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What Causes Severe Fatigue When Diagnosed With Hashimoto's Thyroiditis?
Question:
I had been hospitalized twice n late March and April of 2016 with an autoimmune related non viral, bacterial, or from any body products that cultured-out. My Rheumatologist is very sharp and the one sure diagnosis made
Hashimoto's Tyroidiiditis. No other treatment for the so far unspecified Autoimmune Disorder has been offered and m fatigue is life altering. I almost Ned a wheelchair and have lost more than 25lbs is 3 months due to extreme fatigue. I supplement with with 40+grams of vegan protein shake daily and anything else I can eat.
I actually cried because I feel just as fatigued lying in bed, rolled in a fetal position as do on my feet.
D you have any advice to help the disabling fatigue until a definitive diagnosis can be made??
I have access to the University of Utah Medical School and system and feel I have excellan care.
My current labs are almost normal with the exception of highly elevated ANA. My WHC which was 39,000 when the pneumonia was rampant is now 11,900, close to normal was told.
But the fatigue is disabling and may cause me to cancel our couple's cruise in three weeks.
Any help you might give would be greatly appreciated. XXXXXXX
YYYY@YYYY
os Thyroiditis
I had been hospitalized twice n late March and April of 2016 with an autoimmune related non viral, bacterial, or from any body products that cultured-out. My Rheumatologist is very sharp and the one sure diagnosis made
Hashimoto's Tyroidiiditis. No other treatment for the so far unspecified Autoimmune Disorder has been offered and m fatigue is life altering. I almost Ned a wheelchair and have lost more than 25lbs is 3 months due to extreme fatigue. I supplement with with 40+grams of vegan protein shake daily and anything else I can eat.
I actually cried because I feel just as fatigued lying in bed, rolled in a fetal position as do on my feet.
D you have any advice to help the disabling fatigue until a definitive diagnosis can be made??
I have access to the University of Utah Medical School and system and feel I have excellan care.
My current labs are almost normal with the exception of highly elevated ANA. My WHC which was 39,000 when the pneumonia was rampant is now 11,900, close to normal was told.
But the fatigue is disabling and may cause me to cancel our couple's cruise in three weeks.
Any help you might give would be greatly appreciated. XXXXXXX
YYYY@YYYY
os Thyroiditis
Brief Answer:
Hashimoto's Thyroiditis
Detailed Answer:
Sorry to learn about your bothersome symptoms.
It is quite likely your thyroid function has been checked in the form of a blood test for TSH. If not, it would be relevant to do so.
Also get evaluated for the possibility of adrenal insufficiency. A blood test for Serum Cortisol at 8 am in the morning is a goo screening test.
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) 8 am Serum Cortisol
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting
Hashimoto's Thyroiditis
Detailed Answer:
Sorry to learn about your bothersome symptoms.
It is quite likely your thyroid function has been checked in the form of a blood test for TSH. If not, it would be relevant to do so.
Also get evaluated for the possibility of adrenal insufficiency. A blood test for Serum Cortisol at 8 am in the morning is a goo screening test.
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) 8 am Serum Cortisol
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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