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Doctor insights on: Treatment For Elevated Catecholamines In Hypothyroid Patients With Anxiety

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Why a patient with hypothyroidism undergoing root canal treatment, faints during the treatment?

Why a patient with hypothyroidism undergoing root canal treatment, faints during the treatment?

Pain: Regardless of thyroid function (hypo, hyper or euthyroidism), pain for any reason can cause someone to faint, most likely due to a vasovagal response whereby the heart beats too slowly while the blood pressure drops. ...Read more

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Dr. Su Fairchild
1,180 doctors shared insights

Hypothyroidism (Definition)

Hypothyroidism is also known as Underactive thyroid. Level, which can cause fatigue increased sensitivity to cold constipation dry skin unexplained weight gain puffy face hoarseness muscle weakness elevated blood cholesterol level muscle aches, tenderness and stiffness pain, stiffness or swelling in your joints heavier than normal or irregular menstrual periods thinning hair slowed heart ...Read more


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What is the percentage that you will acquire hypothyroidism using radioactive iodine therapy for patient with hyperthyroidism?

What is the percentage that you will acquire hypothyroidism using radioactive iodine therapy for patient with hyperthyroidism?

Common: Many of my patients who received rai therapy for hyperthyroidism developed hypothyroidism within months or years after their treatment and had to take thyroid replacement therapy. Up to 50% of treated patients develop hypothyroidism within 1 year. The good news is that most patients do well on replacement therapy. ...Read more

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Symptomatically hypothyroid patient with elevated thyroid antibodies but normal TSH, T4, and T3. What is normally done in this situation?

Symptomatically hypothyroid patient with elevated thyroid antibodies but normal TSH, T4, and T3.  What is normally done in this situation?

Usually you: follow the patient and institute BRAND NAME thyroid replacenebt when the TSH increases above nornal, TSH and free T4 are the only tests necessary once you have established elevated antithyroid ab's. Over 60% of normal people have soe symptoms of hypothyroid with a normal thyroid. Diseases can cause symptoms, but symptoms don't cause you to have a disease. ...Read more

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What kind of treatment can be done with a patient that cannot talk to anyone because of his anxiety?

What kind of treatment can be done with a patient that cannot talk to anyone because of his anxiety?

There are options. : There are medications which can help you with that but also counseling/therapy can help. There are also self help books which you can search for on amazon. See a psychiatrist or even just your family physician who can guide you in the right direction and live a life without social anxiety. Good luck. ...Read more

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Any feedback regarding juice plus on hypothyroid patients? Not looking to cure but to feel better without leaving my medication.

Any feedback regarding juice plus on hypothyroid patients? Not looking to cure but to feel better without leaving my medication.

OK but can do better: I like that juice plus is a concentrate of healthy fruits ; veggies but several of its ingredients are on the ewg's dirty dozen list of most pesticide-laden produce ; there is no indication juice plus is organic. You'd be far better off choosing a product like orac energy greens which is entirely organic or wildcrafted; one serving has the antioxidant power of 24 servings of fruits ; vegetables. ...Read more

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How does a physician determine if a patient needs anxiety medication instead of therapy?

Anxiety: Based on intensity of symptoms and interference with daily functioning. ...Read more

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Why won't the Department of Veteran Affairs prescribe anti-anxiety medications to patients with PTSD; even if you are not participating in PE therapy?

Why won't the Department of Veteran Affairs prescribe anti-anxiety medications to patients with PTSD; even if you are not participating in PE therapy?

A couple of reasons: First, I assume you're talking about benzodiazepines. There is no evidence that these types of medications can help in the long term with posttraumatic stress disorder,although they can be useful in the short-term. I think the Veterans Affairs policy is a bit extreme. I think they are also concerned about the potential for addiction with benzodiazepines. Best. ...Read more

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Could a psychologist or a cognitive behavioral therapy solve social anxiety knowing that the patient doesn't like to be social ?

Could a psychologist or a cognitive behavioral therapy solve social anxiety knowing that the patient  doesn't like to be social ?

CBT: Yes! Seek a cognitive-behavioral therapist who specializes in phobias. One method they use is systematic desensitization which slowly and incrementally brings the person closer and closer to the thing they are afraid of in slow, graduated steps that help make the anxiety more tolerable. ...Read more

Dr. Heidi Fowler
3,036 doctors shared insights

Anxiety (Definition)

Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more