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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 28581
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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i have had lot of problems with my thyroid...first over then

Customer Question

i have had lot of problems with my thyroid...first over then severe hypo...during this time i have been experienceg pain..a dull throbbing in both sides of my jaw....mostly right....blotches on my face....extreme fatigue...ringing in my head...general malaise..now i have a slight swelling in my right arm below the elbow...feels like fibromyalgia gain......i am scared.....my last tsh was 2.79, but didnt get t4.....on 100mcg levo.....eyes are very puffy..please can you help me....i feel like i am going crazy
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Chip replied 2 years ago.
Hi. Besides the thyroid problem do you have any other medical conditions or take any other medications? Has your doctor run any other blood tests besides the TSH?
Customer: replied 2 years ago.

i have 6.5 cholesterol..fibro myalgia....he did a blood count and said mcv was slightly elevated.....i actually feel very ill.....and its depressing me now.....

Expert:  Dr. Chip replied 2 years ago.
OK Jacky. What about cortisol levels, vitamin levels, an EBV viral titer? Were those checked?
Customer: replied 2 years ago.

nope..i asked about cortisol he said nah yr ok.....my vitamins were ok in the Bs, but i fear as i havnt been out much in 5 months my D is very very low......i am sorry..i dont know what a EBV is.....and thank you..for your time

Expert:  Dr. Chip replied 2 years ago.
Epstein-Barr virus--the same virus that causes mononucleosis. Are you taking vitamin D supplements?
Customer: replied 2 years ago.

i have just started yesterday taking pharmo quality D.....oh yes epstein barr..i know now....the sensation is almost like something is flooding my system..i can almost feel it happening and then the throbbing...and it comes in waves..i am no baby for pain and this is bearable but so so depleting....the drawing feeeling in my mouth is vile.....sends me wacko...

Expert:  Dr. Chip replied 2 years ago.
Sorry Jacky--the drawing feeling in your mouth?
Customer: replied 2 years ago.

the throbbing i guess is better word..sorry...i am so tired.....its like the roots of my back teeth and my jaws is creaky..even the dentist said he thought there was infalammation..this started when i went hyper..but seemed to go..now its back with a vengeance....i am scared to keep asking my gp...dont want to sound like I am a hypochondriac..rarely go to the doctors.......

Expert:  Dr. Chip replied 2 years ago.
I understand Jacky. Did the dentist get x-rays of your TMJ joints or perhaps an MRI?
Customer: replied 2 years ago.

no..i am waiting for an apointment....i am scared doc....

Expert:  Dr. Chip replied 2 years ago.
OK Jackie. We can continue after this if you'd like but since I'm not your doctor all I can give you are my thoughts. First off, the jaw problem sounds like a TMJ problem and I'd get an MRI to look for cartilage inflammation or deterioration. That alone is probably not related to all your other symptoms. You need cortisol tests, a rise in that vitamin D level, an autoimmune screening panel of antinuclear antibody, rheumatoid factor, sed rate and C reactive protein to check for something called autoimmune myositis or polymyalgia rheumatica, the EBV titer to check for chronic fatigue syndrome, and, although I think this wouldn't be very likely, I'd screen you for heavy metal (lead and mercury) toxicity. I can't give you just one diagnosis but those are the areas I would investigate
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 28581
Experience: 20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
Dr. Chip and 6 other Medical Specialists are ready to help you
Customer: replied 2 years ago.

i have had radioactive iodine....so that makes sense....also a huge amount of stress...so the cortisol would figure......maybe just a combo of severe hypothyroidism.....and now on the way back up...but its affected me very very badly.....so thanks.......i am exhausted all the time.....CFS...i worked with patients with it.......

Expert:  Dr. Chip replied 2 years ago.
My pleasure Jackie but please let me know how it goes
Customer: replied 2 years ago.

I will....and i will recomend you...i already have.....

Expert:  Dr. Chip replied 2 years ago.
Thanks Jacky

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