How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Brims Your Own Question

Dr. Brims
Dr. Brims, U.S. Licensed Physician
Category: Health
Satisfied Customers: 8798
Experience:  U.S. Licensed Physician, general surgery and internal medicine experience
Type Your Health Question Here...
Dr. Brims is online now
A new question is answered every 9 seconds

Total thyroidectomy, severe hypothyroidism to level of non-functioning

Customer Question

Total thyroidectomy, severe hypothyroidism to level of non-functioning. All traditional endocrinological and psychological diagnostic/treatment plans a complete bust. Strong pain meds work but can't get enough to be up and around but about half of the time. Question is, what does the fact that pain meds work point toward in diagnosing which part(s) of the endocrine system is malfunctioning? There are patient advocacy approaches that rule out thing one a time (e.g. thyroid, adrenal, pituitary, hypothalmus, etc.) but rather than have to check in somewhere and pay someone to administer and record all the tests and measurements, wondered if the fact that pain meds work point to a specific area? Targeting the thyroid alone (with natural hormone replacement) has not provided the answer.
Submitted: 10 months ago.
Category: Health
Expert:  Dr. Chip replied 10 months ago.
Hi--just to be clear here, what exactly is the source of your pain?
Customer: replied 10 months ago.

Orginally stumbled upon efficacy of pain meds for the hypothyroidism while recovering from shattered ankle. Then arthritis started twisting my joints so I got on a small, constant script for daily pain.

Expert:  Dr. Chip replied 10 months ago.
OK. But I'm still somewhat confused here. Are you saying that you think some sort of endocrine problem is causing your pain?
Customer: replied 10 months ago.


I'm not trying to investigate pain but rather what part(s) of my endocrine system is causing this severe hypothyroidism. Was hoping the fact that pain meds work in relieving the hypo symptoms would point to certain endocrine organ. It will take months of diagnostic/treatments to try to track down the problem on my own using the patient advocacy approach mentioned earlier.

Expert:  Dr. Chip replied 10 months ago.
OK. I assume you understand that without your thyroid gland you would have no thyroid hormone in your system and unless you had replacement with something like Synthroid or Armour thyroid you would be severely hypothyroid?
Customer: replied 10 months ago.

Was afraid of this. Try to get over 10 years and dozens of doctors into a paragraph and you get the kind of confusing question and answer dialogue we have going here. Sorry but this isn't going to work.

Expert:  Dr. Brims replied 10 months ago.
Hello, welcome to the site!

My name isXXXXX and I will try to assist you with your medical question, and any medical information you seek

I would like to help if you are still open to dialogue, would you like my help?
Customer: replied 10 months ago.

Does the fact that pain meds help with hypothyroidism give you any hint as to which part/parts of the endocrine system is not working? And yes, of course hormone replacement for the thyroid is the starting point but we are far beyond that fact. I'm facing an alternative treatment approach that uses natural hormones but approaches one organ at a time for diagnosing and treating. This takes many weeks and I only have enough pain meds to be able to function about half the time. So I'll have to check in somewhere that is open to this alternative approach or hire someone to come in and administer the plan. I'm wondering if I can shortcut all this time and expense by looking at what the pain meds are affecting that would cause it to be effective against hypothyroidism. Its not just my baseline condition is "down" and pain meds get me "up". I literally cannot function in my normal hypo condition. Am trying to get endocrine system working again. As an example, on fellow patient ended up with a custom thyroid hormone replacement level, adrenal gland supplement, and something for his pituitary gland. IOW, its complicated and time consuming and I will be unable to accomplish it in my current condition. I'm only able to carry on this dialogue tonight because I have a limited amount of pain meds that allow me to function. Most of the time I am barely out of bed.

Expert:  Dr. Brims replied 10 months ago.

I'm sorry to hear you are in so much pain

 

The pain medication may mask the effects of hypothyroidism by decreasing the pain caused by hypothyroidism. Hypothyroidism will lead to a decrease in your basal metabolic rate which may cause pain as a side effect. It is unlikely to be related to your adrenal glands because if your adrenal glands were affected I would expect you to have severe low blood pressure and require admission into the hospital.

 

Your parathyroid glands may also be affected causing increased calcium which can lead to arthritis and severe pain, sot the parathyroid glands may also be affected, and the pain medication may improve these symptoms

Expert:  Dr. Brims replied 10 months ago.
I'm sorry you are unsatisfied with my answer, is there a part of your question you feel I did not answer or is there any ;art you would like me to expand on or clarify?

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4013
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4013
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5575
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    16265
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12090
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    8726
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery