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DEFINITION:
A thyroid-stimulating hormone (TSH) blood test is used to check for
thyroid gland problems. TSH is produced when the hypothalamus
releases a substance called thyrotropin-releasing hormone (TRH). TRH
then triggers the pituitary gland to release TSH. See pictures of the
thyroid gland and the pituitary gland.
Triiodothyronine (T3) and thyroxine (T4) are needed for normal growth
of the brain, especially during the first 3 years of life. A baby whose
thyroid gland does not make enough thyroid hormone (congenital
hypothyroidism) may, in severe cases, be mentally retarded. Older
children also need thyroid hormones to grow and develop normally.
CONSIDERATIONS :
A. BEFORE:
Tell your doctor if you have had any tests in which you were given
radioactive materials or had X-rays that used iodine dye within the last
4 to 6 weeks. Your test results may not be correct if you have had
iodine contrast material before having a thyroid-stimulating hormone
(TSH) test.
Preparation:
On the day of the test, it may help to have your child wear a short-
sleeve shirt to allow easier access for the technician who will draw the
blood.
DURING:
The Procedure
A health professional will usually draw the blood from a vein. For an
infant, the blood may be obtained by puncturing the heel with a small
needle (lancet). If the blood is being drawn from a vein, the skin
surface is cleaned with antiseptic, and an elastic band (tourniquet) is
placed around the upper arm to apply pressure and cause the veins to
swell with blood. A needle is inserted into a vein (usually in the arm
inside of the elbow or on the back of the hand) and blood is withdrawn
and collected in a vial or syringe.
After the procedure, the elastic band is removed. Once the blood has
been collected, the needle is removed and the area is covered with
cotton or a bandage to stop the bleeding. Collecting blood for this test
will only take a few minutes.
For Infants
B. AFTER:
Results
The normal ranges for the results of this test may vary from laboratory
to laboratory. Results are usually available within 2 to 3 days.
Low values
Reasons you may not be able to have the test or why the results may
not be helpful include: