Hi I got thyroid test done for my wife as the GPs one showed low TSH out of bottom range, so I wanted to get antibodies checked with a private test. While I was at it, I got my own done too.
I have bad fatigue and my HR gets very low sometimes like 47bpm. My wife is more acutely unwell, GP thinks the thyroid is a incidental finding but they don't think it's related. I would say she fitted the hyperthyroid symptoms before becoming unwell though. Particularly fast HR, anxiety and palpitations.
Well, she hasn't been eating well at all because she has had pain in her mouth with trouble swallowing. Mostly yogurt, milk and cream. Not great but better then no food at all.
Neither of us diagnosed or on levothyroxine. For her the GP was doing a broad test as no one knows what's wrong with her and the low TSH was the only thing out of range. She has a burning pain in her gum, palatte and throat, dry mouth and dysphagia. Frequent passing out and periods of confusion.
Neither had covid.
My old tests where the GP looking for cause of fatigue, which I still have so I thought I'd check again just to see if it had changed form before.
There things that happened in the past but nothing recently. Just looking at full pernicious anaemia test on medichecks, some of the things listed were done.
Thank you for the links and good suggestions for possible cause. The doctors are all stumped. I think a referral for Stogrens is good idea. I will see if GP will refer on Monday.
This may not be readable as so many. Noticed a few say abnormal. GP didn't mention that.
Hmm. Interesting, low B12 could explain a lot and that Red blood cell distribut width could be low B12. She has had issues before with low iron stores, it made her very unwell. Looking at the symptoms, low B12 could explain a lot as she's been having confusion and passing out. It could also be a cause of burning mouth syndrome as you say. Thank you so much.
High RDW often implies simultaneous iron deficiency and B12 deficiency.
Low B12 on its own tends to cause increased size of red celles - macrocytosis.
Low iron on its own tends to cause reduced size of red cells - microcytosis.
Both together can more or less cancel each other out in terms of mean red cell sizes. But RDW rises.
This has caused many mistakes in diagnosis over the years. Before we had RDW, it was a bit more understandable. Now, there really is no excuse for a trained medic to miss that.
Very interesting. It's concerning how many blood tests and medics have ignored this considering she has text book symptoms of anaemia and has a history of anaemia. Sadly though, I am not surprised.
They are my wifes. She had been taking B12 spray, iron tablets and D spray. But not much much lately. I will get get a D test thank you and I need to supplement her vitamins whilst she can't eat solids.
In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency
Look at increasing iron rich foods in diet
Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption
This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.
A serum B12 is not a very accurate test for B12 deficiency. By the time it shows as low, you are REALLY deficient! A much better test for B-12 is methylmalonic acid. If it is high, your b12 is low and vice versa… I didn’t see a reference range for your iron labs and I am in the states, so different type of results… but it seems low.
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