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Are Excessive Anger, Panic Attacks And Weight Loss Symptoms Of Hypothyroidism?
Question: Hi Dr. XXXXXXX
My wife (37) was diagnosed with Hypothyroidism after pregnancy and been on medication (Levothyroxine varying doses 25mcg-75mcg-50mcg). Sometimes, she misses the medication, and as husband, I have been noticing several problems in her (weight loss, fatigue, sleepyness, withdrawn, mood swings, anxiety, panic attacks, depression, anger, aggression etc.) ever since and I was struggling to cope up. She doesn't work and I am the one supporting the family.
As you are an Endocrinologist, I would like to get expert medical advice (via email/letter or fax on letterpad with contact details) in this regard to produce as legal proof for her behavior and get specialist referral - If these symptoms are typical with hypothyroid patients (when they are on/off medication) etc. I am from XXXXXXX working in USA. I'd very much like to talk over the phone as well. XXXX
My wife (37) was diagnosed with Hypothyroidism after pregnancy and been on medication (Levothyroxine varying doses 25mcg-75mcg-50mcg). Sometimes, she misses the medication, and as husband, I have been noticing several problems in her (weight loss, fatigue, sleepyness, withdrawn, mood swings, anxiety, panic attacks, depression, anger, aggression etc.) ever since and I was struggling to cope up. She doesn't work and I am the one supporting the family.
As you are an Endocrinologist, I would like to get expert medical advice (via email/letter or fax on letterpad with contact details) in this regard to produce as legal proof for her behavior and get specialist referral - If these symptoms are typical with hypothyroid patients (when they are on/off medication) etc. I am from XXXXXXX working in USA. I'd very much like to talk over the phone as well. XXXX
Brief Answer:
Suggestions.
Detailed Answer:
Good day XXXX,
Sorry for the delay in reply. ( time zone diference). As i explained yesterday, not all her symptoms are typical of hypothyroidism. Some of them, ( anger, aggression, panic attacks, weight loss) etc doesn't go well with symptoms of a typical case of hypothyroidism.
Hence i am doubtful of a second problem apart from hypothyroidism. This could even be a primary psychiatric problem like anxiey disorder or due to post partum depression/psychosis. When was her delivery? Months or years ago?.
Phone consultation and personal contacts are against the policy of health care magic . I would you to request the customer care to arrange for a chat instead.
I would suggest following tests for your wife.
1) CBC, ESR
2) Vitamin B12
3) 8 am serum cortisol.
4) Serum calcium, liver function test.
5) Serum electrolytes,
6) Free T4, TSH , Anti TPO, Anti TG.
This is to start with. If there are any abnormalities in the above tests, we may need further tests. I would request you to meet your PCP in person. It may be helpful to get a psychiatry/psychology referral as well.
Regards
Binu
Suggestions.
Detailed Answer:
Good day XXXX,
Sorry for the delay in reply. ( time zone diference). As i explained yesterday, not all her symptoms are typical of hypothyroidism. Some of them, ( anger, aggression, panic attacks, weight loss) etc doesn't go well with symptoms of a typical case of hypothyroidism.
Hence i am doubtful of a second problem apart from hypothyroidism. This could even be a primary psychiatric problem like anxiey disorder or due to post partum depression/psychosis. When was her delivery? Months or years ago?.
Phone consultation and personal contacts are against the policy of health care magic . I would you to request the customer care to arrange for a chat instead.
I would suggest following tests for your wife.
1) CBC, ESR
2) Vitamin B12
3) 8 am serum cortisol.
4) Serum calcium, liver function test.
5) Serum electrolytes,
6) Free T4, TSH , Anti TPO, Anti TG.
This is to start with. If there are any abnormalities in the above tests, we may need further tests. I would request you to meet your PCP in person. It may be helpful to get a psychiatry/psychology referral as well.
Regards
Binu
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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