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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Nausea, Vomiting, Trouble Swallowing And Sore Throat While Treating Diabetes?

My 15 year old son has been a Type 1 diabetic since 13 months old. He has been suffering with swollen, puffy arms, face, dry picky skin, high bp, high cholesterol, dizziness, light-headedness, constipation off and on for a few years. The past 6 weeks he has been worse with the same symptoms but more so including nausea vomiting, trouble swallowing, sore throat, hoarse voice, severe stomach pains. Celiac screen negative. His tsh, t3 t4 R all normal but ice noticed his TPO antibodies have climbed in the past 5 years from 35 - 128 - 367 - 910 - to 1310 now is this not an obvious case of Hashimoto s ?
Wed, 18 Nov 2020
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General & Family Physician 's  Response
Hi,

His insulin and blood glucose are to be monitored regularly. These two are crucial. TPO levels suggest Hashimoto, but if levels of TSH are normal then hypothyroid in control. Monitor them at least once every 3 months at the beginning, then half-yearly. Nutritionist and endocrinologist are to be consulted regularly. Once this kid must attend art of living art excel or medha yoga or utkarsh yoga for kids programme, as it will help in bringing all lifestyle modifications needed, and to bring activity required in day. It will give few breathing exercises for thyroid and pancreas.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Sunny Madar, General & Family Physician
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What Causes Nausea, Vomiting, Trouble Swallowing And Sore Throat While Treating Diabetes?

Hi, His insulin and blood glucose are to be monitored regularly. These two are crucial. TPO levels suggest Hashimoto, but if levels of TSH are normal then hypothyroid in control. Monitor them at least once every 3 months at the beginning, then half-yearly. Nutritionist and endocrinologist are to be consulted regularly. Once this kid must attend art of living art excel or medha yoga or utkarsh yoga for kids programme, as it will help in bringing all lifestyle modifications needed, and to bring activity required in day. It will give few breathing exercises for thyroid and pancreas. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sunny Madar, General & Family Physician