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Suggest Treatment For Anxiety And Headaches

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Posted on Thu, 12 Mar 2015
Question: I have a prolactinoma and after having 2 children was advised to go back onto the contraceptive pill as I have also been diagnosed with osteopenia. I had not been on the pill or had a period for nearly 4 years. I started on levonorgestrel/ethinyloestradiol 150/30mcg at the end of November last year and last week started levonorgestrel/ethinyloestradiol 100/20mcg as I was getting numerous side effects. Last night I saw a local GP who prescribed me Esomeprazole Apotex 40mg for heartburn which seemed better today, however I have been still having headaches, lightheadedness and anxiety - particularly today. Is this normal?
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Answered by Dr. Shehzad Topiwala (25 minutes later)
Brief Answer:
Prolactin

Detailed Answer:
Sorry to learn about your symptoms.

The symptoms are not normal. They merit thorough evaluation.

When I see someone like you in my practice I order the following tests in addition to a systematic physical examination:

CBC
Liver function tests
Kidney function tests
Electrolytes, Glucose, Calcium
TSH
Free T4
Prolactin
IGF1
8 am cortisol
25 hydroxy vitamin D

Birth control pills can sometimes raise prolactin levels.

Low vitamin D levels can cause bone density tests to show lower results.

I strongly suggest you see an Endocrinologist for a comprehensive assessment
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
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest Treatment For Anxiety And Headaches

Brief Answer: Prolactin Detailed Answer: Sorry to learn about your symptoms. The symptoms are not normal. They merit thorough evaluation. When I see someone like you in my practice I order the following tests in addition to a systematic physical examination: CBC Liver function tests Kidney function tests Electrolytes, Glucose, Calcium TSH Free T4 Prolactin IGF1 8 am cortisol 25 hydroxy vitamin D Birth control pills can sometimes raise prolactin levels. Low vitamin D levels can cause bone density tests to show lower results. I strongly suggest you see an Endocrinologist for a comprehensive assessment