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Indigestion, CBC, ESR, TSH and LFT tests suggested, due to thyroid disorder - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hello
Doctor :   Hi
Doctor :   please proceed with your query
User :   Good morning doctor
Doctor :   good morning
User :   For past 1 to 1.5 month, I have indigestion problem
Doctor :   ok
User :   I am seeing food particles in my stools. Whatever I eat like vegitable pieces I can see in stool
User :   except rice
Doctor :   ok
User :   Whenever I take food, I get too many burps after meal
User :   Some times there is heart burn
Doctor :   ok
User :   I am under medication of homeopathy last 1 to 1.5 month as well
Doctor :   ok
User :   Recently, I am getting a pain in left abdomen and when I eat something, it disappears
Doctor :   ok
User :   I am also under stress due to some personal issues last month
Doctor :   ok
User :   Visited Gastro entrologist and he suggested it may be because of anxiety
Doctor :   ok
User :   Some times after eating food, I feel light headed ness as well
Doctor :   ok
User :   Could not able to sleep well in the nights, however in day times no issues if I get time to sleep
User :   Doctor suggested me to take Nexpro 40 and Situm tablets
Doctor :   ok
User :   Since I was under homeopathy medication I have not started using these yet
User :   Yesterday only I visisted gastro entrologist
User :   He asked me to take these tablets for 4 weeks and in case it is not cured, he suggested CBC ESR, TSH and LFT tests
Doctor :   ok
User :   Indigestion is problem seems to become worse day by day
Doctor :   ok
User :   I stopped taking spicy food and using salt very normal levels. Some times only having curd rice
Doctor :   ok
Doctor :   may iknow your age ?
User :   32
User :   sorry 31
Doctor :   what is your height and weight ?
User :   Around 5.5 and 59.5
Doctor :   ok
Doctor :   any history of diabtes or high cholesterol or hgh blood pressure in the family ?
User :   My father is heart patient and got the bypass done 2 years back
User :   I got the ECG done 15 days back and it is normal
User :   Cholestrol test was done in my office and it is around 158
Doctor :   ok
Doctor :   i would like to tell you that
Doctor :   the indigestion problem you are experiencing is quite common in people of your age
User :   ok
Doctor :   it is not coming under control as your stress is not coming down
Doctor :   anxiety is a contribuitng factor which increases this problem
User :   ok
Doctor :   apart from this , not eating on time , skipping meals , staying without eating food for long is a contributing factor
Doctor :   the more you delay food on time , the more is the acid produced and this increases heart burn
User :   ok
Doctor :   stress also leads to increase in the acid turn over
Doctor :   may i know if you smoke or drink alcohol?
User :   No habits of smoking, alchohol or anything
User :   Even stopped coffee and tea and take Milk only
Doctor :   ok that is good to learn
Doctor :   yes, coffee , tea must be consumed in moderation
Doctor :   how is your sleep pattern , do you get good sleep?
User :   As I said, if I sleep in day time, I get very good sleep but in the nights I dont get good sleep
User :   I get up suddenly with some kind of fear in mind
Doctor :   from how long has this been ?
User :   I have a problem of not being able to sleep in dark from long time however, fear in mind started after my brother in law met with accident last month
Doctor :   ok
Doctor :   how is he doing now ?
User :   I used stay with friend and I never had problem with sleeping in nights however, from past 4 year I am alone and sleep is not this serious
User :   He is recovering
Doctor :   ok
User :   But from last month, I could not sleep so I am avoiding being alone at home and going to friend's room in the nights most of the times
Doctor :   getting good sleep is very important
Doctor :   else it will also add on to stress
Doctor :   do you do any exercise daily?
User :   I walk daily but not doing any exercises specifically
User :   Planning to join yoga and do swimming daily
Doctor :   you walk for how many kms /how many mins
User :   In the night after meal I walk around 1 to 1.5 kms basically 10 round of up and down of 100 mts road
Doctor :   that is good
User :   My burps comes down what I walk after my meal
Doctor :   ok , i would also agree with the doctor gastroenterologist , that this is more related to anxiety
User :   In the afternoon, we walk around 0.5 to 1 km after meal
User :   When I am in office, I am active but when I reach home I started having all these issues
Doctor :   i would suggest you to have a word with homeopathy doctor and then start the medicines gastroenterologist suggested
User :   Like fear etc
User :   ok
Doctor :   yes, it is natural since at work you will be occupied and when you are at home the mind start thinking un=wanted things
Doctor :   so i suggest you to start taking medicines
Doctor :   and then you may go for the thyroid test /TSH
Doctor :   as suggested
User :   ok, what is this tsh?
Doctor :   apart from this , I feel since your ECG is normal nothing much to worry
Doctor :   TSH is thyroid stimulating hormone
Doctor :   it is the level of TSH that helps in knowing how the thyroid gland ofa person is functioning
Doctor :   many times thyroid causes palpitations , anxiety, lack of sleep , etc
User :   ok
Doctor :   but it is more common in women than men
Doctor :   so , i feel you may take these medicines first and see for the improvement
Doctor :   meanwhile i suggest you to find a room mate
User :   ok
Doctor :   so that you get some company at night
User :   My wife will be coming next weekend so it is no longer going to be a problem
Doctor :   else engage yourself in reading books , go to gym or do yoga
Doctor :   this will keep you occupied as well as help you
User :   ok
Doctor :   as you said swimming is also very good for health
Doctor :   ok , good to know that your wife will be coming
Doctor :   i think you must come out of all the feard
Doctor :   fears*
User :   I was trying but could not come out, that is the main reason I was staying alone for past 4 years
Doctor :   ok
Doctor :   have you tried consulting a psychiatrist/
User :   No
Doctor :   i would sugest you see one , they will give you good counselling to come out of the fears
Doctor :   since you have been facing it from long time , you need some help in this regard
User :   ok, do you suggest any name ?
Doctor :   sure
Doctor :   may i know where you are located
User :   Bangalore
Doctor :   which area?
User :   Old airport road
Doctor :   ok, may i confirm your phone no and mail id
User :   Yes
Doctor :   thanks for the details
Doctor :   our customer care service will call you in a while with the details
User :   ok thank you
Doctor :   did i answer your questions ?
User :   yes doctor
Doctor :   could you follow my suggestions ?
User :   Tomorrow, I have an appointment with gastro entrologist to speak to him about my other problems
Doctor :   ok
User :   Yest definately with respect to stress, I will do so
Doctor :   good to learn
Doctor :   you first see the gastro
User :   Thanks for your suggestions, everyone is telling me to reduce my stress but not the steps on reducing stress and you helped me a lot
Doctor :   and then see the psychiatrist
User :   sure doctor
Doctor :   you can surely reduce it
Doctor :   do not worry
Doctor :   and tell your psychiatrist what medicines you are on
User :   ok
Doctor :   and express every problem in detail to the doctor
Doctor :   are there any more questions for me to help you with ?
User :   thats it for now
User :   Thank you very much for your counseling
Doctor :   pleasure here
Doctor :   thanks for consulting me
Doctor :   you could get back to us anytime for further suggestions
Doctor :   good day and take care
User :   sure definately
User :   you too have a good day and bye
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