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Suggest treatment for hives all over the body

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Posted on Fri, 18 Nov 2016
Question: I have a 17 year old daughter who is a state qualifier in cross country and long distance track every year. Her times are way off and she is alternately feeling numb and burning sensations in all her exteremities during running. She has blue lips, chills, and white "hives" all over her body after the race. She was recently diagnosed with hypothyroidism but levels are normal now. No anemia or blood sugar problems. Should I be concerned as a parent and what specialist should we see? She is also tired ALL the time!
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Answered by Dr. Shehzad Topiwala (1 hour later)
Brief Answer:
Start with pediatric Neurologist

Detailed Answer:
Sorry to learn about your bothersome symptoms.

There can be other reasons too for her fatigue, such as calcium and vitamin D problems. 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, for her.
But for the tingling numbness, a pediatric Neurologist will be helpful.
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 hives all over the body

Brief Answer: Start with pediatric Neurologist Detailed Answer: Sorry to learn about your bothersome symptoms. There can be other reasons too for her fatigue, such as calcium and vitamin D problems. 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, for her. But for the tingling numbness, a pediatric Neurologist will be helpful.