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What Causes Blood In Stools After Treatment For Infertility?

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Posted on Thu, 9 Jan 2014
Twitter Thu, 9 Jan 2014 Answered on
Twitter Wed, 29 Jan 2014 Last reviewed on
Question : Hi, My wife has the following thyroid profile results: around Dec 1st week TSH is 15 and doctor started thyroid tablets on 06-Jan-2013 Anti TPO Antibodies: > 1300.0 T3: 0.85 T4:11.40 TSH: 4.41 We got to know that my wife have Thyroid disorder one month ago. Since 1 year she is getting diagnosis for PCOS. And last month , we went to Gynacologist for fertility related issue. The doctor gave some medication for the ovulation and we tried from 10th day to 20 day during those days we frequiently visited gynacologist and she cheked if my wife got ovulated or not and she also gave an injuction for the Egg to release. Now the first month treatment for fertilization is over and waiting for my wife's next period (14th of XXXXXXX is expected period cycle). but now all of a suddent yesterday she had blood in her stools this happend continusly two days. and she has a fever today. please help. and let me know if more info is needed.
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Answered by Dr. Minal Mohit (2 hours later)
Brief Answer: You are facing two different issues. Detailed Answer: Dear sir, primary hypothyroidism with high titres of Anti TPO is suggestive of auto immune thyroid disorder which is being addressed by thyroxine replacement. PCOD can exist in combination because it is another hormonal imbalance state. hypothyroidism is also known to affect hormonal balance. auto immunity plays a role as well. that is also being taken care of, I would have started metformin as well. Now blood in stools is an entirely different issue. possibilities of acute enteritis is most likely and will respond to antibiotics. very rarely it can be a part of the auto immune spectrum with colitis being the possibility. but first try antibiotic course for 5 days, if she does not improve then you must see a gastroenterologist. Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Minal Mohit (7 minutes later)
The following are the medicens that my wife took Cycle start: 14th Dec Clome 50 D3(5days) Progynuva D5 (5days) Fertisure-F (1 months) Fertigyn 10000 iu injuction day 11 Susten 200 D16 (10 days) could be also because of the over heat to the body because of the above medicens the blood in stools? if the TPO is regulated, will the thyrod works normally?
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Answered by Dr. Minal Mohit (5 hours later)
Brief Answer: Monitor TSH not TPO. Detailed Answer: Dear sir , none of these medicines are known to cause bleeding. all are hormonal supplements. we do not control or monitor TPO to ensure normal thyroid working. we monitor TSH and FT4. Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Minal Mohit

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What Causes Blood In Stools After Treatment For Infertility?

Brief Answer: You are facing two different issues. Detailed Answer: Dear sir, primary hypothyroidism with high titres of Anti TPO is suggestive of auto immune thyroid disorder which is being addressed by thyroxine replacement. PCOD can exist in combination because it is another hormonal imbalance state. hypothyroidism is also known to affect hormonal balance. auto immunity plays a role as well. that is also being taken care of, I would have started metformin as well. Now blood in stools is an entirely different issue. possibilities of acute enteritis is most likely and will respond to antibiotics. very rarely it can be a part of the auto immune spectrum with colitis being the possibility. but first try antibiotic course for 5 days, if she does not improve then you must see a gastroenterologist. Regards!