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Have IBS. Taking thyroxine for hashimoto. Getting headache, found WBC in urine. What is wrong?

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Posted on Fri, 19 Apr 2013
Question: i wonder if you could give some advice. I am 44 years old - for last couple of years have numerous ailments.
I do have hashimotos and take thyroxine. My vitamin d was low so I take tablets for that. Years ago I had constant weight gain and bloating etc. Doctor put it down to IBS with no other tests apart from pelvic ultrasound.
I injured my back a year ago and twisted it again one month ago (which left me sitting around for 2 weeks) - didn't go to doctor for that. I have been feeling off for at least 6 months and unable to get pregnant. I have headaches every morning - have pain in my kidneys and lower back. I did have really bad hemerroids 5 months ago which I treated without doctor. Now I am worried. Had test and urine shows white blood cells. Back hurts, kidneys hurt, constant fatigue, headaches in morning, have funny tingling cold shivers down legs off and on and down my back occassionally. Have a little bit of urine leakage as well... Any clues...
Also the other day I was out in the car and needed to have a bowel movement and I had to hold on until I got home. It was very painful holding it and hurt. Could this be caused from the hemorroids. They did take at least 3 weeks to resolve.
doctor
Answered by Dr. Seikhoo Bishnoi (4 hours later)
Hello
Welcome to Health Care Magic

First of all a brief summary of your problem-

You are a 44 year old healthy female, you have medical history of Hashimoto Thyroiditis and you are taking Thyroxin for it. You have problem of bloating in abdomen and cramping and after pelvic USG doctors labelled it as IBS). You have been feeling off for 6 months and you have headaches, pain in knees, lower back daily and tingling down the legs and back. Your urine examination showed WBC. You were not able to hold and had severe cramp also.

First of all I would like to tell you that as you have Hashimoto Thyroiditis so a number of symptoms you are having are because of Hashimoto's only.

-Thyroid hormones are low in Hashimoto's and low thyroid hormones cause slow motility of bowels. Due to slow motility individual tend to have constipation and in response to constipation he/she tend to strain more. Excessive straining results in increased risk of hemorrhoids. Cramps in abdomen are also due to hypothyroidism. For this I would advise you to get your Thyroid Function Tests done even if you are taking thyroxin. Low T3/T4 and high TSH may be seen in hypothyroid states.

- Other symptoms you are having frequent headaches, pain in knee joints, pain in back, tingling and paraesthesia in extremities etc. are most likely Somatic Symptoms due to Mild Depression. In Hashimoto's a number of patients show signs of Mild to Moderate Depression. Due to poor control of hormone levels these individuals are at risk to develop Depression. The symptoms of frequent headaches, feeling off, pains, tingling, tiredness, fatigue all are somatic symptoms of depression. But control of thyroid alone improves these symptoms. If symptoms don't improve then I will advise you to consult your doctor for evaluation for Depressive symptoms.

- Cramping, Bloating and constant weight gain are all features of hypothyroid states.

So as I have mentioned go for -
- Thyroid Testing and check if there is hypothyroidism.
- Take high fibre diet and stool softeners (ispaghula husk).
- Drink plenty of water at least 8-10 glasses per day.
- Don't strain excessively.
- Try relaxation exercises, breathing exercises to decrease stress levels.

Hope I cleared your doubt, If you have more questions you can ask again in follow up.

Thanks
Dr. Seikhoo Bishnoi, MD

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

Psychiatrist

Practicing since :2007

Answered : 5195 Questions

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Have IBS. Taking thyroxine for hashimoto. Getting headache, found WBC in urine. What is wrong?

Hello
Welcome to Health Care Magic

First of all a brief summary of your problem-

You are a 44 year old healthy female, you have medical history of Hashimoto Thyroiditis and you are taking Thyroxin for it. You have problem of bloating in abdomen and cramping and after pelvic USG doctors labelled it as IBS). You have been feeling off for 6 months and you have headaches, pain in knees, lower back daily and tingling down the legs and back. Your urine examination showed WBC. You were not able to hold and had severe cramp also.

First of all I would like to tell you that as you have Hashimoto Thyroiditis so a number of symptoms you are having are because of Hashimoto's only.

-Thyroid hormones are low in Hashimoto's and low thyroid hormones cause slow motility of bowels. Due to slow motility individual tend to have constipation and in response to constipation he/she tend to strain more. Excessive straining results in increased risk of hemorrhoids. Cramps in abdomen are also due to hypothyroidism. For this I would advise you to get your Thyroid Function Tests done even if you are taking thyroxin. Low T3/T4 and high TSH may be seen in hypothyroid states.

- Other symptoms you are having frequent headaches, pain in knee joints, pain in back, tingling and paraesthesia in extremities etc. are most likely Somatic Symptoms due to Mild Depression. In Hashimoto's a number of patients show signs of Mild to Moderate Depression. Due to poor control of hormone levels these individuals are at risk to develop Depression. The symptoms of frequent headaches, feeling off, pains, tingling, tiredness, fatigue all are somatic symptoms of depression. But control of thyroid alone improves these symptoms. If symptoms don't improve then I will advise you to consult your doctor for evaluation for Depressive symptoms.

- Cramping, Bloating and constant weight gain are all features of hypothyroid states.

So as I have mentioned go for -
- Thyroid Testing and check if there is hypothyroidism.
- Take high fibre diet and stool softeners (ispaghula husk).
- Drink plenty of water at least 8-10 glasses per day.
- Don't strain excessively.
- Try relaxation exercises, breathing exercises to decrease stress levels.

Hope I cleared your doubt, If you have more questions you can ask again in follow up.

Thanks
Dr. Seikhoo Bishnoi, MD