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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stomach Disorder, Headache, Eye Pain, Throat Pain. Taken Carbimazole. Done Thyroid Test. Right Track?

I went to doctor (Gastrologist) four weeks back for stomach disorder. He recommended for thyroid test. The test reports indicated TSH .029, T3 6.6 pmol/L, T4 22.28 pmol/L, anti thyroperoxidase antibodies 7.2. Urine 5-HAA, quant 24 hr 4.0 5 HIAA , 1.9 My symptoms are: stomach disorder, pain in eyes, head ache, feverish, weakness in body, no appetite , loss of weight, sleeplessness , lack of sleep, pain in throat (minor swelling / node) etc… Internist advises me Carbimazole 5mg 4 tablets per day plus propranolol HCL 10mg 2 tablet per day and recommended me to visit endocrinologist for further advise on medicine. I took these prescribed medicines 10 days before visiting the endocrinologist on appointed day, he advises me to continue these medicines except increase Carbimazole from 4 tab to 9 tabs per day. Same day I visited another internal medicine doctor for second opinion, he told me since you are having pain & nod in throat, it is advisable do not take Carbimazole until you do these below test because these medicine may further complicate your throat pain& nodes. Thyroglobulin receptor antibody Thyroid radioiodine uptake scan I have already given the blood sample for Thyroglobulin receptor antibody test & awaiting for result. Please advise I am on right track / treatment / save hands.
Mon, 17 Dec 2012
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Endocrinologist 's  Response
you seem to suffer from thyrotoxicosis related to thyroiditis .you will benefit from propranaolol and short course of steroids.Carbimazole will work only if your thyroid scan uptake is high.
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Stomach Disorder, Headache, Eye Pain, Throat Pain. Taken Carbimazole. Done Thyroid Test. Right Track?

you seem to suffer from thyrotoxicosis related to thyroiditis .you will benefit from propranaolol and short course of steroids.Carbimazole will work only if your thyroid scan uptake is high.