Hypothyroidism+Hyperprolactinemiahere is a patient 32 yrs old, married have 2 kids both by c-section,she developed amenorrhoea, headaches, letthargy, back pains, discharge from breasts, foul smeeling leucorrhoea, depression and early morning mild to moderate facial and body swelling ( only subjective feeling of swelling not clinical evidence of oedema)
she was diagnosed to have subclinical hypothyroidism and hyper prolactinemia. she was given thyroxine and parlodel. she improved and started menstruating again. subsequently parlodel was tapered off. but now she again developed high prolactin levels. periods are regular but every time late by few days. kindly suggest some remedy. can she get rid of thyroxine? if u need further clinical data i can provide. Thanx
Doctor Humayun on 2008-09-08
Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experiences and happenings.
1. Describe your main suffering?
2. What other physical sufferings do you have in your body?
3. What mental sufferings / feelings do you have associated with your physical sufferings?
4. What exactly do you feel when you are at your worst?
5. When did it all start? Can you connect it to any past event or disease?
6. Which time of the day you are worst?
7. What are the things which aggravate your suffering and which are those which ameliorate the same?
8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?
9. When do you feel better, during hot weather or cold weather, humid or dry weather?
10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.
- How do you feel before or during a thunderstorm?
- Do you like being consoled during your tough times?
- Are you sensitive to external stimuli like smell, noise, light etc?
- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?
- How do you feel about your friends, family, your children and especially your husband / wife?
11. What are your fears and do you dream of any situation repeatedly?
12. What do you crave for in food items and what are your aversions?
13. How is your thirst: Less, Normal or Excessive?
14. How is your hunger: Less, Normal or Excessive?
15. Is there any kind of food which your body cant stand?
16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
17. How is your bowel movement and stool type?
18. How well do you sleep? Do you have a particular posture of sleeping?
19. Do you think you are able to satisfy your sexual desires in general?
20. What peculiar or strange sensation do you have in any part of your body at times? Do you sometimes feel as if .. in some part of the body?
21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?
22. What major diseases are running in your family?
23. Describe, how do you look like? Describe your overall appearance.
24. (ONLY FOR FEMALES)
If you are not having normal menstrual cycles, please answer the following questions:
- Are the periods early, regular or late in general? How long do they last?
- Do you suffer from any kind of physical or mental discomfort before, during or after the periods?
- Is the flow scanty, normal or excessive?
- Is the blood thick bright red or pale watery?
- Do you notice any clots in the flow?
♡ gopal18 last decade
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