“Mystery illness?”
I have intermittent lightheaded episodes, headaches in the back of the head/neck with eye pain and ear ringing, transient discomfort in the ribs/stomach. 70+ pound weight loss in the past year or so. I do not feel intensely sick, just vaguely fatigued and unwell -- it comes and goes randomly, lasts for a few days, and then resolves. This all materialized slowly over the past 2 years.
Brain MRI w/ contrast normal. Only abnormal labs were vitamin D, hypothyroidism, and mildly elevated liver enzymes. I am not particularly satisfied with thyroid meds/vitamin D supplementation, which I've been doing for 6 months. I continue to lose weight and have symptoms. Is it normal for healing to take this long, or should I seek a second opinion?
Brain MRI w/ contrast normal. Only abnormal labs were vitamin D, hypothyroidism, and mildly elevated liver enzymes. I am not particularly satisfied with thyroid meds/vitamin D supplementation, which I've been doing for 6 months. I continue to lose weight and have symptoms. Is it normal for healing to take this long, or should I seek a second opinion?
Male | 30 years old
Complaint duration: 2 years
Medications: Levothyroxine
Conditions: Hypothyroidism
2 Answers
Yes, you should seek a second opinion. But there are many questions based on your conversation that I would want to know in order to direct you in the correct way and manner and provider. Examples would be, vitamin D level is it too high or is it too low Are you taking vitamin D3 supplements and at what dose, hypothyroidism is your TSH T3 T4 all of the above, Are you on levothyroxine and what does? When do you say elevated liver enzymes which ones? Did they do pancreatic enzymes? Do you have bowel symptoms and irregularities and difficulty with digestion? These are the things that you would want to talk with a provider about face-to-face while you can get an appropriate examination in order to follow through with those. The question that comes to my mind is doing you have a MEN syndrome or a degree of and or subset of that. So to come back full circle again I would definitely seek a second opinion, and bring all of the necessary information labs tests timing, etc. to that provider so they can be fully informed to do the right tests and exams without the shotgun approach. Meaning shoot in the air whatever fell down that’s what you were aiming for. That’s not the best way to practice medicine. Focused but making sure you have a wide differential and eliminating those differentials as you go through the process. I hope this helps you, I wish you well, and please feel free to ask me if there is any other information you may request or need.
Dear patient; migraine headaches can present with wt loss, headache, eye pain. I would see an opthalmologist for evaluation and then an endocrinologist for thyroid adjustment. Hypothyroidism usually causes wt gain, not loss.
