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Suggest Remedy For Gum Inflammation And Sores In Mouth When On Levothyroxine

Posted on Wed, 14 Jan 2015

Question: I had Grave's disease many years ago and got it under control with pills rather than radioactive iodine. Now, at the age of 64 I have full on Hashimoto's disease. Since being put on low dose of Levothyroxine about one year ago I've noticed inflamed gums and a perfect tooth is suddenly being resorbed and has to be extracted. I also have increase in sores in my mouth after eating just about anything. Have had near perfect dental hygiene up until now and no problems. Could my current problems be caused by Hashimoto's? If possible, what help should I get or seek out?

Answered by Dr. Binu Parameswaran Pillai (3 hours later)

Brief Answer:
Osteoporosis from Hyperthyroidism

Detailed Answer:
Good day,
Noted your concern.
You have developed Hypothyroidism either due to the pills which you used to treat Grave's disease or from the natural destruction of thyroid cells from Grave's disease.

Due to Grave's ( hyperthyroidism) bone loss is quite possible. I do not think the dental problems are due to Hashimotos disease ( hypothyroidism). Please get a calcium profile ( fasting serum calcium, phosphorus, Vitamin D, Alkaline phosphatase, CBC, ESR, albumin) and get a Urien calcium done. You may also need a DXA scan to look at bone density. Another important thing is to visit a dental surgeon.

Please feel free to contact further if you need any more help
Regards
Binu

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar