My mother's health issues, what should I do?

Question #11698

252 days ago

2,314

My mother's health issues, what should I do? - #11698

SANDHYA DAS

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?

Age: 68

Chronic illnesses: CARDIAC, BP, KIDNEY DISEASE

Uncontrollable urine

Dizziness

Confusion

Weakness.

300 INR (~3.53 USD)

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Doctors' responses

Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

251 days ago

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.

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Dr. Varunkumar J

I am an ENT specialist with over 6 years of clincial practice and in this time I have tried to balance hospital work with building my own setup. Currently I work as Consultant at Meridian Hospital Kolathur and also as visiting consultant at VIHAA Hospital Anna Nagar. Along with this I started SCOPE ENT CLINIC in Villivakkam, which is my own space to treat patients with more time n focus. Running a clinic teaches you different kind of responsibility, not only treatment but also trust, making sure patient feels heard and safe. My practice covers a wide range of ENT issues, from common ear infections, sinus problems, throat disorders to more complex surgical cases. I try to focus on giving indiviualised treatment plans, because each patient story is differnt even if the diagnosis sounds similar. Working in multiple hospitals also let me collabrate with other specialities which is important when dealing with complicated ENT cases linked to allergy, pediatrics or even neuro. Founding my own clinic was both challenging and rewarding. Some days are hard, managing staff, handling emergencies, ensuring things run smooth.. but it gave me chance to create an environment where patients get continuity of care. For me ENT is not just about procedures but also education, I try to explain conditions in simple words, guide on prevention and lifestyle changes that can reduce recurrnce. Over these years, what matters most to me is not just how many cases I handled but the connections built with patients and their families. I want to keep growing, keep learning new techniques and stay updated with advances in ENT, but at the same time keep the human touch alive in practice.

251 days ago

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

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Dr. Abhishek Gill

I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.

248 days ago

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

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

251 days ago

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

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

251 days ago

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

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

251 days ago

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

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

251 days ago

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.

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

234 days ago

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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