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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hairloss, Insomnia And Mood Swings With Hypothyroidism?

Hi, What do you think? 47 year old male with hypothyroidism and elevated cholesterol. Approx. 3 years ago began losing (scalp) hair in oval patches, progressed to total body hair loss. Now with insomnia, irritability, fatigue, left-sided back/flank pains, intermittent left-ish sided crampy abdominal pain & diarrhea, weight gain. He looks puffy-doesn t drink or smoke, no drugs. Paternal hx-father with CAD, psoriasis, grandparents with cancers. Maternal hx-sarcoidosis, aunts with cancers, uncles with schizophrenia. PA at PCP office says he s old and fat with low testosterone.
posted on Mon, 26 Oct 2015
Twitter Fri, 13 Nov 2015 Answered on
Twitter Mon, 16 Nov 2015 Last reviewed on
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Diabetologist,  's  Response
hello,
thank you for your email.
I am sorry that you are going through all this must be distressing for you.
the symptoms you are describing can be due to different causes, to figure out what exactly is happening to you I need more detailed history and physical examination.
but this can be due to different causes including some autoimmune, hormonal imbalance, infectious causes and even malignancy. I don't want to say all these names as this would just make you more anxious until we are sure whats going on. you can get few tests done including your
Full blood count, renal function tests including electrolytes, thyroid function tests, ultrasound abdomen, 24 hour urinary catecholamines followed high dose dexamethasone suppression test to figure out the cause.
the most likely it can be due to a syndrome involving adrenal gland leading to hormonal imbalance. however after confirming diagnosis your treatment plan can be made. apart from that you are already diagnosed with hypothyroidism few of your symptoms are explainable with hypothyroidism but after getting the right treatment I believe this can be fixed.
thank you
I hope it satisfies your question
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What Causes Hairloss, Insomnia And Mood Swings With Hypothyroidism?

hello, thank you for your email. I am sorry that you are going through all this must be distressing for you. the symptoms you are describing can be due to different causes, to figure out what exactly is happening to you I need more detailed history and physical examination. but this can be due to different causes including some autoimmune, hormonal imbalance, infectious causes and even malignancy. I don t want to say all these names as this would just make you more anxious until we are sure whats going on. you can get few tests done including your Full blood count, renal function tests including electrolytes, thyroid function tests, ultrasound abdomen, 24 hour urinary catecholamines followed high dose dexamethasone suppression test to figure out the cause. the most likely it can be due to a syndrome involving adrenal gland leading to hormonal imbalance. however after confirming diagnosis your treatment plan can be made. apart from that you are already diagnosed with hypothyroidism few of your symptoms are explainable with hypothyroidism but after getting the right treatment I believe this can be fixed. thank you I hope it satisfies your question