What Causes Fatigue, Hives, Intermittent Dry Rashes And Joints Pain In Hands?

Posted on Fri, 9 Oct 2015

Question: I hello,

Recently I've had some blood work done with my annual physical. I've had symptoms for years and my PCP has not been able to pinpoint what's causing them.
Symptoms include: fatigue, sensitivity to cold (hives), dry skin with rashes at times, feeling like I am feverish, excessive weight gain and weight loss, currently I am severely overweight, and joint pain especially in my hands, fluid retention.
I've had CBC PLT Diff, complete metabolic, lipid, UA and micro, TSH done.

Answered by Dr. Dr.N.Senduran (2 hours later)

Brief Answer:
Please upload reports

Detailed Answer:
Hello XXXX

Please upload your investigation reports here which you find it on your left side or you can attach the reports and send to YYYY@YYYY with subject (ATTN to Dr.Senduran Narayanasamy..) As soon as I see the reports,will revert back to you.

Regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr.N.Senduran (4 hours later)

Attached are my test results

Answered by Dr. Dr.N.Senduran (26 minutes later)

Brief Answer:
Sub clinical hypothyroidism

Detailed Answer:
Hello XXXX

Labs are within normal limit. But the clinical features are suggestive of under active thyroid(secondary hypothyroidism) I.e issue in the central axis (pituitary-thyroid-ovarian axis)..Endocrinologist opinion is advisable and you might need thyroid supplementation(I.e 50mcg to start with) and remove your stress factors.

Hope this helps.Reply back if any doubt's.

Take care and wish you good health

Regards

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Sonia Raina