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Thyroid and severe menstrual bleeding - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Dear Doctor,

My mother is suffering from Period's problem. Her age is 51 yrs.
She is suffering from bleeding during period time from past 2 months. DMC has been made on dec 09.
SInce 10 days, she is having more bleeding with a solid blocks while urination.
Even she is suffering fom Backpain & triedness.

Note : she is having thyroid prolem - TSM - 8.7

Pls suggest us whom to contact & what are the treatment has to be done.

Regards

Doctor :   hi
User :   hi
Doctor :  
ok. please give me sometime to read through what you have typed.
Doctor :  
At 51 years of age, the period problem could be due to pre-menopausal effect
Doctor :  
she will need a repeat D&C to check what is happening
User :   Doc . period's happning very freq
Doctor :  
in case the problems is due to 'dysfunctional uterine bleeding' then she will need treatment for it, and also if the problem is severe, then hysterectomy should be thought about
Doctor :   is she on medications for thyroid problem?
User :   yes
User :   wt is hysterectomy
User :   currently we are in hospital for consultancy....
Doctor :   hysterectomy means removal of uterus
User :   but she is having thyroid
User :   does it not affect
Doctor :  
if the thyroid status is well controlled then she can go for operation
Doctor :  
so getting thyroid state under control is important
Doctor :   when was her last thyroid checkup done?
Doctor :   what were the reports?
User :   last 10 days
User :   early 11.2
User :   now 8.7
User :   45 days XXXXXXXX - 11.7
Doctor :  
ok
Doctor :  
are you telling me the TSH reports?
User :   wt is minimum value .. for operation
User :   yes
User :   i mean minimum value of TSH
Doctor :   she has to do all these tests: T4 , FT4, T3, FT3,TSH
User :   now i'm hospital - doctor suggested for Trips & blood
Doctor :   TSH should be between 0.4-4.5 mIU/L (mU/L) for adequate control
User :   okk
Doctor :  
if not then dose for the medication has to be re-adjusted
User :   okk
Doctor :  
to bring about the desired control
Doctor :  
she should also follow a diet to regulate thyroid status well along with medications.
User :   let me know hw to control thyroid apart frm medicien
User :   Diet - food control
User :   can u pls suggest
Doctor :   for a detailed and personalized diet opinion you can take benefit of our diet and nutrition services
User :   okk
User :   She is too weak in strength
User :   but her stomach is becoming big
Doctor :   ok
Doctor :  
what is her height and current weight?
User :   Note - she had a major operation on apprendix in 1984
User :   4.9
User :   wt - 64
Doctor :  
ok
Doctor :  
her ideal weight for height should be between 50-55 kgs
User :   yes ...
Doctor :  
her BMI falls under obese side
User :   but is more weight
Doctor :  
and she needs strict thyroid control and diet to lose weight
User :   ok
Doctor :  
and also keep thyroid functioning at a optimum level
User :   can the operation be done
User :   with this thyroid value
Doctor :  
right now since teh TSH is higher side, operation should not be done
Doctor :  
once it comes to teh normal range, the possibility of operation should be checked
User :   okk
Doctor :  
have you followed what i have said?
User :   who is the best gyneco
User :   yes
User :   where we can start treatment
Doctor :  
the treatment should be started soon.
User :   currently we r with naaratna
User :   nagaratna
Doctor :  
for her thyroid state, she should also consider taking a opinion from endocrinologist
Doctor :  
She is starting with glucose & blood. since my mother is facing low blood
User :   okk
Doctor :  
whom she can consult to get thyroid function to normalcy before going in for the hysterectomy.
Doctor :   ok
Doctor :  
I suggest you to do complete blood tests for her to see the entire body functions
User :   okk
Doctor :  
the test profile name is 'Arogyam"
User :   thn
Doctor :  
under thyrocare
User :   okk
Doctor :  
it will give you the kidney, liver, blood, and other metabolic function levels
User :   okk
User :   any othr suggestion
Doctor :  
my suggestions you can see on the right hand side of chat window
User :   okk
Doctor :  
Is there any thing else I can help you with?
User :   thank you for the information
Doctor :   you can get those services by clicking on them, it will direct you to the facility page
User :   okk
Doctor :  
Please fill the feedXXXXXXXXk form say done when done.
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
Doctor :   Please get XXXXXXXXk to me in case of doubts.
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