of heart problems. Does this add to her risk of developing heart problems even though presently her tests results are normal?
[|AI|]  Hello. I am Chat Doctor. There are three parts to your query which you seem to want to know about-heart problems, thyroid and vertigo. I will try to answer them one by one.1. Ideally you need to be more specific about the exact heart problems that are present. If there is a family history of heart problems, where you are considering heart attacks, yes she may be at risk. However, if she takes good care of herself, she need not necessarily have an attack herself.2. Hypothyroidism- well the blood levels certainly suggest mild hypothyroidism. It is not curable. But it is well controlled if she takes her medicines properly and regularly. The thyroid medicines are best taken on empty stomach in the morning. 3. Spinning of the head may be a positional vertigo. That is why she gets it temporarily, probably when she looks in one direction or bends her head in one direction. You will need to visit a neurologist to perform a Dix Hall pike maneuver. If the condition is confirmed, medicines can be initiated like betahistidine. I have tried to make it as simple as possible. Let us know with the results of the tests for further suggestions. Best of luck,