Weakness, itching

[jiten]

Dear Sir,

Since 15 days, I have lost 4 kg of weight, feeling very tired and weak. Even while standing I feel stammering in my legs, even my hands shakes. My haemoglobin level is 12 and did diabetes test also, but report is normal. I am getting internal fever and feeling like I am dissiparing heat. Having itching on whole body and its uncontrolled. Many a times get throat infection.

Kindly advice, why thius is happening and what medication or test I have to do.

Regards,
Jitendra Panchal.

[Sandeepb007]

How r u?

There is a remedy to your illness. Please go through the link below to study how you can take control of your illness.

http://www.answers.com/topic/hypothyroidism

Please let me know if the link was helpful.

Regards,

Sandeep

[Bhupinder Kaur, MD]

Hello,

Various treatment modalities are there for hyperthyroidism. Some of the symptoms of hyperthyroidism such as tremor and palpitations which are caused by excess thyroid hormone acting on the cardiac and nervous system can be improved within a number of hours by medications called beta-blockers. Beta-blockers do not cure the hyperthyroidism and do not decrease the amount of thyroid hormone being produced, they just prevent some of the symptoms.

For patients with sustained forms of hyperthyroidism, such as Graves' disease or toxic nodular goiter, antithyroid medications are often used. Two common drugs in this category are methimazole and propylthiouracil (PTU) both of which actually interfere with the thyroid gland's ability to make its hormones Antithyroid drugs can have side effects such as rash, itching, or fever, but these are uncommon. Very rarely, patients treated with these medications can develop liver inflammation. The main shortcoming of antithyroid drugs is that the underlying hyperthyroidism often comes back after they are discontinued.

Radioactive iodine is the most widely recommended permanent treatment of hyperthyroidism. This treatment takes advantage of the fact that thyroid cells are the only cells in the body which have the ability to absorb iodine. The only common side effect of radioactive iodine treatment is underactivity of the thyroid gland.

Another permanent cure for hyperthyroidism is to surgically remove all or part.But it is not used frequently.
http://www.endocrineweb.com/hyper4.html
Pls discuss with your doctor the above options and find out which one works the best for you.

Take care and regards.

[Bhupinder Kaur, MD]

Hello,

The thyroid test reports that you have sent to me are confirming the diagnosis of hyperthyroidism.

In this,T3,T4 or both may be raised.Thyrotoxicosis is the term for symptomatic hyperthyroxinemia.Graves’ disease is the most common cause of hyperthyroidism.

As earlier told,treatment of hyperthyroidism involves initial temporary use of suppressive thyrostatics medication, and possibly later use of permanent surgical or radioisotope therapy.The thyrostatic medications used are carbimazole,methimazole and propylthiouracil. Thyrostatics are believed to work by inhibiting the iodination of thyroglobulin by thyroperoxidase, and thus, the formation of tetra-iodothyronine (T4). Propylthiouracil also works outside the thyroid gland, preventing conversion of (mostly inactive) T4 to the active form T3.

Pls consult an endocrinologist and start with the treatment.Regular follow up and estimation of thyroid hormones at regular intervals are required.

Take care and regards.

[Bhupinder Kaur, MD]

Hello,

After looking at the list of lab investigations that you have sent to me along with the symptomatology,I feel that possibility of thyroid dysfunction(hyperthyroidism)is quite high. Hyperthyroidism is a condition in which an overactive thyroid gland is producing an excessive amount of thyroid hormones (T3,T4) that circulate in the blood.

As you already have got thyroid function tests done, so let us wait for its report. Treatment of hyperthyroidism in humans involve initial temporary use of suppressive thyrostatic (drugs that inhibit the production of thyroid hormones) medication, and possibly later use of permanent surgical or radioisotope therapy. From the following link you can get detailed information about hyperthyroidism: http://en.wikipedia.org/wiki/Hyperthyroidism

Other possibility can be of chronic liver disease.I advise you to get your HBs antigen and antiHCV done.Enzymes(SGPT(range:0-40)) may be normal in chronic liver disease.
Take care and pls do keep us posted on how you are doing.

[Bhupinder Kaur, MD]

Hello,

Sometimes internal disease can lead to body itching. These include liver disease, malabsorption of wheat (celiac disease), kidney failure, iron deficiency anemia, thyroid problems and cancers, including leukemia and lymphoma. In these cases, the itching usually affects the whole body, rather than one specific area. The skin may look otherwise normal except for the scratched areas.

Your Hb is 12 which is less than the normal value for a male. The tiredness that you are feeling along with general body malaise is due to low Hb.The only thing that is concerning me is the rapid weight loss. It is giving the possibility of liver disease and leukemias an edge.

Pls get tests like Thyroid function tests, Liver function tests, kidney function tests and complete blood tests to rule out the above possibilities. The specific tests for allergies are skin ***** tests and blood tests like RAST.

You can apply an anti-itch cream or lotion to the affected area. Oral antihistamine, such as Benadryl can also be used. You should take a comfortably cool bath and wear smooth-textured cotton clothing. Covering the affected area with bandages and dressings can help protect the skin and prevent scratching. You should choose mild soaps without dyes or perfumes and use a mild, unscented laundry detergent when washing clothes, towels and bedding.

I feel that evaluation by a physician is necessary to find the exact cause of your symptoms as treatment will depend upon the cause.

Take care and pls do keep us posted on how you are doing.