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What Causes Fatigue And Numbness In Hand While On Librax And Metrogyl?

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Posted on Thu, 21 Jan 2016
Question: Hi ,
I am 26 years old male. I was diagnosed with Thyroid 6 months back. The results then are (t3: 1.2, t4: 7.2 and TSH: 14.1) dated 15:6:2015. From then i started using Thyronorm 25 mcg once a day. I again had test results after 3 months and the results are (t3: 1.1, t4: 7.6 , tsh :3.2) dated: 17-10-2015. i am still continuing with the same medicine.
From almost a month I get loose stool within 1 or 2 hours of eating something. I also have problem with my body temperature. I am intolerable to heat. Some time I feel some discomfort with my heart beat. I used to weigh 61 kgs last month and now I was 56. My BP is 110/70. Doctor prescribed me Librax, Metrogyl and Yogut tablets. I m using them from 3 days but had no change with my stool. Also my stomach makes bowel sounds that are clearly audible after taking food. All gets set once I go to washroom.
I feel very weak and cannot even do my regular work out. I used to have numbness in my hands and some shaking in my fingers earlier, but now its normal. But still I cannot hold my smile for long time My right chin shivers when i smile. For this my doctor prescribed Vitamin D tablets. Situation was bit better but not satisfactory.
Please suggest me
doctor
Answered by Dr. Divakara (1 hour later)
Brief Answer:
Need to reduce dose of Thyronorm.

Detailed Answer:
HI

Greetings from Dr.Divakara.P
Thanks for choosing Healthcaremagic.

Regarding your loose motions and abnormal sounds in stomach indicates you are either having Indigestion problem or infection of stomach. A simple test called Stoo routine will differentiate this . Hence kindly get this test done and revert back with report.

Now coming to your heat intolerance , discomfort with heart beats and weight loss , this indicates that your Thyronorm dosage is high for you. I would recommnend you to reduce the dose to 12.5 mcg and repeat TSH after 2 months.

Hope this information was useful to you.
Any clarifications feel free to ask.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Divakara (24 hours later)
Hi Doctor,

As recommended please find attached the Stool report named "report"

As a reminder I am using the following medicines from 4 days.

librax, metrogyl.yogut.

Please suggest.
doctor
Answered by Dr. Divakara (22 hours later)
Brief Answer:
Its Intestinal Infection.

Detailed Answer:
HI

Thanks for the follow up.

Your stool report shows that there is infection. I would recommend you to get started on different antibiotic like Oflox+ ornidazole for 5 days . Kindly get a prescription for this and use it .

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Divakara (2 days later)
When should I use this medicine. Is it after the meal and how how many times a day should I use it. Can I continue this medicine after five days if I Still have the problem.
doctor
Answered by Dr. Divakara (36 hours later)
Brief Answer:
Take it for only 5 days.

Detailed Answer:
Hi

It has to be taken 2 times a day after food for 5 days. Kindly get the prescription from a doctor.

No, don't take it for more than 5 days. If problem persists kindly revert back.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Divakara (15 days later)
Hi Doctor,
As you prescribed I used the medicines and now my loose motions are controlled. But I still have the bowel sounds to some extent. I also reduced my Thyronorm dosage to 12.5. From then I didn’t find any problem with my heart beat and my problem with the heat intolerance is far better than earlier.
I want to put across a problem which I am experiencing from almost 6 months. I raised this issue in my first query, but here is the detailed notes.
1)     I cannot hold my smile for a long time. When I smile my right cheek starts shivering.
2)     My right hand point finger also shivers and I feel little discomfort when trying to do small tasks. Eg its very normal to lift a dumbbell, but I find discomfort when taking a tablet from thyronorm bottle.
3)     When I sleep straight and if I lift my head up or lift my legs up, my stomach muscles starts shaking uncontrollably. I never had this problem earlier and I do some workout regularly.
4)     Also my right chest looks a bit smaller when compared with the left side.
5)     Also please prescribe if I need to take any special medication to gain weight.
Thank you so much for your time 
doctor
Answered by Dr. Divakara (2 days later)
Brief Answer:
Your symptoms could be due to Nerve problem.

Detailed Answer:
Hi

Thanks for the follow up.

Your symptoms suggest that there is some problem in nerves . Medically we call it Neuropathy. There are many causes for neuropathy. We need to evaluate the cause of neuropathy.

In that regard I would recommend the following tests to you.

FBS, PPBS , Serum Vitamin B12 levels, Serum Magnesium levels,

If these tests are normal you need to go for Nerve conduction study of all 4 limbs , MRI Cervical spine .

Kindly revert back with reports. I would also recommend you to get a personal examination by a Neurologist.

For your weight gain I won't recommend any medications . Just take high calorie diet like sweets, Ice creams , Cheese , Dry fruits , meat. Do daily exercise ( any exercise will do but better is lifting weights )

Hope this information was useful to you.
Any clarifications feel free to ask.

Regards.
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Divakara (7 hours later)
Hello Doctor.

Thank you for your reply.

I consulted a neurophysician and he prescribed me to use the following medicines for one month

Betacap tr

Revotril .5 mg.

Please give your opinion.
doctor
Answered by Dr. Divakara (48 hours later)
Brief Answer:
Continue medicines.

Detailed Answer:
HI

Well medicines are fine but some testing should be done . My advise to you is to continue the same medications but go for the tests I advised in my previous reply and revert back with reports.

Regards.
Note: For further follow up on digestive issues share your reports here and Click here.

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

Internal Medicine Specialist

Practicing since :2006

Answered : 2358 Questions

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What Causes Fatigue And Numbness In Hand While On Librax And Metrogyl?

Brief Answer: Need to reduce dose of Thyronorm. Detailed Answer: HI Greetings from Dr.Divakara.P Thanks for choosing Healthcaremagic. Regarding your loose motions and abnormal sounds in stomach indicates you are either having Indigestion problem or infection of stomach. A simple test called Stoo routine will differentiate this . Hence kindly get this test done and revert back with report. Now coming to your heat intolerance , discomfort with heart beats and weight loss , this indicates that your Thyronorm dosage is high for you. I would recommnend you to reduce the dose to 12.5 mcg and repeat TSH after 2 months. Hope this information was useful to you. Any clarifications feel free to ask. Regards.