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Weakness and loss of appetite and high TSH

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Please type your questions here. You can choose the specialty and upload reports in next step...i thought 4 weeks i had a virus. Went 4 days hardly eaten. Felt so bad went to the hospital. They ran all types of blood work ekg and all good.even gave me cat scan of all my lower organs. All good. Went home feeling same. A.d up going back to the hospiui knew what it was was having panic attacks but all day. My thyroid tsh was 8.9. Ive been on snythroid 10 daysdays. I was taking hormone replacement therapy. They said the hcg could of spiked my thyroid. I tried take amino acid. Made by gaba for panic attacks. Now i felt real weak and felt like i was going to pass out. Do u think something else could b causing all my symptoms. Someone said get checked for lymes disease


Category: Family Physician-GP

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Category: Family Physician-GP
Dr. Mayank Bhargava is online now

Expert:  Dr. Mayank Bhargava replied 4 Days.

Hi,

Welcome to Doctors Spring forum.

Let me know his associated features along with mentioned.
Do you have fever/ cough with sputum/ watery diarrhea/ vomiting/ spasmodic abdominal pain/
headache/ skin rash?
Do you have yellow discoloration of eyes and urine/ upper abdominal pain aggravating after
taking meals?
Do you have some sort of stress?

With the available information, if fever is absent then there appears to be least chances of
viral infection. Virus generally causes infectious disease and may be associated with fever,
diarrhea, cough, vomiting, skin rash.

TSH level showed that you are suffering sub-clinical hypothyroidism and may take at least 1
month for clinical improvement and may take 2 months for correction of TSH level.

You should go for repeat TSH level after 2 months and further dosage of Synthyroid will be
decided after repeat TSH level.

As such there appears to be least correlation between hCG level and your symptoms especially
in males.

You should consult with internal medicine specialist and should go for thorough check up.

You should also go for complete hemogram, blood sugar, thyroid function test, serum amylase,
liver function test, erythrocyte sedimentation rate, Anti neutrophil antibody, C-reactive
Protein, electrolytes and serology test for Lymes disease (if prevalent in your area).

Other possibility could be fibromyalgia and chronic fatigue syndrome. and possibility should
be sort out when all relevant investigations are found to be normal.

Treatment depends on exact diagnosis.
You should take balanced diet, pregabalin, methylcobalamin, and tricyclic antidepressants
(useful in Fibromyalgia and CFS)on written prescription from a local doctor.

Take care,
Let me know your other query.
Wishing a speedy recovery.
Dr. Mayank Bhargava


Dr. Mayank Bhargava
Category: Family Physician-GP
Experience: 
Fellowship: Gastroenterology, Chotiram Hospital & Research centre, Indore, 2009
Residency: General Medicine, Rajasthan University Jaipur, 2008
Medical School:  MBBS, Rajasthan University Jaipur, 2004
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