Would a pituitary problem show up in thyroid panel? I'm
Patient :Would a pituitary problem show up in thyroid panel?
I'm a 33 year old female. I'm 5'3" and weigh around 49KG.
Had my thyroid tested privately as the NHS will not perform more than TSH if it's within normal ranges.
FT4, FT3 are lower than expected for my TSH.
TSH 0.49 (0.27-4.2)
FT4 14.5 (12.0-22.0)
FT3 4.1 (3.1-6.8)
Also, TgAb and TPOAg are both negative.
Been having hypO/ER symptoms. Fatigue, brain fog, nausea, hunger and shakes just an hour after eating a full meal, headaches, muscle weakness in thighs and upper arms, palpitations, buzzing legs, lightheaded when standing, aches in upper back, cough, constant dry cracked lips, sweaty hands, chills, cold intolerance, and more. Have been feeling awful for a while but recently this has all gotten worse and my performance at work has suffered.
I haven't been diagnosed with any medical conditions in past apart from slight iron-deficiency anaemia last year which was quickly rectified with iron pills which I no longer have to take.
Could I have a pituitary problem or something else?
Thanks for the query to ATD for an opinion,
The symptoms of fatigue, brain fog, nausea, hunger and shakes just an hour after eating a full meal, headaches, muscle weakness in thighs and upper arms, palpitations, buzzing legs, lightheaded when standing, aches in upper back, cough, constant dry cracked lips, sweaty hands, chills, cold intolerance, --all these symptoms generally favour a hypothyroid cause but considering the fact that your thyroid profile is absolutely normal and you have been maintaining a normal BMI ( body mass index), and as these symptoms have not been chronic but have just started recently, it can be safely devised that there is no chronic disease and definitely not pituitary related. Pituitary is a centre for forming hormones which signal formation of target hormones from their respective glands and hence any insult in pituitary in form of a space-occupying lesion or pituitary adenoma shall cause a multitude of hormonal imbalances. As your blood tests have been normal and you have not been diagnosed with any disease, pituitary as a cause is unlikely.
There are two possible reasons of similar symptoms the body and they are:-
1. Dyselectrolytemia or electrolyte deficiency which can be corrected with adequate water, salt and sugar intake which can take care of muscle soreness , cramps and generalised body ache and weakness.
2. Premenstrual syndrome(PMS) in your reproductive age group, which can start 7 days prior to the onset of your menses and can also last for a week after the end of menses. This PMS symptoms can be easily tackled with lifestyle changes and often NSAIDS for pain relief. PJS generally is classically seen presenting with cause, headache, vomiting, mood swings, increased appetite, decreased concentration, sore breasts and lower abdominal ache with mild abdominal cramps.
You may discuss the differential diagnoses with your physician and take an informed approach towards your symptoms,
I hope I have answered your query in detail,
Wishing you good health,
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