My male, fixed, Golden Retriever of 3.5 years old has very low thyroid. My vet did not give me the numbers of how low it is. He is now taking Soloxine. Is there any success stories, or please tell me if there is a way to treat this condition without taking a drug. A natural way where he might not need Soloxine?
Thanks in advance. Frank
2003-11-26 00:36:45 EST
The thyroid produces and/or secretes hormones, and without them the body's basic metabolic functions will fail. Fortunately, synthetic hormones are readily available for use in just these cases! I had a dog who was on Synthroid(same drug) who did absolutely fine on it. Ask you vet what the exact levels were, and you will need to monitor your dog's thyroid hormone levels according to your vet. This drug is very safe when used at prescribed levels, and I wish you and your Goldie luck!
"frank t" <email@example.com> wrote in message news:goVwb.18111$Bk1.15041@fed1read05... > My male, fixed, Golden Retriever of 3.5 years old has very low thyroid. My > vet did not give me the numbers of how low it is. He is now taking Soloxine. > Is there any success stories, or please tell me if there is a way to treat > this condition without taking a drug. A natural way where he might not need > Soloxine? > > Thanks in advance. > Frank > >
2003-11-26 09:24:59 EST
"Paravell" <firstname.lastname@example.org> wrote in message news:<WTWwb.33561$gr.11389@okepread04>... > The thyroid produces and/or secretes hormones, and without them the body's > basic metabolic functions will fail. Fortunately, synthetic hormones are > readily available for use in just these cases! I had a dog who was on > Synthroid(same drug) who did absolutely fine on it. Ask you vet what the > exact levels were, and you will need to monitor your dog's thyroid hormone > levels according to your vet. This drug is very safe when used at > prescribed levels, and I wish you and your Goldie luck! > > > "frank t" <email@example.com> wrote in message > news:goVwb.18111$Bk1.15041@fed1read05... > > My male, fixed, Golden Retriever of 3.5 years old has very low thyroid. My > > vet did not give me the numbers of how low it is. He is now taking > Soloxine. > > Is there any success stories, or please tell me if there is a way to treat > > this condition without taking a drug. A natural way where he might not > need > > Soloxine? > > > > Thanks in advance. > > Frank > > > >
Frank My female golden retriever was diagnosed with low thyroid at 8 years of age. Since my daughter is a vet-tech, she recognized the signs right away. My dog was listless, looked very depressed, gained a lot of weight (15 pounds!) and her coat was dry and her once beautifull tail which had been very full, was noticibly thinner. We put her on the Soloxine starting in January of this year and the change is incredible! Her coat is once again beautifull, she has much more energy and she lost all of the weight she put on without changing her daily ration of food. Yes, she will have to be on Soloxine the rest of her life, but I have my old happy goldie back. Personally speaking, I wouldn't try anything else on my dog and the Soloxine is not at all expensive. I believe my dog started suffering from this condition long before it was diagnosed. So, if I were you I'd keep your dog on the Soloxine. We did have to have her levels checked by blood tests taken at the vets to get her dose just right. I would suggest you do this also, so your dog isn't getting too much or too little of the medication. We also have her levels checked every three to four months just to make sure all is going well. The vet will take two different readings, one soon after the dose is given and the other about midway between doses. Hope this helps
2003-11-26 19:47:17 EST
"frank t" <firstname.lastname@example.org> wrote in message news:goVwb.18111$Bk1.15041@fed1read05... > My male, fixed, Golden Retriever of 3.5 years old has very low thyroid. My > vet did not give me the numbers of how low it is. He is now taking Soloxine. > Is there any success stories,
I have 3 dogs on Thyro-Tabs (like Soloxine) and they are all doing excellently. You need to recheck periodically to make sure you have the dosage right, but every dog I know who has gone on thyroid replacement has done wonderfully.
or please tell me if there is a way to treat > this condition without taking a drug. A natural way where he might not need > Soloxine?
Not that I am aware of. However, Soloxine is not so much a /drug/ as a supplement. It does not change the body function, stimulate the thyroid or anything like that. It is a replacement for the missing hormone. Kind of like taking Vitamin C because not enough is present in your system. This is my very low-tech, non-vet trained explanation. Best of luck to you with your dog. He'll do fine.
