Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Hypothyroidism And Anxiety
Question: My daughter has recently been diagnosed with hypothyroidism. They have put her on Levothyroxine (T4) hormone. She also suffers from anxiety. She refuses to take medication for the anxiety but her attacks are becoming worse. She only weighs 109 / female/5'4"/30 yrs. has no appetite, BP only 80/55
Her whole body hurts . She is weak and extremely fatigued. I need help what do I do
Her whole body hurts . She is weak and extremely fatigued. I need help what do I do
Brief Answer:
Consult endocrinologist for multiple endocrine syndrome evaluation & workup
Detailed Answer:
Hi, XXXX, hypothyroidism generally is associated with weight gain , sluggishness, increased sleep , constipation. Anxiety and hypotension (BP-80/55) doesn't occur in isolated hypothyroidism. I also want clarification regarding weight if it is in kg or pound. You have to get her evaluated by an endocrinologist as low weight, hypotension and anxiety may be related to some endocrinal syndrome or central cause linked to pituitary gland. You can post again with actual levels of T3 ,T4 and TSH (With lab cut off values) and dose of levothyoxine. Sometimes mild increase in TSH may not be requiring much doses of thyroxine and so anxiety may be drug related. But, definitely low blood pressure is to be evaluated.
Hoping for good health of your daughter.
reply back as soon as possible.
Thanks
Consult endocrinologist for multiple endocrine syndrome evaluation & workup
Detailed Answer:
Hi, XXXX, hypothyroidism generally is associated with weight gain , sluggishness, increased sleep , constipation. Anxiety and hypotension (BP-80/55) doesn't occur in isolated hypothyroidism. I also want clarification regarding weight if it is in kg or pound. You have to get her evaluated by an endocrinologist as low weight, hypotension and anxiety may be related to some endocrinal syndrome or central cause linked to pituitary gland. You can post again with actual levels of T3 ,T4 and TSH (With lab cut off values) and dose of levothyoxine. Sometimes mild increase in TSH may not be requiring much doses of thyroxine and so anxiety may be drug related. But, definitely low blood pressure is to be evaluated.
Hoping for good health of your daughter.
reply back as soon as possible.
Thanks
Above answer was peer-reviewed by :
Dr. Shanthi.E
Thank you for the information I will get the levels in the morning when she wakes.
Her weight is pounds. Her Levothyroxine is 50 mg once per day. Can I continue
To Correspond with you ?
She is also taking the generic for Bactria DS for a toe infection. Today her hips
Hurt so bad she could not walk for more then a few mins without having to
Sit down. Thank you for any help
Her weight is pounds. Her Levothyroxine is 50 mg once per day. Can I continue
To Correspond with you ?
She is also taking the generic for Bactria DS for a toe infection. Today her hips
Hurt so bad she could not walk for more then a few mins without having to
Sit down. Thank you for any help
Brief Answer:
consult endocrinologist or medicine expert
Detailed Answer:
hello XXXX, the weight is OK according to BMI(18.7). Also 50 microgram of thyroxine is not much and will not lead to anxiety. Her hip pain in presence of infection may be septic arthritis or reactive arthritis. But looking overall clinical condition I will advice you to consult an endocrinologist or medicine doctor to investigate properly. Blood reports for cortisol, FSH, LH, calcium , phosphate, alkaline phosphate, vit D3 levels, Paratharmone may be required.
Yes she can use the generic for the toe infection.
Better to consult a near by expert doctor who can examine her and advice appropriately about the endocrine tests .
Hope your daughter recovers early.
you can contact me on this forum in future also.
Thanks
consult endocrinologist or medicine expert
Detailed Answer:
hello XXXX, the weight is OK according to BMI(18.7). Also 50 microgram of thyroxine is not much and will not lead to anxiety. Her hip pain in presence of infection may be septic arthritis or reactive arthritis. But looking overall clinical condition I will advice you to consult an endocrinologist or medicine doctor to investigate properly. Blood reports for cortisol, FSH, LH, calcium , phosphate, alkaline phosphate, vit D3 levels, Paratharmone may be required.
Yes she can use the generic for the toe infection.
Better to consult a near by expert doctor who can examine her and advice appropriately about the endocrine tests .
Hope your daughter recovers early.
you can contact me on this forum in future also.
Thanks
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. Pradeep Vitta
Answered by
Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
Get personalised answers from verified doctor in minutes across 80+ specialties
