Please help - Advice needed

[Therunaround11]

I've had the following symptoms for the past 5 months; blurry vision/floaters, hairloss, excessive sweating under arms, shortness of breath, feeling like I'm over heating, frequent urination, thirst, muscle aches, ringing in right ear, pale, voice goes hoarse, pain in upper left stomach, puffy eyes.

My thyroid according to my doctor came back normal - tsh 2.18 but as far as I'm aware he hasn't requested the t4 or the other tests listed on Thyroid UK. Should I demand these tests? I'm not thyroid literate as this is new territory for me however I'll be amazed if these symptoms are not thyroid related.

I've also had additional tests, including my ferritin and vit D which both showed up borderline low. I've been taking iron and vit D supplements for the past 3 months and still feel like hell. My B12 came back high.

I have an appointment in a couple of hours - could anyone advice which further tests I should request from my GP?

[PinkNinja]

I'm not sure what tests should be carried out other than those you have already had but this does need looking into. It may not be your thyroid, unless you are already diagnosed, but there could be another underlying cause to your symptoms. Please do insist that, if he doesn't know what is wrong, your GP refers you to a specialist to look into this.

There is a chance it is thyroid but it can't be ruled out without a T4 test because it could be secondary caused by pituitary or hypothalamic dysfunction. This is the main reason I don't like the TSH test used on its own - it doesn't rule out secondary causes of thyroid disease.

If you can, ask for your GP to test all your other hormones such as cortisol, dhea and your sex hormones. There may be other problems. It might also be a good idea to ask for a full blood count and a red blood count and a diabetes test. The pain in your stomach also needs looking into to make sure there isn't an issue there.

When we are diagnosed with thyroid disease it is very tempting to blame all our symptoms on our thyroids. It is often our thyroids that are to blame but sometimes it isn't so it is important to make sure we look at all the possibilities.

I hope your doctor is able to help you so you can feel well again.

Carolyn x

[Therunaround11]

Thankyou for the reply Carolyn.

I've had two lots of fbc tests and a test for diabetes both which have come back normal.

I've also had an ultrasound stomach pain - normal.

I just wanted to check if the tsh was a conclusive test to diagnose a normal thyroid but I'm glad you mentioned the t4 as tonight I will mention this.

Thanks again

[Therunaround11]

Thankyou for the reply Carolyn.

I've had two lots of fbc tests and a test for diabetes both which have come back normal.

I've also had an ultrasound stomach pain - normal.

I just wanted to check if the tsh was a conclusive test to diagnose a normal thyroid but I'm glad you mentioned the t4 as tonight I will mention this.

Thanks again