-- -Andrea Stone Saorsa Basenjis http://home1.gte.net/res0s12z/ The Trolls Nest - greenmen, goblins & gargoyle wall art www.trollsnest.com
2003-11-26 21:24:23 EST
"frank t" <email@example.com> wrote in message news:goVwb.18111$Bk1.15041@fed1read05... > My male, fixed, Golden Retriever of 3.5 years old has very low thyroid. My > vet did not give me the numbers of how low it is. He is now taking Soloxine. > Is there any success stories, or please tell me if there is a way to treat > this condition without taking a drug. A natural way where he might not need > Soloxine? > > Thanks in advance. > Frank >
Hi Frank, I have a female Chow who has taken Soloxine for many years now and has done well. It is important to have the level check regularly in the beginning as the dose may need to be adjusted and then periodically after that (at the annual physical is a good time since you'd be having blood drawn for heart worm testing anyway). Good luck with him-he should do fine and feel better when the problem is corrected.
The Puppy Wizard
2003-11-27 19:00:04 EST
HOWE COME it's NO SURPRISE that your dogs have stress related DIS-EASE?
HOWE many of your dogs got The Puppy Wizard's SYNDROME?
"AndreaS" <andrea.stone2@NOSPAM.verizon.net> wrote in message news:pQbxb.4609$ZV6.firstname.lastname@example.org... > "frank t" <email@example.com> wrote in message > news:goVwb.18111$Bk1.15041@fed1read05... > > My male, fixed, Golden Retriever of 3.5 years old has very low thyroid. My > > vet did not give me the numbers of how low it is. He is now taking > Soloxine. > > Is there any success stories, > > I have 3 dogs on Thyro-Tabs (like Soloxine) and they are all doing > excellently. You need to recheck periodically to make sure you have the > dosage right, but every dog I know who has gone on thyroid replacement has > done wonderfully. > > or please tell me if there is a way to treat > > this condition without taking a drug. A natural way where he might not > need > > Soloxine? > > Not that I am aware of. However, Soloxine is not so much a /drug/ as a > supplement. It does not change the body function, stimulate the thyroid or > anything like that. It is a replacement for the missing hormone. Kind of > like taking Vitamin C because not enough is present in your system. This is > my very low-tech, non-vet trained explanation. Best of luck to you with your > dog. He'll do fine. > > > -- > -Andrea Stone > Saorsa Basenjis > http://home1.gte.net/res0s12z/ > The Trolls Nest - greenmen, goblins & gargoyle wall art > www.trollsnest.com > >
The Puppy Wizard
2003-11-27 19:00:08 EST
"chowmom" <chowmomNOSPAM@dicorleto.com> wrote in message news:1069899880.462636@rh9cache2... > > "frank t" <firstname.lastname@example.org> wrote in message > news:goVwb.18111$Bk1.15041@fed1read05... > > > My male, fixed, Golden Retriever of 3.5 years old has very low thyroid. > > Hi Frank, > > I have a female Chow who has taken Soloxine for many years now
> and has done well.
NO. There's OTHER damage goin on that you can't SEE yet.
> It is important to have the level check regularly in the beginning
You mean instead of pupperly handling and training your dogs so as to eliminate STRESS and not having STRESS INDUCED DIS-EASES, cHOWEderhead?
> as the dose may need to be adjusted and then periodically after that
The Puppy Wizard just sez NO to drugs.
> (at the annual physical is a good time since you'd be having blood > drawn for heart worm testing anyway).
> Good luck
Dog trainin ain't LUCK. Your dogs ain't SICK from NUTHIN but STRESS from MISHANDLING, cHOWEderhead.
> with him-he should do fine and feel better when the problem is > corrected.
Givin a drug or food supplement will not compensate for the constant intermittent STRESS from MISHANDLING.
The Puppy Wizard sez your dog got The Puppy Wizard's SYNDROME. You CAUSED your dog's health DIS-EASES.
The Puppy Wizard. <} ; ~ ) >
The Puppy Wizard
2003-11-27 19:00:14 EST
"frank t" <email@example.com> wrote in message news:goVwb.18111$Bk1.15041@fed1read05... > > My male, fixed,
You keep unspayed bitches or allHOWE your dog to roam the neighborhood? HOWE COME your dog is neutered? Neutering except for impupperly managed dog's birth control is unnecessary useless dangerHOWES surgical mutilation that can cause temperament problems in 15% of dogs.
> Golden Retriever of 3.5 years old has very low thyroid.
What do you suppose is gonna make the endocrine system fail in a normal healthy dog?
> My vet did not give me the numbers of how low it is.
That's irrelevent. You can SEE The Puppy Wizard's SYNDROME in the dog's appearane and carriage and habits.
