My mother's health issues, what should I do? - #11698
My mother's has thyroid problem, in recent test it is showed that her thyroid level is 63.63,so Doctor increase the power of her thyroid medicine eltroxin 125 mg, but after starting that medicine she has been facing uncontrolled urine, frequent urine, dizziness, confusion, weakness, why it is happening, her creatinine level is also high, what should I do to control her uncontrollable urine problem?
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Doctors’ responses
Do not stop Eltroxin abruptly without doctor advice. But inform her endocrinologist immediately about the new symptoms.
She needs: Thyroid profile (TSH, T3, T4) after 6 weeks of dose change Renal function test (Creatinine, Urea, Electrolytes, Sodium, Potassium) Urine routine & culture to rule out infection If she is very weak/confused or passing urine uncontrollably → take her to hospital/ER urgently.
given your mother’s high TSH + kidney disease + confusion/weakness, she should not be managed at home alone. Please arrange for a nephrology + endocrinology review as soon as possible.
Hi Dear Sandhya, TSH Levels of 63 means she is having Hypothyroidsm Giving eltroxin is the key But sometimes taking medications might be issue Kindly ask your mother to take eltroxin in the empty stomach and she should not have any feeds upto 1 hour after taking tablet Kindly check FBS PPBS HbA1C RFT and USG Neck Kindly dont panic Sometimes coexisting illness like diabetes might be the cause Take care
Hello Since the creatinine level is high, there are chances of BP fluctuations and electrolyte imbalance. I suggest you to consult a physician in person immediately.
Take care
Hello dear See as per history multiple organs are involved in your mother’s condition Medication has also been changed recently by your physician I suggest you to please get in person consultation with your physician or endocrinologist for better clarification You need to share below test details Serum tsh Lft Rft Hb Hemogram Rbs Urine analysis The symptoms typically correpond to metabolic changes following dose adjustment So please get in person consultation for better clarification Regards
Hi Sandhya,
She needs urgent medical evaluation. 🛑Do not stop or change her thyroid medicine on your own. 🛑Take her to a doctor (preferably endocrinologist + nephrologist) as soon as possible
She need urgent tests: Electrolytes, kidney function (creatinine, urea), Urine routine ECG TSH, free T4 Blood sugar May be the symptoms are not just thyroid medicine related but more likely due to kidney disease or electrolytes.
Meanwhile at home; STAY HYDRATED, but do not overload Monitor her ,if swelling, shortness of breath = EMERGENCY ROOM IMMEDIATELY.
I hope this clears things up Feel free to talk Thank you
Hello Sandhya,
I understand your concern about your mother.
The issues that she is facing might be due to one of these causes - Sudden high dose of thyroid medicine, Electrolyte Imbalance or Urinary Tract infection, other causes too but these look likely.
My advise -
1. DO NOT STOP THYROID MEDICATION ON YOUR OWN. She needs urgent review with her treating doctor (who started eltroxin).
2. Get these tests done - Sr. Electrolytes, repeat TSH FT4, Urine Routine + Culture.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
Your mother’s symptoms—uncontrolled/frequent urination, dizziness, confusion, and weakness—after increasing Eltroxin, along with high creatinine, suggest that her kidney function may be compromised and the thyroid dose adjustment may be affecting her metabolism. These are potentially serious issues and require urgent medical attention. Please consult a nephrologist immediately, bring all her recent reports, and do not adjust her thyroid medication on your own, so her kidney function and electrolyte balance can be evaluated and managed safely.
With a thyroid level of 63.63, it seems likely that your mother is dealing with a condition called hypothyroidism and her doctor adjusted her Eltroxin dosage accordingly. However, the symptoms she’s experiencing—uncontrolled urination, dizziness, confusion, and weakness—raise a few red flags that require immediate attention. These could be side effects from the adjustment in Eltroxin dosing or potentially point to other issues like electrolyte imbalances or kidney problems, which are also hinted at by the high creatinine level. High creatinine can indicate compromised kidney function, which might contribute to the urinary symptoms and require further evaluation.
It’s essential to address these symptoms with her healthcare provider urgently. Continuing with regular follow-ups and blood tests, including a thorough review of her electrolytes, thyroid function, and renal panel, could help in pinpointing the underlying cause. These tests will inform whether the current Eltroxin dosing is optimal or if further adjustments are needed. Avoid adjusting her medication dose on your own without professional guidance.
In the meantime, closely monitor her fluid intake to ensure she’s staying hydrated but not excessively, as balancing her fluid intake can be crucial in managing symptoms like dizziness or confusion. If her symptoms worsen or new concerning symptoms develop (such as chest pain, difficulty breathing, or significant neurological changes), seek medical care immediately. Consult her nephrologist or a healthcare provider who understands her complete medical history to make informed decisions about her care, focusing on both her thyroid management and any potential renal concerns. Addressing these complex issues will help tailor a plan that’s safe and specific to her needs.
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