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Suggest Treatment For Severe Anxiety, Abdominal Bloating And Diarrhea While Treating Depression

Posted on Sat, 14 May 2016

Question: Hi! Im from sweden, so our measurement Is not the same for test of hyperthyrodism. But i have almost all the symtoms : loose stool/diarreha, anxiety, always om the go, shaky hands, lost 18kg in 11 months, depression, resting heart rate 95, feels lika a pressure or lump in my throat (not all the time), warm body (especially belly). My symtoms are worst in the morning. My doctor has dismissed my symtoms as IBS and anxiety. Byt i never have stomach pain or bloating, and i dosent matter what i eat, and precribed medicins dont help much. My tsh levev is currently 1.0 and t4free is 20. (According to our systems). Do you think i should look this upp further with a doctor for hyperthyrodism? Thanks i advance, Emma

Answered by Dr. Shehzad Topiwala (47 minutes later)

Brief Answer:
Thyroid

Detailed Answer:
It seems very unlikely that you have a thyroid problem because your TSH is normal. Is the free t4 of 20 also within normal limits for your laboratory reference range?

Free T4 normal range tends to vary from lab to lab.

So if these two test results are normal then it is extremely unlikely that your thyroid is not functioning properly.

I am sorry to note the symptoms you have.

When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
25 hydroxy Vitamin D

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (13 minutes later)

Our free t4 limit range is 9-22. And limit range for tsh .4-4.0. and i also suffer from sleeping problems, i forgot to type that. Are my results not i the tops and bottom despite whitin the range? I took tsh test in august -15, and then my tsh was 1.6. Freet4 was the same. I think i sounds strange with ibs, because in that diagnoce i only suffer from 1 symtoms. Ive been eating loperamide, and it only helped a little. Now im eating an anxietymedc from tricyclic family seens 4 weeks, and so far no improvment.. What can it bee you think, if not hyper?

Answered by Dr. Shehzad Topiwala (2 hours later)

Brief Answer:
Follow up

Detailed Answer:
I have reviewed the additional information you have provided.

It is most likely unrelated to thyroid. Your thyroid is working fine.

You will have to continue to explore other potential causes by consulting various specialists in-person

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar