Conversation: The conversation between human and AI assistant.
[|Human|] My ESr is 30mm and my TSH is 9.686 , I experience pain in my left abdomen (just below the rib cage). My toe nails have developed cracks lately and I constantly fell lethargic. what might be the causes. I am a nursing mother of a one year old child and aged 28
[|AI|]  Hi! Good evening. I am Chat Doctor answering your query. Your TSH is elevated, signifying that your thyroid gland is not functioning properly making you hypothyroid. Your symptoms of feeling lethargic and development of cracks could be due to hypothyroidism. I would advise you to get yourself clinically assessed by a medical specialist in your area, who depending on the findings, might start synthetic thyroid hormone (levothyroxine) from a low dose to a higher dose if need be after titration. This treatment would relieve you of your symptom soon. An ESR of 30 might not have much consequence. A serial testing would be more helpful. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.