HI Sir, I am 35 years male. I have feeling sickness from last 2 month. Which includes body pain. Stomach upset and lower leg pain. Blood test shows TSH 7.44 ml of reference rang. 270 to 4.20. T3 and t4 is normal, I got some wait loss around 2 kg from last 2 month. I took thyronorm 25mg for one month and stop. Should I test TSH again? Now I am facing lots of stomach cramp and pain. Nov 2015 I did upper GI endoscopy report it says patulous GE JUNCTION GR'A' OSEOPHAGITS. Dr. advice me to take PANTOCID-l and MEVA-C caps. I took for one month and stop. Should I continue this? I am taking razo 20 every day morning but not getting relief from gas and stomach pain I bit worried about my health.

Dr. Amrita BasuENT Specialist7yrs exp

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Hi lybrate-user I am surprised you have discontinued your medicines. Thyroid medications are generally needed lifelong. Gastritus and bloating problems need a lifestyle and medicine together to get better.. Accordingly Thyroid hormone replacement is given according to the most recent report snd your Body weight. You need to repeat FT3/FT4/TSH: empty stomach blood to be given. Share your current reports I can help you better. It's important� you maintain� your body weight exercise regularly. Weight gain increases thyroid hormone requirements. Avoid cruciferous�� group of veggies� like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten� intake from processed� food. Always try whole grain varieties of cereals which is rich in fibres and help improve� bowels (Take your thyroid replacement� medicine several hours before or several hours after food rich in fibres. Otherwise problem� with absorption� of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism� causes your metabolism� to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain� large amount of sodium. Hypothyroidism� puts you at risk of high BP and excess sodium in salt aggravates Coffee� in excess. And coffee with thyroid hormone� replacement� can prevent absorption. Alcohol. It is toxic to thyroid gland and prevents� hormone production and absorption. The problems of hypothyroidism� gets better with medicines, diet and exercise. You will start better as the levels of your hormone normalises. Initially� you need to do the TSH test every 6 weeks till normal TSH then every 3 months For bloating and acidity Diet, exercise, medicines. If control is poor with once a day dose medicines may have to be changed. Avoid spicy, fried food Have plenty of water and green veggies, fruits, curd. Exercise for 40 minutes every day. Go to sleep atleast 2 hours after a meal. Hope this helps  

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