Hello doctor, I am 23 years old. I am a hypothyroid patient from my 5 years. I was taking medication till I was 17 years old. Then I could not continue with my medications and I stopped it for 5 years. One day suddenly I began to feel faint always. Even, while I was sleeping sometimes I would feel fainting. It would sweat a lot suddenly. My muscles and bones started to pain a lot. I could not go alone out of my house especially in the day time in the hot sun. If I go, then it would sweat a lot, feel as if I was going to faint in some more time. Only if I come home and sit in the fan it will reduce a bit. Even after drinking a lot of water and eating glucose the feeling will not go. I feel like I have only 10 percent energy in my body. My pain would be more in the day time and after eating it would reduce. So I get little energy in the night after eating all througout the day. I could not continue my life normally. Then I went to my endocrinologist she found that vitamin-D was low. I corrected by eating heavy dose tablets and it came back to normal. But my symptoms continued. Then I did yoga it reduced by 10 percent. Then I tested for vitamin-B12 after five months it was 69 pg/ml. Then I took injections and corrected it. But my symptoms reduced by 20 percent only. Still, I cannot go out in the sun confidently. I do not know what to do. My parents are blaming me that I am simply telling a lie. Am I having any severe deficiency or disease? Please help me out. I have discontinued my course due to this condition.
Hi. I have read through your query in detail. Please find my observations below. If you have a history of hypothyroidism and have not taken medicine for five years, then it is important to review your thyroid function tests again. It is possible that you have again become hypothyroid and it is essential to know your TSH (thyroid-stimulating hormone), T3 and T4. You should also get clinically examined and if required then do a thyroid ultrasound scan. Vitamin D should be maintained at the normal level. If it has come back to normal then you should continue eating foods rich in calcium like ragi and milk. Vitamin B 12 should also be taken care of. It will help to know what is your present vitamin B 12 level. This should be in the mid-range. Sometimes it can be at the lower limit of normal and this requires supplements. It is important to know if you have any fear or anxiety concerning your health. Please eat well and also drink an adequate amount of water every day. You are in growing age and should take 2200 kcal food every day. Include eggs, fruits, and green vegetables in your diet. Please spend 30 minutes in the morning sun from 9 AM to 9.30 AM every day and this will generate vitamin D from sunlight. Continue doing yoga and stay physically fit and mentally strong. Sometimes even electrolytes and blood sugar can get low and cause such symptoms. It will help to get your serum calcium, phosphorus sodium, potassium and chloride done and also fasting and post prandial blood sugar test done. These are important to know if your low energy problem is due to low electrolytes or sugar. Getting complete blood count, hemoglobin with peripheral blood smear level is also important to know if you are having anemia. Leaving the course is not a good idea. If you have any mental anxiety and stress then please consult a psychiatrist. Hypothyroidism can cause laziness and low mood and this can be treated with medicines. I hope this helps.