• question-icon

    How to treat headache, neck pain and canker sores in the mouth?

default
Posted on Wed, 5 Jul 2017 in Thyroid Problem and Hormonal Problems
Question: I have developed several new problems in the last 4 months that are causing discomfort in different areas. Currently I itch all over, have an upset stomach, canker sores on mouth and tongue that go away but return in a few days. I am having more headaches, and neck pain which may be due to bone spurs which I had removed about 10 years ago along with removing and replacing a disk in my neck any ideas about the new symptoms. My doctor said my thyroid numbers were too low dropping over this same period from 5.5 to.02. Can't find a doctor with any suggestions other than continuing to change synthroid doses

Thanks
doctor
Answered by Dr. Shehzad Topiwala 26 minutes later
Brief Answer:
Tests

Detailed Answer:
Sorry to learn about your bothersome symptoms.

The hydrocodone can potentially lower the TSH. This does not necessarily mean there is a a problem and consequently dose adjustments in synthroid may not be required.
However this is an expert judgement call best made a thyroid expert who has had the opportunity to examine you thoroughly.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting and can be done at any time of the day Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Canker

doctor1 MD

Hello I have a 15 yr old daughter that has two (I am assuming lymph nodes) knots behind her right ear located on her mastoid bone that are painful....

doctor1 MD

I have swollen gums , ulcers on my tongue, and my lower lip has several canker sores. I have been taking metronidazole for the last 3 days. Is this...

doctor1 MD

I️ started out with canker sores and cold sores. Now my tongue is twitching on one side Why has that started the doctor I️ saw said I️ had a viral...

doctor1 MD

I have been getting canker sores non-stop for the past year(only they go away when i take steroids for my back). I now have chapped and very itchy...

doctor1 MD

My husband has crohn's disease and the inside of his mouth - the cheeks are swollen. His face also looks puffy from the outside. He had canker...

doctor1 MD

I have a recurring blister like canker sore on my bottom lip, I am 31 years old and have gotten canker sores before not recurring in the same spot...

doctor1 MD

Hello Doctors, I was recently put on Augmentin 875mg for 10 days for a sinus problem. However, I was reading that some side effects include loose...

Get personalised answers from verified doctor in minutes across 80+ specialties

180 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Shehzad Topiwala
  • Q - Thyroid problem,unable to conceive,hormone deficiency

  • Q - How are headaches and vitiligo treated ?

  • Q - Feel cold, lightheadedness, memory problems, foggy thinking,...

  • Q - Hypothyroidism due to Hashimoto's thyroiditis, taking Thyronorm. Do you...

  • Q - Underweight, taken dexamethasone. How can I gain weight?

  • Q - What can be done for a high blood sugar? Have frequent urination.

  • Q - Had hormone imbalance. Used androgel when testosterone went down. Will...

  • Q - Have a postprandial hypoglycemic reaction to foods with carbs. Gaining...

  • Q - Diagnosed with Hypothyroidism. Is Armour thyroid or Erfa thyroid better...

  • Q - Cold feeling after eating sugar. Headache, fever, BP high, have...

backtotop2