Hi doctor, I have done a blood test before 3 months and was diagnosed with celiac disease. I already have thyroid problem which is controlled right now with Thyroxine. The issue is followed by a gluten free diet, I cannot see any progress. I am still losing weight. My skin is pale and dry. I also have abdominal pain, cramps, vomiting and constipation. I am currently taking Thyroxine 150 uq, Movicol, Multivitamins and Vitamin D. When I first did the blood test my ANA result was positive titer of 1:1280 and he suspected fatty liver. Now, when I repeated it, the result remains the same. My doctor is away and I cannot reach him. Do I need to worry?
Hi. 1. Your issues are found as a consequence of thyroid disease and celiac disease. This is how the natural course of the disease is.  2. Your symptoms and complications all which you have reported here are due to the same and are quite natural to go with these diseases. Your ANA (antinuclear antibody) titer also is justified to be high with these issues.  3. You need to continue the same medication and there is no need to stop any one of them. Repeat thyroid profile. 1. Take Citrucel dietary fiber (Methylcellulose) supplement. 2. Keep a balanced healthy diet. 3. Take Ondansetron prescription from local physician for vomiting and nausea. 4. Take capsule Perfectil (Multivitamin) once every other day for hair, nails and skin. Revert back after the investigation to an internal medicine physician online.--->