Stomach Pain and Hypothyroidism: This case report... - Thyroid UK

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Stomach Pain and Hypothyroidism

diogenes profile image
diogenesRemembering
21 Replies

This case report may be of interest:

in Endocrinology, Diabetes & Metabolism Case Reports

Authors: Kewan Hamid , Neha Dayalani , Muhammad Jabbar and Elna Saah

DOI: doi.org/10.1530/EDM-18-0076

Volume/Issue: Volume 2018: Issue 1

A young girl with stomach pain was shown to be due to hypothyroidism.

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diogenes profile image
diogenes
Remembering
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21 Replies
Kitten44 profile image
Kitten44

Interesting. Before I started treatment, I used to get really bad abdominal stabbing pain episodes (even after going gluten free). Incidence reduced as my doses were increased and fingers crossed have not had any for several months.

Amazing how this disorder can have so many different manifestations!

jimh111 profile image
jimh111

I was just about to post this. It's a shocking example of the lack of training doctors receive for thyroid disorders. So many invasive procedures before they run a TFT. IBS type symptoms and restrictive growth are classic signs of hypothyroidism as is skin cold to touch. The phrase 'patient underwent elective upper and lower gastrointestinal endoscopy' is horrific, a six year old is in no place to elect for painful investigations (more painful for a little one) although I can fully understand her parents consenting out of desperation.

shaws profile image
shawsAdministrator in reply tojimh111

It is unbelievable that children have to suffer for the want of doctors who are fully aware of possibilities of why these children are in pain.

SilverAvocado profile image
SilverAvocado in reply tojimh111

This is interesting, I hadn't realised IBS like symptoms were common with hypothyroid. Several years before I was diagnosed with thyroid cancer I had terrible abdominal pain ring a period of high stress. They eventually went away after about a year.

At the time I thought it was stress only, but since I've suspected the two are linked.

humanbean profile image
humanbean

I've never heard of "abdominal migraine" before. Is that another new condition that's been invented to allow doctors to dismiss patients?

Marz profile image
Marz in reply tohumanbean

Interesting - my youngest daughter used to have horrid stomach pains - so much so that I contacted an Emergency GP one weekend. He diagnosed Abdominal Migraine. I had not heard of it and not able to research at that time - almost 40 years ago. She went on to have surgery as they suspected Crohns ( as I have it ) and a small part of the bowel was removed. Later she was diagnosed with Thyroid Cancer - around 10 years ago and has also had further tumours - Chondroid Tumours - in her leg. Latest reports are - doing well :-) A family of fighters !

shaws profile image
shawsAdministrator in reply toMarz

How awful the experiences some people have. I'm glad you are all doing well now.

SilverAvocado profile image
SilverAvocado in reply toMarz

Interesting Marz, I was just writing above that before my thyroid cancer diagnosis I had a period of abdominal pain! I wonder if the link is more specific than just thyroid.

A shame there are so few thyroid cancer patients on the forum. Its hard to even swap anecdotes about things like this :(

Marz profile image
Marz in reply toSilverAvocado

Maybe it is the immune system working overtime that can create stomach pain - only thinking this as the immune system runs alongside the gut ... of course nothing I have read - just a hunch ! Also the accompanying inflammation with being Hypo.

humanbean profile image
humanbean

Considering how severe her hypothyroidism was I'm surprised she could even walk. I'm also surprised that nobody did a Full Blood Count very early on, or how so many of the levels could be out of range without anyone noticing them. It's one of the commonest tests done in the UK. Presumably the endoscopic procedures she went through involved an anaesthetic, which then suggests that she underwent anaesthetics without a proper check-up beforehand to assess the risks of such a thing. I wonder how much money it cost the parents and whether or not they have been bankrupted by medical incompetence.

humanbean profile image
humanbean in reply tohumanbean

Ah, I've just read it again. The lab used adult reference ranges to begin with!

WAHINE profile image
WAHINE in reply tohumanbean

Are you sure about the reference ranges. It say 2-9 years.

Adult reference range for MCV in the UK is 80-100 femtolitres .

humanbean profile image
humanbean in reply toWAHINE

Yes, they got the reference ranges right for the child eventually. But I found this sentence in the article (second last paragraph of the Discussion) :

However, the use of adult reference range by the laboratory initially caused some delay.

WAHINE profile image
WAHINE in reply tohumanbean

Yes ...See what you mean. Good case study, never thought about abdominal pain being a symptom of hypothyroidism in children

diogenes profile image
diogenesRemembering in reply tohumanbean

For me, this is just another case of taking the long road when you could take the short. Thereby subjecting patients to unnecessary trouble. A matter (failure) of first not thinking before acting. And a severe lesson that hypothyroidism has many guises and in women (and girls) there is such an incidence (2% +) that TFT's should form a frontline test schedule.

SlowDragon profile image
SlowDragonAdministrator

Unbelievable.

Her mother had lupus, maternal grand mother and aunt hypothyroid.

Doctors had even discovered the girl had macrocytic Anaemia. This result was ignored, how often do we see that!

Interesting comment that 55% of hypothyroid patients with macrocytic Anaemia it's directly due to the hypothyroidism

Vitamin D deficient

UTI

Poor growth rate

Felt cold to the touch

Plenty of clues

WAHINE profile image
WAHINE

Thank you, very interesting case study.

Raventhorpe profile image
Raventhorpe

Very interesting case study. my 14yr old grandson has had stomach problems the last few months even ended up in A and E once suspected appendicitis but turned out it was not so has been sent for an ultrasound scan awaiting results. I will show my daughter this article, I think he should have a TFT. Many thanks for posting this.

Marz profile image
Marz in reply toRaventhorpe

As well as my daughter ( see post above ) - I now realise that I had several GP visits back in the 50's where they decided I had a Grumbling Appendix - we do not hear that so often theses days. Oh yes and I forgot - those growing pains that was also a common diagnosis ! I went on to have a complicated health history ( see Profile ) and was eventually diagnosed with Hashimotos at 59 in 2005.

I have concerns for my grandson as he suffers with anaemia ... I can forsee a repeat pattern.

Hope all goes well for your grandson.

Raventhorpe profile image
Raventhorpe in reply toMarz

Thank you Marz xx

Hpbr profile image
Hpbr

I gave hashis and coeliac disease. I got letter saying health board stopping prescriptions of liothyronine. My 150/20 dose was reduced to 200/10 to wean off. Terrible flu like fatigue. But ... stomach started playing up. Persistent abdominal discomfort and nausea, overactive bowels, followed by constipation. There's definitely a link.

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