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What Is The Cause And Treatment For Chronic Lympocystic Thyroiditis?
Question: I have been DX'd with Chronic Lympocystic Thyroiditis. I have had nausea since October 2013 that has gotten worse to where it is now constant. My doctor referred me to Ear-Nose-Throat doctor and stated the nausea is probably caused by my DX. I had a Thyroid Ultrasound and Thyroid Biopsy and they found my problem. Will taking care of this problem end the nausea.I might also add, I had a stomach ultrasound done and nothing was found. I see the specialist this Friday but am getting pretty worried.
I should have thought os all the issues before writing, I have lost 50 pounds in 6 months, not trying, just not hungry at times. TSH and White blood count is up.
I should have thought os all the issues before writing, I have lost 50 pounds in 6 months, not trying, just not hungry at times. TSH and White blood count is up.
Brief Answer:
Hello
Detailed Answer:
Good day,
Noted your case history.
Your TSH is elevated and you seems to have hypothyroidism as a sequale of chronic thyroiditis. If you have no nodules in thyroid, you will not need surgery. Now, nausea is unlikely to be due to this alone. In the initial phase of thyroiditis the TSH tend to go down and T4 goes high. You may lose some weight at that point of time. However, in the long run the TSH will start to go high.
Could you please attach the full blood report ?
Do you feel any neck pain or feel feverish?
How is your blood pressure like? Any giddiness on standing up ?
What is your height and weight ?
I would strongly suggest you to get few blood tests
1) 8 AM serum cortisol
2) Serum sodium and Potassium
3) Fasting blood sugar.
Low cortisol can cause nausea and occasionly, people with thyoid issues tend to have low cortisol as well
Regards
Binu
Hello
Detailed Answer:
Good day,
Noted your case history.
Your TSH is elevated and you seems to have hypothyroidism as a sequale of chronic thyroiditis. If you have no nodules in thyroid, you will not need surgery. Now, nausea is unlikely to be due to this alone. In the initial phase of thyroiditis the TSH tend to go down and T4 goes high. You may lose some weight at that point of time. However, in the long run the TSH will start to go high.
Could you please attach the full blood report ?
Do you feel any neck pain or feel feverish?
How is your blood pressure like? Any giddiness on standing up ?
What is your height and weight ?
I would strongly suggest you to get few blood tests
1) 8 AM serum cortisol
2) Serum sodium and Potassium
3) Fasting blood sugar.
Low cortisol can cause nausea and occasionly, people with thyoid issues tend to have low cortisol as well
Regards
Binu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I do not know the whole report on blood tests, they ran quite a few, just that my TSH was high and white cell count was up. My blood pressure runs under 120/80 always, pretty much a little lower than that. I am 5'2" and weighed 220, now weigh 170. I have multiple nodules on my thyroid. Feel very tired all the time, body aches, no neck pain or feeling feverish. I have diarrhea most of the time. The nausea is what is the issue now as I can't seem to do anything, it gets really bad at times.
Brief Answer:
Hi
Detailed Answer:
Thank you for the reply. Rise in white cell count probably shows that there is a systemic infection or inflammation going on. Lymphocytic thyroiditis is usually auto immune attack on thyroid and as a sequale hypothyroidism can develop later. ( as evienced by your high TSH). Occasionally a systemic response can occur as part of lymphocytic thyroiditis which can explain your symptoms.
The body ache and tiredness could be due to that. Usually this will settle over few days or weeks. But if you are increasingly sick, we might have to look at other causes and you may also require a blood culture in view of rise in white cells.
For nausea, symptomatic treatment with Metoclopramide ( MAxalon or Reglan) may help. Besides , may i suggest following tests,
I would strongly suggest you to get few blood tests
1) 8 AM serum cortisol
2) Serum sodium and Potassium
3) Fasting blood sugar
Regards
Binu
Hi
Detailed Answer:
Thank you for the reply. Rise in white cell count probably shows that there is a systemic infection or inflammation going on. Lymphocytic thyroiditis is usually auto immune attack on thyroid and as a sequale hypothyroidism can develop later. ( as evienced by your high TSH). Occasionally a systemic response can occur as part of lymphocytic thyroiditis which can explain your symptoms.
The body ache and tiredness could be due to that. Usually this will settle over few days or weeks. But if you are increasingly sick, we might have to look at other causes and you may also require a blood culture in view of rise in white cells.
For nausea, symptomatic treatment with Metoclopramide ( MAxalon or Reglan) may help. Besides , may i suggest following tests,
I would strongly suggest you to get few blood tests
1) 8 AM serum cortisol
2) Serum sodium and Potassium
3) Fasting blood sugar
Regards
Binu
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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