Thyroid lab insight

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Does anyone have insight into these thyroid labsTSH 8.84 .3-4.7Free T4 1.11 .75-2Free T3 4.8 2.3-4.2Thanks, Dr. I Buttler Naturopathic PhysicianNorthwest Natural Medicine, LLC2305 SE Washington St., Suite 104Milwaukie, Oregon 97222www.nwnaturalmedicine.comThis e-mail message and any attachments are intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or copy of this communication is strictly

prohibited. If you have received this communication in error, please notify us immediately by telephone and destroy the original and any copies of this e-mail.Subject: Pouchitits - where to start?To: Date: Wednesday, January 6, 2010, 12:14 PM

Yesterday I had a new patient. 44 y/o female, suddenly developed UC in 1998 (no pervious SSx, just started having very bloody stool). In 2006, none of the drugs helped and she was consatntly bleeding, so they removed her whole LI and gave her a J-pouch. Has had pouchitis literally ever since the procedures. Nothing conventional has helped. In 2007 she had an obstruction that she had removed in the hospital and this past summer she had a stricture she also needed resolved in the hospital.

Current SSx are: very loose stools, BMs over 20/day, wakes at night about 1/hr to have BM, lots of gas through the day. BMs are foul smelling, mucusy, loose/pasty. No blood and no pain.

SSx are worse before her period and they are better during her period. Her menstrual cycle hasn't been regular since her surgery. She also has endometriosis.

Her diet consists of 'soft foods' - pretty much carbs and well cooked meats. She says anything else runs right through her. Veggies, fruit, etc comes out pretty much the same coming out as going in.

Meds she is on are: metronidazole, lomotil(diphenoxyla te and atropine), immodium, and VSL-3

I haven't seen a patient before who has no LI, so I am not sure what I can give her orally, what kind of diet changes I can make, and what I need to watch out for. Anyone one have any good ideas on what do do for a case like this?

ND

Islip NY

[Guest guest]

Hi , (twice in one day someone has had similar results....) however, what are the clients complaints/symptoms?check all thyroid antibodies, check wheat sensitivities and r/o celiac. 

and run reverse T3. could be high reverse T3, stress response.also, lyme can effect thyroid as well.sheila-- Sheila M. Frodermann, MA, ND, FHANPNaturopathic Physician

www.providencewholistic.comProvidence, RI

 

Does anyone have insight into these thyroid labsTSH  8.84     .3-4.7Free T4  1.11   .75-2

Free T3  4.8     2.3-4.2Thanks, Dr. I Buttler Naturopathic PhysicianNorthwest Natural Medicine, LLC2305 SE Washington St., Suite 104Milwaukie, Oregon 97222

www.nwnaturalmedicine.comThis e-mail message and any attachments are intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or copy of this communication is strictly

prohibited. If you have received this communication in error, please notify us immediately by telephone and destroy the original and any copies of this e-mail.

Subject: Pouchitits - where to start?

To: Date: Wednesday, January 6, 2010, 12:14 PM

 

Yesterday I had a new patient.  44 y/o female, suddenly developed UC in 1998 (no pervious SSx, just started having very bloody stool).   In 2006, none of the drugs helped and she was consatntly bleeding, so they removed her whole LI and gave her a J-pouch.  Has had pouchitis literally ever since the procedures.  Nothing conventional has helped.  In 2007 she had an obstruction that she had removed in the hospital and this past summer she had a stricture she also needed resolved in the hospital.

 

Current SSx are: very loose stools, BMs over 20/day, wakes at night about 1/hr to have BM, lots of gas through the day.  BMs are foul smelling, mucusy, loose/pasty.  No blood and no pain.

 

SSx are worse before her period and they are better during her period.  Her menstrual cycle hasn't been regular since her surgery.  She also has endometriosis.

 

Her diet consists of 'soft foods' - pretty much carbs and well cooked meats.  She says anything else runs right through her.  Veggies, fruit, etc comes out pretty much the same coming out as going in.

 

Meds she is on are: metronidazole, lomotil(diphenoxyla te and atropine), immodium, and VSL-3

 

I haven't seen a patient before who has no LI, so I am not sure what I can give her orally, what kind of diet changes I can make, and what I need to watch out for.  Anyone one have any good ideas on what do do for a case like this?

ND

Islip NY