Come diagnose me

[hairymuffet]

For months now, I've been feeling incredibly tired, no oomph or inclination to do anything.
I do feel more and more depressed as time goes on, but I'm not sure if it's because I feel too tired to do anything.
I'm breathless.
My joints hurt.
I feel as though my neck is swollen at the front and the side.
I have a couple of small , painful lumps where my chest meets my armpit, which I think are lymph nodes. I had one on the same side in my jaw last year ( checked by gp ), which went away.
I had a hysterectomy a few years ago and I'm on hrt.
I have slightly high bp and I'm slightly overweight ( bmi 32).
Finding it difficult to loose weight.
Too tired to exercise plus everything hurts.
I've had my bloods checked several times. Not anaemic, not ferrarin or Vit D.
Tsh 2.85, no antibodies, so, not thyroid.
Any ideas ??

[hairymuffet]

Although admittedly, the blood tests were nearly a year ago.

[PoshPenny]

Go back and ask for your thyroid to be checked agaIn.

[hairymuffet]

Forgot to mention the terrible brain fog, which is getting worse.

[hairymuffet]

And palpitations, at any time, for no apparent reason.

[TweenageAngst]

Make another appointment with your GP and list the symptoms to them.
Shortness of breath and lymph nodes need looking at.

[Pleasemrstweedie]

A TSH of 2.85 shows that your thyroid is struggling and no, you don't need to be positive for antibodies - I'm not. However the NGS often only tests TPO and not TgAB, which doesn't give the full picture.

Get your thyroid tested again. Also ask for vitamin B12, folate, B12 and ferritin to be checked and get a print out of your results with the reference ranges do you can see where your results sit in the ranges.

[Brighteyes27]

Definitely go back to GP could be under active thyroid or a number of things and if you get fobbed off the first time go back again.
I feel pretty similar 51 diagnosed with under active thyroid anemia asthma and another long term health condition not saying your affected by all of these but did get fobbed off.

[PollyPerky]

My instinct is you need a review of your HRT and possibly a higher dose.
If you are only on 1mgs oestrogen I suspect you need 2mgs.

Or, it's diabetes.

BMI 32 is actually obese ( anything over 30 is obese.) Sorry- not having a go, but it may be affecting your energy levels and you should be checked for diabetes too.

[hairymuffet]

Thanks Pollyperky.
I'm definitely not diabetic.
Am on 2mg already.

What symptoms from the above list apart from tiredness would make you even suspect it ??

[PollyPerky]

As long as you have had a blood or urine test for sugar...that's ok.

You might find 2mgs is not enough . Is it pill form? often a lot is lot in digestion. You might find patches or oestrogen gel give better absorption. Did you lose your ovaries too? Some women need testosterone too .

[pinkopal]

ME, Fibromyalgia.

[Bonkerz]

B12 deficiency made me have all the symptoms you mention.

[PollyPerky]

IMO all your symptoms are meno symptoms and point to low oestrogen. The dose of HRT may not be enough because a lot of it is lost in digestion. As you are a bit overweight, the amount of HRT in your bloodstream may not be as effective as in a thinner person.
I think you should ask for a blood test for oestrogen levels.

[hairymuffet]

Can you explain lymph nodes as a menopausal symptom ffs ?

[PollyPerky]

No!

It sounds as if you have a virus. Since I had glandular fever in my late 20s, my glands come up every time I have a virus. Ask your dr to test for white blood cells to see if you have any underlying infection. if it's a virus there is no cure but it will go in time.
If you can manage to do some gentle walking each day it does boost your immune system and should help your overall health.

[hairymuffet]

Thyroid scan booked
Neck scan booked
Breast clinic referral
Bloods taken

[hairymuffet]

Tsh 3.78
Ft4 12
Goitre

[Pleasemrstweedie]

Even without the ranges. I can see you're hypothyroid.

What's the plan?

[MichaelSheensNextDW]

PollyPerky, your advice is bizarre to say the least.

[Slacktacular]

Yep, would've said hypothyroid even before you posted those results! You will feel like a new person once you get established on thyroxine! (In fact, in my experience I couldn't believe exactly how awful I was feeling until my TSH came down to around 1 and I actually felt like myself again for he first time in a year. If I've learned anything, in my experience GPs tend to see a TSH in the 'normal' range and assume you should be feeling good. Personally I feel like shit with a TSH of greater than 2 and once my endocrinologist has upped my dose it was a revelation. Dose should be adjusted According to symptoms, not just blood results.

[MrsMozart]

When you have bloods done, get the following checked:
Vitamin D
Calcium
Parathyroid (PTH)
B12

Get the actual numbers, not just "It's in range".

[hairymuffet]

Can anyone talk me down.
I'm beside myself with fear.
I'm convinced that I have lymphoma, lung cancer, breast cancer or thyroid cancer, because of lumps in neck, jaw and chest wall.
I'm still waiting on a neck scan and boob clinic appt.
My neck is actually quite sore and swallowing on that side seems more difficult.

[Bebraveagain]

Those results indicate you are hypothyroid. Get ferritin, b12, vit D, folate tested. Ft3 test and antibodies would be good too.

[Bebraveagain]

My TSH was 4 and FT4 was 12 when i started thyroid meds. Turned out that low B12 and ferritin also exacerbated it. My FT3 turned out to be only 3.5 which made it all worse! Sad that so many get so poorly before we are treated.

[myrtleWilson]

Hi Hairy,
I can't help with diagnosis I'm afraid but I get where you're at with anxiety. I probably could take cancer symptoms as my specialist subject in Mastermind (no offence meant to anyone at all) given the amount of times I'm on websites checking symptoms. I was once give a very useful health anxiety booklet from a NHS Trust - am not downplaying any symptoms you may have but I found the booklet a good way of trying to manage my anxiety around them -I'll try to google it for you