thyroid

[Guest guest]

>

This is so common with a Western " thyroid " diagnosis. Having seen a

number of cases resulting from thyroid medication I can only conclude

that the thyroid is at a nexus of complicated processes that TSH is

only a small and perhaps insignificant part of. I wouldn't spend a lot

of time on the why of the TSH and treat the case as is.

doug

 

 

 

 

 

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> Message: 17

> Tue, 28 Sep 2004 04:32:10 +0100 (BST)

> Hugo Ramiro <subincor

> HELP! possible WM misdiagnosis / thyroid / case study

>

> 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

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