What Causes Fatigue With Pain Under Ribcage When Suffering From Hypothyroidism?

Posted on Thu, 13 Mar 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 13 Mar 2014 Answered on

Tue, 1 Apr 2014 Last reviewed on

Question : tsh varying 5.1 to 6.1 for last year..t3 t4 normal..taken thyronorm 50 for 1 month..by ignorance stopped this medicene for a month..for last 1 month again on same medicene..problem faced only since ladt about 25 days...extreme fatigue..increased hunger..thicker saliva often causing obstruction in throat..increased thirst..bp 140/100..pain / discomfort under rib cage, front side in left and back side in rigjt...none of these symptoms where there before 1 month...also feverish feel but no temp rise..are all these due to hypothyroidsm or thyronorm 50...cbc etc normal..no sugar probs..advice will be very helpful...tsh last oserved on 26 feb after 2 weeks of thyronorm 50 and observed to be 1.33...it was 6.18 on 11 feb 2014 just prior to resuming thyronorm 50 after my ignorant stoppage of the medcene...various other tests like kidney creatnin..c reactive protein..lipid profile etc normal...only sgot value slightly high 54 as observed in mid feb 2014...

Answered by Dr. Minal Mohit (1 hour later)

Brief Answer: Continue thyroxine 50 mcg. Detailed Answer: Dear sir, continue thyroxine 50 mcg. your thyroid balance as of now are normal. but your symptoms are definitely due to hypothyroidism. you must supplement yourself with calcium, vitamin D, vitamin b12. regards!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Minal Mohit (1 minute later)

Thx for the reply....pls answer these qstns too ..1) how long will this extreme fatigue continue.....worried as no improvement in fatigue though on thyronorm 50..... 2) do i have to be tested for autoimmune thyroditis like hashimoto?

Answered by Dr. Minal Mohit (13 hours later)

Brief Answer: It will take at least 4 weeks. Detailed Answer: Dear XXXX, It will take at least 4 weeks, your thyroid has normalized, now it will take almost 4 weeks for symptoms of hypothyroidism to go. as of auto immune thyroiditis is concerned, these antibodies do not have much of prognostic or diagnostic value so getting them tested is more of documentation and of academic value. if you want , you can test for them . no issues. regards!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar