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What Causes Chest Pain, Burping And Increased Appetite?

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Posted on Thu, 22 May 2014
Question: I have been diagnosed with acute gastritis after my GI Endsocopy and cologno scopy done. On Sompraz d 40 verdya for the last 5 mts and also Gaviscon after food. But no relief. Feel very uneasy and hungry all the time.Some times chest pain and left side pain which goes off after burping.Birping and yawning also in excess.Pls advise 1
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Adjust the dose of Thyronorm to lower level

Detailed Answer:
HI.
Going through the history..
A female patient of 54 years having stressful life, needs anxit; Sompraz and Gaviscon not helping for gastritis for last 5 months.
Feels uneasy and hungry all the time, chest pain, burping, yawing in excess.
TO nail the problem= taking thyronorm 100 for TSH >19..

Now- coming to the problems you are suffering and having.

From the thorough study of your case, I am of the XXXXXXX opinion that your dose of Thyronorm is in excess.. of your requirements.

I would like to know your ''all'' the reports of Thyroid profile like T3/T4/ TSH; preferably FreeT3/ FreeT4 and TSH.

The excess thyronorm is causing all the body tissues to work in high basal metabolic rate (BMR). Adjusting the dose to the lower levels will solve all your problems very soon...

This is my XXXXXXX opinion as seen in many patients with the symptoms you have. And this has a theoretical basis also.. as just mere increase in TSH ( this is secreted by the gland called Pituitary and not by the gland called Thyroid) has no role to increase the dose of thyronorm...


Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. T Chandrakant (16 hours later)
T3 IS 58 AND T4 3.20.TSH - 17.411. PLS ADVISE.
doctor
Answered by Dr. T Chandrakant (36 minutes later)
Brief Answer:
please tell us the normal range lab has given

Detailed Answer:
Thanks For your reply.

I would like to know which laboratory you have tested from ( Thyrocare / Lal Pathlab or local Lab) and please also write the normal range the laboratory has given. This is because the normal ranges of all laboratory are different.

Please also mention is this the recent one ( date) ?

Was there a Gap of a few days/ did you stop thyronorm for a few days before the test or you were on the regular course while this was tested?

If possible, please upload the report on the right side of this query page. That makes it easier to interpret.

Thank you!
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. T Chandrakant (20 minutes later)
HAVE UPLOADED REPORT WHICH ALSO SHOWS NORMALRANGE. YES I HAD STOPPED THYRO NORM FOUR DAYS BEFORE THE TEST.
doctor
Answered by Dr. T Chandrakant (42 minutes later)
Brief Answer:
Need to reduce Thyronorm dose

Detailed Answer:
Thanks for the reports

You can very well see T4 is just bellow the normal range in spite you have stopped Thyronorm 4 days before the test.

( Thanks to the Doctor who advised to stop thyronorm before the test)

Incidentally your lipid profile is also not much deranged ( these are highly elevated in hypothyroidism )

As I thought your requirement for the Thyronorm is not 100 and the present dose is causing all the problems you are having.

Reducing this dose and repeating Free T3, Free T4 and TSH after 1 month will definitely help you to get symptoms-free. It is but possible that your requirement for anxit will be reduced and may stop this also..

All the best
Have a great recovery.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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What Causes Chest Pain, Burping And Increased Appetite?

Brief Answer: Adjust the dose of Thyronorm to lower level Detailed Answer: HI. Going through the history.. A female patient of 54 years having stressful life, needs anxit; Sompraz and Gaviscon not helping for gastritis for last 5 months. Feels uneasy and hungry all the time, chest pain, burping, yawing in excess. TO nail the problem= taking thyronorm 100 for TSH >19.. Now- coming to the problems you are suffering and having. From the thorough study of your case, I am of the XXXXXXX opinion that your dose of Thyronorm is in excess.. of your requirements. I would like to know your ''all'' the reports of Thyroid profile like T3/T4/ TSH; preferably FreeT3/ FreeT4 and TSH. The excess thyronorm is causing all the body tissues to work in high basal metabolic rate (BMR). Adjusting the dose to the lower levels will solve all your problems very soon... This is my XXXXXXX opinion as seen in many patients with the symptoms you have. And this has a theoretical basis also.. as just mere increase in TSH ( this is secreted by the gland called Pituitary and not by the gland called Thyroid) has no role to increase the dose of thyronorm...