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What can cause balance issues and headache in a person taking medications for hypothyroidism?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I was diagnosed with vitamin D and vitamin B12 deficiencies a year ago and have been taking supplements for these deficiencies. Recently, I was diagnosed with hypothyroidism, with a level of 10.6 mIU/mL. Some of my other symptoms have improved over time. However, I am experiencing balance issues while standing, sitting, and sometimes even while sleeping. I feel like I might fall down, and there is a sensation of being pulled in different directions. I also experience a swaying sensation in my head, and my headaches range from mild to severe and vary in intensity. I feel excessive heat in my body and have complete intolerance to heat. Although my body pain has reduced significantly, I am still struggling with these symptoms. Currently, I am taking vitamin D and multivitamins supplements, and thyroid medication. I seek your help in regaining my normal life.

Kindly help.

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. Before providing any further advice, I need to have a complete understanding of your symptoms and medical history. Please provide information regarding some details about your condition as asked below:

  1. When did you first start experiencing balance problems and headaches?
  2. Which areas of your head do you typically feel the headaches? Do they occur on one side at a time or on both sides?
  3. How would you describe the nature of the headaches? Are they characterized by heaviness, throbbing, bursting, stretching, or any other type?
  4. How long does each episode of headache typically last, from the onset to complete relief without medication?
  5. How frequently do you experience these headache episodes?
  6. Do you experience any vomiting or the sensation of vomiting, redness in the eye, eye-watering, or nasal congestion during the headaches?
  7. How would you describe your mood today?
  8. How is the quality of your sleep?
  9. Have you noticed any specific triggers that seem to provoke your headaches?
  10. Have you undergone any investigations or tests related to your headaches? If so, what were the results of those tests?
  11. Do you also experience any numbness or tingling sensations in your legs or hands?

Kindly follow up with the above-inquired information.

Thank you.

Investigations to be done

I suggest you undergo the following tests: 1. Nerve conduction velocity (NCV) test for all four limbs. 2. Magnetic resonance imaging (MRI) scan of the whole spine. 3. MRI of your brain.

Differential diagnosis

The diagnosis can be peripheral neuropathy due to vitamin B12 deficiency.

? SACD

with

? Migrain / ? TTH

Regarding follow up

Follow-up with the above-mentioned details for better understanding and judgment.

Answered byDr. Hitesh Kumar

Medically reviewed byiCliniq medical review team

Published At August 22, 2023
Reviewed AtApril 26, 2024

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