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Dr. SH
Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8770
Experience:  Doctor of Medicine
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rapid weight gain, intense tiredness, shortness of breath,

Resolved Question:

rapid weight gain, intense tiredness, shortness of breath, pitting oedema
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. SH replied 3 years ago.

Dr. Shahzad MD :

Hi there. Thank you for your question. I will be helping you out with your queries

Dr. Shahzad MD :

welcome

Dr. Shahzad MD :

Have you had any tests done for this?

Customer:

MRI, Chest X ray, abdominal scan, blood tests

Dr. Shahzad MD :

Have you had thyroid hormones checked?
Have you had tests for your heart done?

Customer:

MRI, CXR, blood tests,abdominal scans

Dr. Shahzad MD :

What does your GP think it could be?

Dr. Shahzad MD :

Has he given you a diagnosis as yet?

Dr. Shahzad MD :

Please let me know.

Dr. Shahzad MD :

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.

Dr. Shahzad MD :

So all these conditions should be considered and ruled out.

Dr. Shahzad MD :

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.

Dr. Shahzad MD :

Let me know if you have more questions.

Dr. Shahzad MD :

Rate me for my services when you are done asking.

Dr. Shahzad MD :

Kindest Regards

Customer:

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

Dr. Shahzad MD :

when was the last time the thyroid was checked?

Dr. Shahzad MD :

Most of the symptoms that you do mention fit into a low thyroid and its surprising that her thyroid function is normal

Dr. Shahzad MD :

Are you with me?

Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8770
Experience: Doctor of Medicine
Dr. SH and other Medical Specialists are ready to help you
Expert:  DrRussMD replied 3 years ago.

Hello

 

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].

Customer: replied 3 years ago.

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.

Expert:  DrRussMD replied 3 years ago.
It does not matter that they said it was ruled out.
Guidelines have changed and most doctors have not caught up.

I bet that she is hypothyroid.

She is treated and not enough.
Hashimotos or not.


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].