HELP! possible WM misdiagnosis / thyroid / case study

[Guest guest]

Hi all, et al, q.e.d.

 

Female 38

Grey hair since 20s, built strongly, condition is one

of post-heaven depletion. Emotional, possible sexual,

abuse involved during childhood. Dx 1 year ago as just

slightly hypothyroid. Began low-dose of thyroid

hormone replacement therapy. S & S involve fatigue and

feeling cold, some weight gain, poor concentration

etc.

Last spring began to develop signs of irritability

and tension, 'wiredness', some fluttery palpitations,

red-rimmed eyes with a tight feeling to them, some hot

flushes followed by clammy cool hands and loose

stools.

Tongue is small bodied, light toothmarks mainly along

sides, body colour is pale pinky-orange, esp to sides

and of a duller pink-red toward middle. Coating is

thin and white and gloss is a little thin. Lips tend

to be on the pale side and occasionally show some

white or blue patches.

Pulses are all a little soggy and indistinct, soft

with a little tightness and weak and slow. Liver pulse

is a little wiry from time to time and the two upper

warmer pulses are empty and often gently float.

 

The problem:

She has, over the last six months, only gotten worse

with her loose stool to the point where she has

diarrhea, up to 20 movements a day, can't sleep well

due to a constant low-grade wiredness/tension, eyelids

are becoming dull in colour with purplish cast.

Her S & S respond excellently to acupuncture BUT tx

effect lasts 15-30 minutes ONLY. This is unlike her

previous tx response before springtime where she was

on a clear upwards trend on all fronts. Her S & S fit

thyroid hormone overdose very well and she has been

trying to get confirmation from specialists but has

gone to every specialist but the endocrinologist b/c

her TSH blood work shows normal (can't get a

referral). Her gastro person did say that her thyroid

could be irritated by the thyroid med, but that

particular conversation didn't get much further.

This week she will go off the medication for one week

so we can finally test, but it is mindblowing to me

that it has taken six months to do a simple,

non-invasive, safe, quick test to rule in or out

thyroid hormone involvement when all aspects of the

case fit thyroid hormone overdose except ONE stupid

reading on a blood test saying normal. Since when does

a blood test number count for more than a whole S & S

constellation??? So the GP is not convinced anything

is going on with the thyroid and is toying with a

final diagnosis of irritable bowel syndrome, for gosh'

sake! Of course it's irritated! By the thyroid

hormone!!!

Of course that's the conclusion I've come to, but

please, anyone share insight, opposing views and such,

I'd appreicate it. I'm wondering how a possible

thyroid hormone overdose stacks up with a normal TSH

reading, or any other possible dx. More than her

actual pattern, i am swayed by her response to

treatment - in my experience such a dramatically

lowered response in a previously good responder is due

to an antagonist, and I blame the thyroid hormone!!

One last thing: is there any way to test for scarring

of the thyroid gland? i.e. to check how much atrophy

the thyroid replacement therapy has caused?

 

Thanks a lot everyone,

Hugo

 

 

 

 

 

_________ALL-NEW

Messenger - all new features - even more fun! http://uk.messenger.