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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Abdominal Pain And Weakness While Having Vitamin-d Deficiency/hypotension

Hi my name is Katie. I am 22 years old. I have been in and out of doctors offices since my csection in Feb. of 2009. I had my gallbladder removed in June of 2009 due to gallstones. My symptoms didn't subside after that/ I still felt the same. Fatigue, Abdominal Pain, weakness etc. I found out that I had vitamin d deficiency (18L). And Hypotension. (Get out of breath, fainting etc)The dr told me to increase my salt intake and exercise more. I did, and it hasn't worked. During my pregnancy I developed ICP? (high liver enzymes)I had severe itching that didnt subside. Since I had no family history of it, I demanded a Ct scan of my abdomen to check everything visually. My results came back normal. As with all my bloodwork. I am at my wits end and don't know what to do. Do you have any suggestions?
posted on Thu, 13 Mar 2014
Twitter Wed, 11 Oct 2017 Answered on
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Cardiologist,  's  Response
Hello Katie!

Welcome and thank you for asking on HCM!

I passed carefully through your question and would recommend checking your adrenal gland function and also your thyroid gland function.

Your symptoms could be caused by a hormonal disorder or an autoimmune disorder.

For this reason, I would recommend performing some tests:

- cortisol and aldosterone plasma levels for the adrenal gland function
- ANA, ANCA to investigate for an autoimmune disorder
- complete blood count, fibrinogen plasma levels and PCR for inflammation
- thyroid hormone levels
- a Head Up Tilt test for postural hypotension.

A cardiac ultrasound is also necessary considering the shortness of breath when walking.

In the meantime, I recommend continuing taking Vitamin D.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri

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Suggest Treatment For Abdominal Pain And Weakness While Having Vitamin-d Deficiency/hypotension

Hello Katie! Welcome and thank you for asking on HCM! I passed carefully through your question and would recommend checking your adrenal gland function and also your thyroid gland function. Your symptoms could be caused by a hormonal disorder or an autoimmune disorder. For this reason, I would recommend performing some tests: - cortisol and aldosterone plasma levels for the adrenal gland function - ANA, ANCA to investigate for an autoimmune disorder - complete blood count, fibrinogen plasma levels and PCR for inflammation - thyroid hormone levels - a Head Up Tilt test for postural hypotension. A cardiac ultrasound is also necessary considering the shortness of breath when walking. In the meantime, I recommend continuing taking Vitamin D. Hope you will find this answer helpful! Kind regards, Dr. Iliri