HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Fatigue, Hyperpigmentation On The Neck And Weight Gain

default
Posted on Tue, 26 Sep 2017
Question: 36 female no BP or Diabetes. suffering from fatigue & pigmentation around neck for 2yrs. doc. suggested thyroid test & recent tests resulted in dilemma. help..
doctor
Answered by Dr. Noble Zachariah (11 minutes later)
Brief Answer:
Discussion follows

Detailed Answer:
Hello,

Welcome and thanks for your query.
Fatigue and weight gain can be due to hypothyroidism.
The pigmentation, if it is velvety can be acanthosis nigricans, a condition associated with insulin resistance.
Please upload a picture of the pigmentation and the recent blood tests.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Noble Zachariah (14 minutes later)
sir 1st report took on 3days back & 2nd report on today. why so much variation?? also she is gaining weight a bit. 2yrs back also checked but no thyroid found in tests. what should we do now??
doctor
Answered by Dr. Noble Zachariah (2 hours later)
Brief Answer:
Discussion continues

Detailed Answer:
I fully understand your confusion.
You have had these tests done in two different labs.
The labs may be using different reagents and hence there may be some minor differences but the large difference in TSH between the two is not acceptable.
However there is no need for a panic. Does she have symptoms of hypothyroidism like cold intolerance, constipation or excess menstrual flow? Is her heart rate low?
If these symptoms are not present there is no reason to worry. If these symptoms are present she may be having hypothyroidism. It would be also good to do Thyroid
antibodies as these are likely to be elevated.
If the dark pigmentation is localised then please upload a picture. If it is generalised darkening , then blood for ACTH also may be checked.

Do get back with your input.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Noble Zachariah (19 hours later)
Sir this is how its looking like. she is around 80kgs weight. should we go for some other tests or keep quiet until it is certain that hypothyroidism is there?? or should she consult a doctor?? pl suggest.
doctor
Answered by Dr. Noble Zachariah (1 hour later)
Brief Answer:
yes.

Detailed Answer:
It would be good if you can consult an endocrinologist who will examine her and suggest if any additional test is to be done.
I shall appreciate it if you could let me know the doctor's opinion.
Take care
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2319 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Fatigue, Hyperpigmentation On The Neck And Weight Gain

Brief Answer: Discussion follows Detailed Answer: Hello, Welcome and thanks for your query. Fatigue and weight gain can be due to hypothyroidism. The pigmentation, if it is velvety can be acanthosis nigricans, a condition associated with insulin resistance. Please upload a picture of the pigmentation and the recent blood tests.