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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Treatment For Tiredness, Constipation, And Weight Gain?

I am 26 years old. Female. & have a couple concerns. Fr a little while now I have been extremely tired. Several months. With that I have EXTREME constipation like 10-20 days with no BM. Also I have gained about thirty pounds in a matter of two months and cannot seem to get it off. I have dark circles under my eyes as well. I have not had a cycle in over two months. I am not pregnant. I had blood work down to look at my thyroid and the TSH was 1.82. My primary said that was normal. My WBC was 4.3 and the RDW was 11.4%. Also my ast 33 and alt 32. I am really tired of being so tired. I generally run a high pulse in the 100s. Can sleep all day. Lately I have developed headaches in the evenings. Three years ago I had a child via cesarian because my blood pressure was too high (don t know I that s relevant)! I just want some help and my doctor doesn t seem to care. Also I supposively have adult ADD. Which I guess contributes to my forgetfulness which is worse as well. Thank you!(also heart disease, cancer, hypertension, thyroid disorders. Are in family hx)
Thu, 21 Feb 2019
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General Surgeon,  's  Response
Hi,

Severe tiredness, constipation, weight gain, forgetfulness , dark circles under eyes and all these symptoms can be due to Hypothyroidism and normal TSH does not exclude unless there is low Free T3 and Free T4.
I would advise you the following in such a situation:
Repeat Thyroid function fully.
Consult your Psychiatrist as you have adult ADD and get treated properly as such problems add to the symptoms that you have.
Consult a Dietitian so that you have have diet adjustments to reduce weight.
Start exercises as this gives all positive things like better oxygenation, reduce weight, feels good and raises self esteem. Thus helps to overcome the problems.
Also consult a Obesity specialist so that a complete clinical evaluation, examination, relevant supportive investigations can help to get the cause and get treated accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant, General Surgeon.
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Treatment For Tiredness, Constipation, And Weight Gain?

Hi, Severe tiredness, constipation, weight gain, forgetfulness , dark circles under eyes and all these symptoms can be due to Hypothyroidism and normal TSH does not exclude unless there is low Free T3 and Free T4. I would advise you the following in such a situation: Repeat Thyroid function fully. Consult your Psychiatrist as you have adult ADD and get treated properly as such problems add to the symptoms that you have. Consult a Dietitian so that you have have diet adjustments to reduce weight. Start exercises as this gives all positive things like better oxygenation, reduce weight, feels good and raises self esteem. Thus helps to overcome the problems. Also consult a Obesity specialist so that a complete clinical evaluation, examination, relevant supportive investigations can help to get the cause and get treated accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon.