Get your Health question answered in 3 easy steps

195 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

What casues sudden fatigue with pain on sides and hot flashes?

Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

default
Posted on Tue, 19 Aug 2014 in Veins and Arteries
Question: Hello! I am a 44 year old female with symptoms of sudden and severe exhaustion, pain in my sides, hot and cold flashes, swollen eyelids and bloating throughout my body. My stomach has a "hot-feeling" and I get a little lightheaded and queasy. When I get out of bed my whole body hurts, especially my feet and legs and it hurts to walk for a few minutes. I am extremely pale with dark circles under my eyes. I went to see a doctor a couple of weeks ago for the pain in my sides and exhaustion and they found a slight urinary tract infection and sinus infection and gave me antibiotics. The sinuses are better but I still have the pain in my sides. I have Hashimoto's Thyroiditis and Celiac Disease. I also have had a major clotting incident while on fertility meds. Clotted off my Inferior Vena Cava leaving me only a collateral circulatory system from my legs to my heart. I take Armour Thyroid and Lamictal and every 10 days I take a couple of Aleve and Butalbital for Migraines. Some of the symptoms seem like Hashimotos, some seem like symptoms of venous insufficiency and some seem like Celiac but they are all hitting at once with severity and it is scaring me! Help!
doctor
Answered by Dr. Shehzad Topiwala 9 hours later
Brief Answer:
Thyroid

Detailed Answer:
Sorry to hear about your symptoms.

It will indeed be difficult to put this all together in a conjoint manner.

The best way to approach this will be to individually address the respective problem.

For example, I will address the endocrine component which is the thyroid. You will have to seek help from the Gastroenterologist for celiac and hematologist for the clotting part.

If your diagnosis for 'hypothyroidism' is correct then your thyroid antivodies are likely to be positive. Do you have an actual report of thyroid peroxidase (TPO) or anti thyroglobulin antibody?

Further, what is your most recent result regarding the TSH blood test? Armour thyroid is not recommended by experts as the standard treatment for an under active thyroid. It is levo thyroxine.

If the thyroid is not regulated correctly, it can give rise to a myriad symptoms including many of the type you are experiencing.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shehzad Topiwala 14 hours later
Thank you for your response. I do agree that my Thyroid MUST be responsible for a good portion of these symptoms, I justwanted to make sure it didnt sound like some other strange health issue was cropping up. Yes, the endocrinologist specifically tested me for Hashimotos and I DO have the antibodies. I think the Dr who originally prescribed Armour was partial to it because it helped his own wife more than the Synthroid did. And it has in fact been effective for me as well for the past few years. But I forgot to fill the prescription before I went out of town last month and didnt take it for over a week. I dont know but maybe that is what triggered these symptoms. I dont have an endocrinologist at this time, I guess I will need to find one so I can better manage my thyroid issue. Please let me know if you have any further questions or suggestions for me. Thank you!!!
doctor
Answered by Dr. Shehzad Topiwala 18 hours later
Brief Answer:
Follow up

Detailed Answer:
I see.

I just hope you find an Endocrinologist who like the vast majority of endocrinologists worldwide follows standard evidence based practice guidelines. So that (s)he will offer you levothyroxine for your hypothyroidism. Regulating the dose for a given individual is not typically a challenge for an endocrinologist.
Armour is deemed unsafe by thyroid experts
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Drug/Medication
Medical Topics ,  

Recent questions on Sinus infection

doctor1 MD

My Mother has C-Diff and can no longer take most antibotic so the question is how do we treat small infections like a sinus infection or a kidney infection. I know the one antibotic she can take is Flagaral but if she takes it to much will it help her when the c-diff acts up again. Also how contagious is it when she isnt sick with it.

doctor1 MD

Hi last August I had a sinus infection together with what felt like an explosion in my head. This happened 2 months after being put on a second blood pressure tablet and after a course of antibiotics. I had an intense pressure in my head and ears. The problem is still on going and I have had two MRI scans and been cleared through ENT, the second MRI was to look closer at the Trigeminal Nerve (am on Carbamazepine) but all seems normal. The sensations (difficult to discribe) down my right side of my head mainly seem to be coming from the temple area. The neurologist has passed me back to my doctor but said in his letter that they could refer me back to him if needed! I still have not had any real diagnosis. Can you help me please?

doctor1 MD

my sister is in hospital... total knee replacement 10 weeks ago, doing great diagnosed with sinus infection last week, drainage, coughing, lost voice this Tuesday had fever 101.6 with redness on surgical site went to dr next day. said cellutitis, sent her to ER @ hospital. Did blood cultures, chest xray, ultrasound of lower leg. Sent her to Omaha to her knee surgeon. He said no infection in knee, but she was sick and had infection. Gave her Zpack antibiotics. Sent home Today (Friday) went to clinic again. Dr. admitted her to hospital in Omaha. Her scar is redder and spreading. sudden redness in ankle and splotches all over leg that look like hot water has splashed and burned her. Dr. said doesn t look like normal cellulitis. Had lots of questions about cancer in family. We are all worried sick. What is causing this? She had taken her antibiotic pill today so they are going to start her on strong IV antibiotic Saturday. Thank you so much for your kind advise.

doctor1 MD

Can you take amoxicillin and Valtrex for shingles at the same time. I have a sinus infection and my shingles has returned. YYYY@YYYY

doctor1 MD

Hello Sir/Mam, My self XXXXXXX XXXX and i m 29 yrs old.I m accountant by profession.from last 1 yr i m suffering from Sinus problem.I DAILY FEEL PAIN IN MY FOREHEAD IN MORNING NEAR 11-12 AM. AND IT IS NOT SHARP PAIN .I FEEL PAIN IN MY FOREHEAD AND...

doctor1 MD

I had a sinus infection about a month ago and right after i had a headache on the top back of my head. It was not severe but throbbing intermidiatly. Head ache long gone but the same spot is sore to the touch and i is sore if i move my head most...