Just diagnosed

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cfields@cox-internet.com - 17 Jul 2006 02:33 GMT

I am posting this in hopes somebody has experienced what is happening
to me or any insight would be appreciated. In April I was diagnosed
with Hashimotos, started on 15mg armour unable to increase as needed
secondary to increase in heart palps from my mital valve prolapse
and/or low adrenals. Had the saliva test for adrenals and they are on
the low end, tried the hydrocortisone as recommended for two weeks then
increased my armour to 30mg with continued palps . By June I noticed
my allergies and asthma which I haven't had since a child becoming out
of control. The end of June I had an anaphylaxis reaction after a run
and shower, went to ER, now diagnosed with asthma (saw a specialist)
and placed on 5 different medications with one of them being inhaled
corticosteroids (asmanex) and have to carry an epi-pen.

Stopped the armour cold turkey after ER trip this has been four weeks
ago and still having the asthma attacks, much shortness of breath,
heavy mucus production. Supposed to have blood work the end of this
week and go from there with the thyroid/adrenal thing. Has anyone
heard of this happening from low adrenals? Also could the inhaled
corticosteroid cause me even more problems with adrenal function? At
this point Iam scared to not take the asmanex as the possibility of
another anapylaxis reaction happening and the constant asthma I am
having.

It just seems odd that this all happened when I started thyroid
replacement, but Ive been off it for four weeks now and still having
the asthma, allergies. Maybe it triggered something in me. I am under
alot of stress but have been for many years. Can stress cause this to
happen? Very new to all this , even my pcp is unsure what is going on.
Any ideas would be appreciated.

Cynthia

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00doc - 20 Jul 2006 01:12 GMT

>I am posting this in hopes somebody has experienced what is happening
> to me or any insight would be appreciated. In April I was diagnosed
> with Hashimotos, started on 15mg armour unable to increase as needed
> secondary to increase in heart palps from my mital valve prolapse
> and/or low adrenals.

Some people believe that armour thyroid is useful but most docs don't. If
you are having palpitations on the Armour why not go with the conventional
wisdom and use regular levothyroxine?

> Had the saliva test for adrenals and they are on
> the low end, tried the hydrocortisone as recommended for two weeks then
> increased my armour to 30mg with continued palps .

You need to work this out. A low saliva test for adrenal function is not
diagnostic and should trigger an ACTH stimulation test. Treating
hypothyroidism can trigger an adrenal crisis in a deficient patient.

My advice (which is the standard advice) is have a morning cortisol blood
test and an ACTH stimulation test. If they are normal don't worry about it.
If you are adrenal insufficient treat that first and then treat the thyroid.

> Stopped the armour cold turkey after ER trip this has been four weeks
> ago and still having the asthma attacks, much shortness of breath,
> heavy mucus production. Supposed to have blood work the end of this
> week and go from there with the thyroid/adrenal thing. Has anyone
> heard of this happening from low adrenals?

Not usually. In theory it is easy to see how it could happen but I am not
aware of it being described.

> Also could the inhaled
> corticosteroid cause me even more problems with adrenal function?

Yes, at high doses it could. It usuallly doesn't but it is not impossible.
However, you do have to breath. That is the number one priority.

> Can stress cause this to
> happen?

Yes, definately.

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00doc

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