It Can Wait Till Monday
Thank you for asking My friend!
I am Dr S Khan and i would like to answer you queries in detail so sit back and relax while reading it because it is gonna take time.
Lets discuss them one by one
1- Can't take Iron supplements. Absorption issues
My friend you are right iron supplements do that but every issue has a solution. You may take iron supplements empty stomach 30 minutes before meal with vitamin c supplements.They will decrease the issues you previously had to face.If still a problem a parenteral solution of IV iron supplements is also present in guise of ferric carboxymaltose injection (Injectafer).
Gastritis and reflux is a very common collateral damage when a person is on steroids ( hydrocortisone) and iron supplements and anti inflammatory medicines for the pain management. So zegred won't suffice. A complete diet and lifestyle modification would be necessary with a constant touch to a gastroenterologist for a better management. Your Pain In Chest And Directly Below The Left Ribs is this gastric manifestation indicating an inflammation/ gastritis and needs a proper management. You may use triple/ quadruple therapy for H pylori prophylactically.
Meanwhile keep diet soft and bowel friendly, avoid spices and carbonated beverages or alcohol etc, canned foods and all processed foods to the minimum.
Usually oral antibiotics, topical nasal steroids, decongestants, and saline nasal sprays result in symptoms relief but if the issues persist like in your case then seeking an otorhinolaryngologist for surgical options like FESS, uncinectomies, Antrostomies or caldwell-luc etc.
I am sure once sinusitis resolves, the issue of migraine will resolve too. DIetary triggers need to be avoided meanwhile.They are
Alcohol - Particularly wine and beer
Caffeine overuse or caffeine withdrawal
Aspartame - eg, NutraSweet and Equal
(MSG) - May be found in Asian food, canned soup, frozen or processed foods, and the seasoning product Accent
Fruits - Citrus fruits, bananas, avocados, and dried fruit
Nuts - Peanuts, soy nuts, and soy sauce
Tyramine, a biogenic amine that accumulates in food as it ages, may provoke migraine. Sources include the following:
Dairy - Aged cheese
Meat - Bacon, sausage, luncheon meat, deli meat, pepperoni, and smoked or cured meat
Heavily yeasted breads - Eg, sourdough
Vinegars - Especially wine vinegar
Some types of beans
Also menstrual cycles are correlated with migraines and dosages need to be readjusted too.
Try Biofeedback, cognitive-behavioral therapy
, and relaxation therapy.Some CAM techniques like herb butterbur (Petasites hybridus),riboflavin (vitamin B2), magnesium, and feverfew,coenzyme Q10 (CoQ10),Melatonin, Body work - Eg, chiropractic, massage, and craniosacral therapy
,Yoga, Acupressure and acupuncture etc as they have proved fruitful.
5-Heavy Bleeding/ Menorrhagia
As you already a hypothyroid, It can explain that but to correlate it clinically completely a detailed history of Quantity and quality of bleeding,Age,Pelvic pain and pathology,Menses pattern from menarche,Sexual activity,Contraceptive use (intrauterine device
[IUD] or hormones),Presence of hirsutism (polycystic ovarian syndrome
[PCOS]),Galactorrhea (pituitary tumor),Systemic illnesses (hepatic or renal failure or diabetes),Symptoms of thyroid dysfunction,Excessive bruising or,known bleeding disorders,Current medications (hormones or anticoagulants),Previous medical or surgical procedures or diagnosis and a complete examination for Signs of severe volume depletion (eg, anemia),Obesity,Signs of androgen excess (eg, hirsutism),Ecchymosis,Purpura,Pronounced acne,Visual fields,Bleeding gums,Thyroid evaluation,Galactorrhea,Enlarged liver or spleen,Presence of external genital lesions,Vaginal or cervical discharge Uterine size, shape, and contour,Cervical motion tenderness and Adnexal tenderness or masses need to be sorted out.
And all that needs a competent gynecologist so seek one and let them help you.
Fibromyalgia is a chronic pain condition and it needs a complete management from diet and lifestyle to compliance in medicines.Maintain proper sleep routines and keep the food journals. Slowly wean off caffeine, because abruptly stopping caffeine will increase fatigue and pain, headaches, anxiety, and sleep disturbance.avoid alcohol completely for 6 months minimum.No tobacco and no consumption of chemical-laden foods, refined sugars, white flour, aspartame, and monosodium glutamate (MSG).No rich carbohydrates.
A diet high in fresh vegetables, fish, and fiber. Green, leafy, and yellow vegetables is recommended.
Fruits such as citrus fruits, apples, berries, cantaloupe, and peaches may be preferred.
Antioxidants like Vitamins (eg, C, E), minerals (eg, selenium, zinc), and phytochemicals and vitamin D supplements will help.
Seek a rheumatologist
and chronic pain management specialist for further management.
7-Lumps in throat:
That needs an examination to sort out what it is, could be simple tonsillitis, pharyngitis, lymphadenopathy of near by lymph nodes or anything as they are acute in onset. Seek an otorhinolaryngologist for a better assessment and treatment accordingly from there onwards.
Stay compliant to the medicines and stay in touch with your endocrinologist
for a better management.
9-BP and Glucose High:
Needs a control and modification in diet and lifestyle is the key here.Use AHA and ADA diets with weight losing efforts and other preventive measures will help. If medicines needed to control use them continuously. DO as directed by your physician.
And Yes You Can Wait Till Monday.None of the above issues are emergency and can wait.
XXXX it took a lot of time and effort to answer your every point of 10 in 1 query.
I hope it helped.Take good care and dont forget to close the discussion please.