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How To Treat Headache, Neck Pain And Canker Sores In The Mouth?
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
Thanks
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.
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.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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