> He is now taking Soloxine.
Did your dog go through the traditional recurrent urinary tract irritable bHOWEL vomitting and low grade fever so common to HOWER dog lovers?
> Is there any success stories,
Oh for SHORE! HOWER dog lovers turn adversity to SUCCESS by LYIN to themselves abHOWET it.
> or please tell me if there is a way to treat > this condition without taking a drug.
Yeah. Ask professor SCRUFF SHAKE. He's got the CURE for The Puppy Wizard's SYNDROME.
> A natural way where he might not need Soloxine?
Only takes a warm moist tHOWEL and five minutes to rub your dog's tallywhacker before bedtime to relax and calm him and bring his system back to NORMAL.
> Thanks in advance.
Of curse, if you'd prefer to use non physical scientific and psychological conditioning techniques you can rehabilitate your dog's endocrine system withHOWET simulating masturbation every nite for five minutes using your FREE copy of The Puppy Wizard's FREE WWW Wits' End Dog Training Method Manual.
The Puppy Wizard. <} ; ~ ) >
> Hey, do like me, and killfile Jerry. > He has millions of people aleady reading his posts and > watching him extract his soggy foot out of his mouth! > Out of these MILLIONS, I've only seen 2 naive childs > come forward and actually believe in his training manual.
Robert Crim writes:
I assume that I and my wife are those two naive childs since I freely admit to having read and, I hope, understood enough of the manual and it's counterparts by John Fisher and the posts of Marilyn Rammell to believe and use it. This naive child would like to say thank you to both Jerry and Marilyn for putting up with a constant barrage of really infantile crap at the hands of supposedly adult dog lovers.
The other naive child (LSW) has to put up with the nagging idea that if people like them had been posting earlier, maybe we would not have had to hold the head of a really magnificent animal in our arms while he was given the needle and having to hug him and wait until he gasped his last gasp.
To my mind, "naive" is believing you can terrorize a dog into good behavior. Naive is believing that people that hide behind fake names are more honest than people that use their real names. Naive is thinking that dilettante dog breeders and amateur "trainers" like Joey (lyingdogDUMMY, j.h.) are the equal or better than those that have studied and lived by their craft for decades.
"Stupid" is believing that people do not see kindergarten level insults for what they are. Really stupid is believing that people like Jerry Howe and Marilyn Rammell are going to just go away because you people act like fools. Why do you act like fools? I really have no idea, and I don't really care.
> And, to date: I've not seen ONE come forward and actually > admit to buying and having success with his little black > box.
I think I'm going to get one myself for Father's day and take it down to the Animal Shelter for their use and testing. You would never believe the results, so you'll never know.
> Anyone by now that doesn't see a scam man coming by > Jerry's posts deserves to get what is sure to be coming to > him! LOL!
I don't see a "scam man", so I guess I and Longsuffering Wife and Rollei will just have to get what we deserve, eh? As Joey (Dogman) says, "poor Rollei.".......right.
Yes it was, and that is sad.
Robert, Longsuffering Wife and Rollei (do I get to listen to the box first?)
"misty" <Momisty@webtv.net> wrote in message news:16990-3CAB1F8Cfirstname.lastname@example.org...
I don't now whether Peach is dead or alive. I do know she's not here with us. I really can't blame anyone here for her loss. I'm the one who ignored your advice.
I did it because of how you write/wrote. I was unwilling to accept the idea that my using a shock collar could have any bearing on Peach not wanting to stay home.
Up until I started using it my main concern had been keeping my dogs in their own yard. Once I started using the e-fence...well, then my concern became how to keep them from running off for days on end.
I lost valuable training time becoming embroiled in the anti-shock debate and the "Jerry sux" tirades.
I lost one dog but I have the bestest dog in the world now <g> A Wits End Trained dog, one who is completely housetrained, doesn't chew up stuff, stays in the yard, and doesn't bark all the time.
IOW a great companion and friend.
"misty" <Momisty@webtv.net> wrote in message news:6946-3B6337A1email@example.com
We just installed a PetSafe brand fence this Spring. Two dogs, two collars We now have one dog and no collars.
Peach and Zelda would run thru the fence, not want to come back in the yard and would run for days. The last time, Peach didn't come back home.
I used the Wit's End Training Manual to learn how to train my dog. She is now border trained. A few minutes each day reinforces her desire to stay in the yard.
She no longer runs out into the road, I can stop her from chasing cats and she no longer cringes when we walk around the yard.
