Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
125 Doctors are Online

Diagnosed with Hashimotos thyroiditis and primary biliary cirrhosis. Taking synthroid. Abdominal pain and acid reflux. Cure for symptoms?

User rating for this question
Very Good
Answered by

Practicing since : 1979
Answered : 918 Questions
I had been diagnosed with autoimmune diseases. I have Hashimotos thyroiditis and primary biliary cirrhosis and have been taking synthroid and ursodiol for treatment of same. I was hospitalized in April, 2012 due to pleural effusion and pericardial effusion. I had a cardiocentisis and thorancentecis (sorry for the spelling) and was subsequently treated with prednisone and colchicine over a period of 8 months. During this hospitalization, they ran tests on the fluid and found a "non-specific" cause. They also checked for cancer, lupus with negative results. I started feeling abdominal pain, (acid reflux) and consulted with my gastroenterologist and had an endoscopy which confirmed hiatal hernia and acid reflux. Was on pantaprazole and now on dexilant. This year, I was put on imuran for rheumatoid issues and to treat my chest pain. Stopped the Imuran because my hair was falling out. For over a month, I have felt chest pain, upper back pain, left neck pain, a suffocating sensation, along with extreme acid reflux and my face is constantly flushed. Both my cardiologist and pulmonologist don't see any effusions or issues of concern in my heart and lungs. My rheumatogist put me on medrol (2mg) and cymbalta (30mg). Cannot tolerate the cymbalta after one pill. I am very distressed over this as the symptoms continue but I have no resolution.
Posted Wed, 13 Nov 2013 in Lung and Chest disorders
Answered by Dr. Shashi Dangwal 8 hours later
Brief Answer:
Pain could be due to rheumatoid arthritis.

Detailed Answer:
Hello XXXX,

Thanks for posting your query on XXXXXXX

All your ailments seem to be of autoimmune nature. Generally a person having autoimmune disorder has involvement of more than one system as is in your case also. You have been put on correct line of treatment which you must take regularly under supervision of your treating physician.

Coming to the chest and back pain, since heart and lung causes have been ruled out by your doctor, it could be because of rheumatoid arthritis or it could be musculoskeletal pain. Medrol that you are taking may help in relieving the pain and has to be taken regularly.

Acid reflux should be well controlled as sometimes it may also cause this kind of pain and may also mimic pain due to heart and lung disease.

Since you are already taking treatment for all your problems, i suggest you do some physical exercises. Start with walking short distance gradually increasing it to build up your stamina and then enrolling yourself with a trained physiotherapist. Pl take care of your diet ensuring that it does not worsen your acid reflux. Take calcium, vit D and vitamin supplements. You may take pain killers as short courses when the pain is aggravated after consulting your doctor.

If you are not tolerating cymbalta, ask your doctor to prescribe you a substitue. You may try Pregabalin or Gabapentin but only after consulting your doctor.

Take care.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask a Pulmonologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor