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Have hypothyroidism and vitamin D deficiency. Taking thyroxin. Getting pain in fingers. Required treatment?

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General & Family Physician
Practicing since : 1980
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My wife is Suffering from hypothyroidism and vitamin D deficinecy. Both were diagonised two years before. Tsh test have been done 3-4 times since then. It is within the normal range and she is taking thyroxine 100g tab daily. However Vitamin D test have not been done thereafter. Do she needs to continue the medicine for Vit D. Topcid 40and Calcirol sachets are medicines prescribed for Vitamin D. Since two years she is havin pain in her both palms. Her fingers have become stiff and she is not able to hold pen also or even fold her fingers. The problem increases in winter. Kindly suggest
Answered by Dr. Rahul Tawde 1 hour later
Thanks for writing in. She will have to take thyroxine lifelong. As far Vitamin D is converned its better to take calcirol 0000 unit sachets once a month. Topcid is for gastritis / dyspeptic symptoms. Stiffness of small joints of hands, responsible for her symptomsis not related either to hypothyroidism or vitamin d deficiency. It is most probably due to a rheumatological problem. See a rheumatologist or a physician for this problem. Many of these rheumatologic problems get worse in winter. Vitamin D deficiency is also more common in winter. So dont discontinue calcirol.
Hope this helps
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