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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Hashimoto's Thyroiditis?

I have Hashimoto's Thyroiditis. TSH 4.11 2 weeks ago. 5'6" 110 lbs. Over the last few weeks I have been feeling a pressure in the back of my head at the base of my skull and in my neck, along with pressure in my ears. Comes and goes all day. Now what I thought was pressure is feeling more like the muscles in my neck are tightening and relaxing on and off all day long. I have been having dizziness, concentrations problems and I feel spacey. History of mitral valve prolapse syndrome/dysautonomia. Several near fainting episodes that seem to be increasing in frequency. My balance is fine, but walking seems awkward at times. Episodes of paralyzing fatigue. PCP does not know what is going on. Referred me to rheumatologist. Ent referred me to neurologist. I can't get in for 2 months. Feels like problems are progressing. I don't know if it is safe for me to wait that long to be seen. Last MRI was in last 2009, been to neurologist in past for generalized muscle fasciculations. Hx of severe migraine headache. At feel like my body is shutting off or I am about to have a seizure. Read article on Hashimoto's Encepalopathy. Should I persue this avenue? Who should I call?
Wed, 1 Mar 2017
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Diabetologist,  's  Response
Hello,

Welcome to Healthcare magic.

I have read your question completely and understand your concerns.

You are having neurological symptoms and have been correctly referred to neurologist. Did the rheumatologist throw light on your extreme fatigue?
Did the ENT specialist have any diagnosis for your fainting episodes?

Hashimoto's encephalopathy could be a cause of your symptoms, but it is a rare condition. Typically patient is either hypothyroid or euthyroid. Once diagnosed, treatment is with oral steroids and prognosis is good. You could request for an earlier appointment with your neurologist and also discuss about the possibility of Hashimoto's encephalopathy.

I wish you good luck.

I hope this answer has helped you

Thank you

Regards
Dr Sunita Sayammagaru
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What Is The Treatment For Hashimoto's Thyroiditis?

Hello, Welcome to Healthcare magic. I have read your question completely and understand your concerns. You are having neurological symptoms and have been correctly referred to neurologist. Did the rheumatologist throw light on your extreme fatigue? Did the ENT specialist have any diagnosis for your fainting episodes? Hashimoto s encephalopathy could be a cause of your symptoms, but it is a rare condition. Typically patient is either hypothyroid or euthyroid. Once diagnosed, treatment is with oral steroids and prognosis is good. You could request for an earlier appointment with your neurologist and also discuss about the possibility of Hashimoto s encephalopathy. I wish you good luck. I hope this answer has helped you Thank you Regards Dr Sunita Sayammagaru