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I have a UTI. I'm a 36 year old woman with a difficult case

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of Hashimoto's thyroiditis. Take no...
I have a UTI. I'm a 36 year old woman with a difficult case of Hashimoto's thyroiditis. Take no meds, treat hashi's with gluten free diet. I went to work feeling pretty ok, and fell asleep there for three hours! Felt like I was in a deeeeep sleep, could not force myself to wake up. Woke up angry and confused. Took two doses of Bactrim. Exhausted. Can I wait for dr tomorrow or go to ER, or just sleep, Bactrim, water and cranberry juice?
Submitted: 1 year ago.Category: Health
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Answered in 4 minutes by:
9/7/2016
Health Professional: Dr Ted Manos, Doctor (MD) replied 1 year ago
Dr Ted Manos
Dr Ted Manos, Doctor (MD)
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Satisfied Customers: 801
Experience: Self employed 40 years experience Ob-Gyn
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Health Professional: Dr Ted Manos, Doctor (MD) replied 1 year ago
Okay. I'm concerned that your Hashimoto's has led to being hypothyroid and your symptoms of sleepiness and fatigue plus a UTI are pointing to it. What's the difficulty with your condition. Lab work is pretty straight forward and you may need to be on thyroid hormone replacement. You can have weight gain, elevated serum cholesterol, changes in your hair texture.
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Customer reply replied 1 year ago
The autoimmune disease is attacking my body, one of the measureable affected areas being my thyroid, which was at okay levels after I made major life changes like the AIP diet, walking, sunlight, and a flexible schedule job, and working in maintaining positive gut flora, with the help of a functional medical doctor. Replacing thyroid hormoneis a bandaid on a gUnshot wound because the autoimmune disease just keeps attacking unless lifestyle changes. My biggest complication was deathly major chronic depression for two years before hashi's diagnosis (no one in mental health field ever mentioned there might be a connection and I suffered needlessly). Now, when I feel symptoms, I immediately go one an anti inflammation diet...no sugar dairy no gluten few grains, get iron with vitamin c, turmeric and tart cherry juice for inflammation.I did lose hair, have arthritis like symptoms, sleep all day, break out in horrible skin sores, and want to kill myself before changes were made.I had a UTI last month, didn't take prescribed antibiotics because I didn't want to destroy the gut health I worked so hard for. Drank a ton of water and ate well, and it went away.This month, sleep almost like a coma, which is not really manageable.
Customer reply replied 1 year ago
That should say, today, I noticed burning sensation and then fell asleep at work, and angry and disoriented. So, probably any regular doc would say pills, water, cranberry juice...
Customer reply replied 1 year ago
I did have high cholesterol, hair changes, weight gain...yes.
Health Professional: Dr Ted Manos, Doctor (MD) replied 1 year ago
Hashimoto's is the main cause of hypothyroidism. Untreated, it has numerous symptoms and an entity called myxedema coma. Depression is very prevalent with low thyroid and I've seen patients who didn't care how they were feeling as that's another way hypothyroid presents. I'm not sure who has evaluated your condition but it responds well to thyroid replacement. It sounds like you might be bad enough to be treated carefully to avoid reacting to the changes in your signs and symptoms. Your pulse is probably low unless you are developing heart failure from the problem then your pulse is faster but very weak. I'm concerned about your problem where your immune system thinks your thyroid is an intruder. It's not associated with things like lupus but the thyroid keeps us in equilibrium.
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Customer reply replied 1 year ago
Ok, so where should I go? A specialist? A gp? An emergi care? The good functional med dr is cash only and I can't pay him.
Health Professional: Dr Ted Manos, Doctor (MD) replied 1 year ago
The urinary bladder loses tone and you don't empty well and can get uti's.
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Customer reply replied 1 year ago
like the emptying doesn't empty all the way.
Health Professional: Dr Ted Manos, Doctor (MD) replied 1 year ago
A walk-in clinic should be able to help as long as the staff is competent. The lab work isn't expensive and getting on the thyroid medication is pretty cheap.
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Health Professional: Dr Ted Manos, Doctor (MD) replied 1 year ago
The residual urine sort of festers in the bladder.
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Customer reply replied 1 year ago
Do you think my sudden sleep was a myx. Coma?
Customer reply replied 1 year ago
A thyroid test, t2 and t3?
Customer reply replied 1 year ago
When you feel this sick it is so overwhelming to try to get help.
Customer reply replied 1 year ago
Looking up myxedema coma, they use scary words but it sounds like what happened.
Health Professional: Dr Ted Manos, Doctor (MD) replied 1 year ago
That's part of it and you might consider an ER visit. The blood test is a Thyroid Profile that measures how low your level has reached. It's not myxedema coma because you woke up. With coma, you don't wake up unless you get thyroid hormone into you. T4 and T3
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Customer reply replied 1 year ago
Ok, will go to emergicare
Health Professional: Dr Ted Manos, Doctor (MD) replied 1 year ago
Keep me posted.
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Customer reply replied 1 year ago
Thank you. Excellent care.
Health Professional: Dr Ted Manos, Doctor (MD) replied 1 year ago
How we doing now? What's happened with Hashimoto's thyroid problem?
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Customer reply replied 1 year ago
I went to an emergi center. By the time I left I was sobbing. The doctor said he could not treat me for Hashimotos, that he had no proof I had Hashimotos, that I needed to go to a GP, or a urologist, or an endocrinologist, or anyone other than him, and if I had an alternative doctor who I couldn't pay for, I should just figure out a way to pay. I started to cry and he said,"I can't treat you and you look like I just took away your lollipop!" I was crying from the effort of restraining myself from strangling him. After waiting for hours, I left with an antibiotic prescription.
Customer reply replied 1 year ago
He said,"you are not going to die tonight, therefore I have done my job. Get a go."
Customer reply replied 1 year ago
GP
Health Professional: Dr Ted Manos, Doctor (MD) replied 1 year ago
Did he examine you, have your pulse and blood pressure checked? Did he test your reflexes with the rubber hammer device? If he didn't then he's a bad doctor. All you need is the thyroid blood test that will show if you're hypothyroid and how severe. Some doctor should be able to realize what you may have going on. If the lab work shows the problem then you can sue the emergicenter.
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Customer reply replied 1 year ago
No pulse, yes blood pressure, no reflexes, I insisted on the thyroid panel, he said he'd order it but he wouldn't call me with the results,"I guess maybe someone from the office will, I don't know, they don't work for me...".
Customer reply replied 1 year ago
I guess I'll try to find a compassionate GP. I am resting now, I feel like I've been in a fight but otherwise ok. Thank you for inquiring. It is frightening the kind of lack of medical care that is out there.
Health Professional: Dr Ted Manos, Doctor (MD) replied 1 year ago
If they took blood for the thyroid profile that's what matters. Reflexes are very slow when they tap on the tendons of the biceps arm muscle or the kneecap tendon and always indicate low thyroid.
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Customer reply replied 1 year ago
Thanks.
Health Professional: Dr Ted Manos, Doctor (MD) replied 1 year ago
Keep the faith
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