Upper right abdominal pain and high TSH?

[KhBr]

Hi everyone, so this might get a bit long winded, but I will try and be as concise as possible.

Recently I went to my doctor about pain in my upper right abdomen ( underneath my breast, with the pain radiating down to my lower back), which I have been experiencing for about a month now. The pain is not severe, but is there almost all day, and has started to wake me up in the middle of the night as well.

My doctor did some blood work, and all that came back slightly unusual was my B12 level (>1476), my Gamma Glutamyl Transferease (8), and my TSH (4.32). I also had a urinalysis done, but the only thing that came back of note was Erythrocytes at 0.3.

I have absolutely no medical training so to be honest all of that means nothing to me. All I know that all my doctor was concerned about was the TSH, which he has told me that he wants to do follow up bloodwork on in a month.

I have had an unhappy thyroid since I was a kid, although doctors never diagnosed it, I was put on supplements by my naturopath. The supplements are mainly iodine, and I noticed a huge improvement in my energy when I started taking them (when I was about 13 or so, I am 26 now).

So in short, yes I definitely have a wonky thyroid, but have had so for several years. I don't understand how this could be causing the pain in my side, and why it would so when I haven't changed any of my supplements?

There are some other factors that may have something to do with all of this, but my doctor sort of brushed them to the side;

-I went on the mini-pill 6 months ago, I decided to go with the progestin based type because of the awful migraines the combo-pills gave me. I have been off of the mini pill and any kind of BC for two weeks now.
- I have had a non-itchy rash for roughly 6 months as well, it started on my upper torso (right below breasts) and has travelled down my arms, down to my hips, and recently to my inner thighs. Doc' said it was probably due to the mini-pill and not to worry about it.
-I have not had a menstrual cycle in 5 months, Doc' said this was unusual, but that it would probably come back after some time off the pill.
- Pain in my side has no reaction to food of any kind, and seems to be worse when I am sitting, and especially when I am driving.
- I am EXTREMELY warm at night time, not quite a hot flash, but much warmer than any other time of the day.
- I am also extremely itchy at night time (always feels like bugs on my skin)
- probably due too the two above, I am having a hard time falling asleep. I also used to love a nap in the afternoons, but I find I can't fall asleep for those anymore either, despite being very tired most days recently.

And I think that's about it. Not sure what's up with my body, but I am ready to find some answers! I will also be going to my naturopath soon as well, and see if she can give me any insights.

[Barb135]

I agree with gimel about the thyroid testing and since you have upper right abdominal pain, suggest you ask for ultrasound of gall bladder to check for galls stones.

Since your B-12 is above most reference ranges, do you supplement on a daily basis?

[KhBr]

I was yes, I had extremely low B12 last year and started taking 1000mcg every day. Doc said to start taking every other day now.

[gimel]

In all your info nothing stands out as a potential cause for your problems.  Since you do mention a possible thyroid problem, I would start there and do enough testing to rule that in or out as a problem.  Specifically I suggest testing for TSH, TPO ab and TG ab if TSH is high, Free T4, Free T3, cortisol, Vitamin D, and ferritin.  If you can get those done, then post results and reference ranges shown on the lab report and we will help interpret and advise further.