Hi there. Thank you for your question. I will be helping you out with your queries
Have you had any tests done for this?
MRI, Chest X ray, abdominal scan, blood tests
Have you had thyroid hormones checked?Have you had tests for your heart done?
MRI, CXR, blood tests,abdominal scans
What does your GP think it could be?
Has he given you a diagnosis as yet?
Please let me know.
Weight gain, with tiredness, shortness of breath and pitting edema indicates that you could be having either a heart problem (heart failure), thyroid problem (although that would usually cause a non-pitting edema), liver problem, kidney problem, chronic lung disease leading to right sided heart problem.
So all these conditions should be considered and ruled out.
Rarely rapid weight gain can be caused by conditions such as Cushing's syndrome, particularly if this associated with high blood pressure and high blood glucose levels.
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She also has an underactive thyroid gland - this has been checked and they say it is ok. She suffers from unrelenting fatigue and would sleep for 20 hours out of 24 hours. Fairly regularly, her temperature plummets, making her hypothermic.At this point, she becomes mixed up and her legs and face becomes more swollen than ever. She is becoming very low and dispondant. She also has chronic diorrhea. Her weight gain was very sudden and she also suffers from a painful back. She seems to feel the cold. She moves very little through the day as she feels very weak. Her voice often becomes slurred
when was the last time the thyroid was checked?
Most of the symptoms that you do mention fit into a low thyroid and its surprising that her thyroid function is normal
Are you with me?
I am Doctor Thomas, double board certified doctor in internal medicine and integrative medicine. I will start by asking you a question or by giving you an answer based on your information provided so far. I will be here to follow up with any further questions or concerns you might have.
A significant number of thyroid patients are under treated.
The range for TSH which monitors thyroid, is wide, and "normal" goes up to 4.5.
However, studies reveal that most patients are not optimal until the level is between .5 and 1.
Check this level now. It is very likely your friend is under treated.
Use reply to let me know if you have further questions [click reply to expert]. Please do not forget a positive rating [hopefully you will click an excellent; or come back to ask me more as needed].
Hashimoto's Disease was considered, however this was ruled out - pituitary gland & hypothalamus were mentioned, but we were told neither of these were part of the cause. She also believes she is becoming more forgetful. She lacks motivation. When her temperature goes so low (just around 30 degrees), her vital statistics appear ok i.e. BP, blood glucose levels, pulse rate, saturation levels. She does, however, get mixed up. Although she has suffered huge weight gain, she does not eat more than she used too. Her thyroxine levels were tested some months back and, although she has an underactive thyroid gland, they seemed to be within the correct range.