Hi doctor,
I am a 37-year-old man feeling cold all the time. I have tinnitus and feeling tired and fatigue. I tested my TSH and it was 1.3. My TSH free was 16. Is this normal or could I have hypothyroidism? What other causes could it be? I am otherwise healthy, exercise a lot and normal.
Hi,
Welcome to icliniq.com.
I need a few more things to know about you to answer this. Please let me know. Do you have allergies or a stressful life or burning urination? Please answer these questions so that I can guide you better. I will be happy to help you further. Wish you good health.
Thank you doctor,
My reply below is as follows:
1. No allergies, not that I know of. I am feeling cold especially after drinking coffee, but I am not allergic to caffeine (I have tested it). Could it be intolerance? I had dust mite allergy (mild 10 years ago), but not for a couple of years ago.
2. Not that much stressful no, but periods may cause a bit.
3. No burning urination. I have also tested and have no STI, but I have had surgery for Nissen fundoplication. It works 100 %, no reflux or esophagitis, but my stomach lining was red last time. I had endoscopy. It gets worse after drinking coffee.
Hi,
Welcome back to icliniq.com.
I can understand your concern. Nissen fundoplication is an important clue in your case. This surgery can cause dumping syndrome. And this can lead to palpitations, sweating, chills, diarrhea, etc. It is due to reactive hypoglycemia. I need more information to confirm whether it is dumping syndrome or not. So please let me know. Before how many years you had this surgery? Do you have any diarrhea or sweating or palpitations along with chills? Have you checked your blood sugar level before? Please reply me answers to these questions, so that I can guide you better.
Thank you doctor,
1. I had surgery three years back.
2. I have diarrhea and sweating (usually at night). No palpitations.
3. Yes, it was fine. I checked for diabetes last year. My blood pressure is very fine also.
It seems there is some burning in my stomach or under left rib case that makes this worse. It is strange because I have no acid reflux in my esophagus after PH24 test and manometry.
Hi,
Welcome back to icliniq.com.
I can understand your concern. In my opinion, the possibility of dumping syndrome is more likely in your case. You need to get done glucose tolerance test, gastric emptying test and blood glucose test at the time of symptoms. If blood glucose is low at the time of symptoms then dumping syndrome is likely. Do you have a glucometer at home? What was your sugar level? Was it towards the lower side of normal? Please reply me answers of the above questions so that I can guide you better.
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