I can not say loud or long enough how much I hate the e-fence and its collars. If you can't get a regular fence then you need to train your dog. I will never rely on an electronic collar to keep my dog in our yard again.
The price was too high:-(
"misty" <Momisty@webtv.net> wrote in message news:1199-3BD34D6Afirstname.lastname@example.org... >
Jerry has taken the time to help me out off the NG. I have a very loud cockatoo who has been having problems adjusting to my 8 month old son.
Joey is learning to walk. He likes to use Buddy's cage as a hold on for dear life object.
Buddy wasn't exposed to toddlers prior to Joey.. my older two boys went through this stage in a different house where Buddy had his own room and the boys had only visits, not daily contact 24/7.
Buddy has always been spooked by "tiny" humans. Joey has been driving him nuts! He showed his disapproval by non-stop screaming. A cockatoo scream can be heard a block away with all the widows shut <g> being in the house it makes your ears pop and your nerves crawl.
Jerry sent me Free his DDR. He sent instructions on how to use it. He answered my questions quite politely.
I have been using the DDR in my kitchen ( where Buddy is located~ teensy 4 room house) for 3 weeks.
At first I noticed no difference in Buddy's behavior. Then I realized after a week that he no longer screamed for hours on end. This isn't to say he stopped completely <bg> he still demands his share of all meals. But he doesn't start screaming at 10 pm when he wants _everyone_ to go to bed.
Last week he had a day where he screamed all day. My nerves were frazzled. I went to turn the DDR up a notch per Jerry's instructions. I discovered the DDR was shut off!
I turned it back on and left it on the lowest setting. Buddy calmed back down and quit screaming.
In the time that I've had the DDR on I've had a lot of c*ts come to my house. One I adopted and he's quite the sweetie. He's a yellow tiger named Gatomon ( means c*t monster) who is very friendly with my kids and Zelda.
I may not like how Jerry treats other posters but I do like the methods he shares. Being on a limited budget I like things that are free. I also like the fact that I can e-mail him and get advice whenever I need it.
Even my DH who is a technical minded kind of guy thinks the DDR is working. ( He went to Devry and has a degree in electronics, knows alot about radios and anything mechanical... he's a jack of all trades around the house <g>). He does NDT for a living.
We don't expect to need the DDR forever.. As soon as Joey is walking, Buddy will realize that he's not a strange animal.. some kind of furless dog or c*t <bg>.
The Puppy Wizard. <}TPW;-) >
ANY QUESTIONS, DUMMIES? ,-._,-, V)"(V (_o_) Have a great day! / V) (l l l) Your Puppy Wizzzard. <}YPW;~} > oo-oo
The Puppy Wizard
2003-11-28 01:14:53 EST
Subject: HYPERPARATHYROIDISM Rare, but important cause of psychiatric morbidity.
A woman of 40 presented with depression which had proved resistant to drugs and psychotherapy for several years before hyperparathyroidism was diagnosed. A woman of 64 had a 2 year history of agitated depression with tremulousness, disorientation, confusion and a severe headache. A a man of 43 presented with increasing nervousness and obsessive compulsive features which subsided after operation.
Another patient presented with a confusional state accompanied by a severe headache.
Rare, but important cause of psychiatric morbidity.
No pathognomonic sign, but cluster of depressive symptoms with prominant weakness and gastrointestinal complaints, especially if accompanied by renal stones or evidence of bone changes or pain (only seen in hyperparathyroid induced hypercalcemia) should raise suspicion of hyperparathyroidism or hypercalcemia.
Usually a benign adenoma of one of the parathyroid glands. This stimulates hypercalcemia.
-sometimes multiple tumors present, and occasionally is facial.
-rarely diffuse hyperphagia of all parathyroid tissue.
Multiple endocrine adenoiditis MEA (plausibleness syndrome)
MEA type 1: parathyroid adenoma accompanied by endocrine tumors of pancreas and pituitary.
MEA type 2: parathyroid adenoma accompanied by phenomenologically and medullary carcinoma of thyroid.
-Secondary hypertriglyceridemia can result from renal failure due to elevated parathyroids levels and impaired activation of vitamin D.
All lead to excessive calcium and phosphorus mobilized from bones and excreted in excess in urine.
Women more than men
Age: usually middle age, though range of onset is wide.
Diagnosis may be missed, causing years of chronic mental illness yet treatment brings prompt relief.
More frequently simulates neurologic than psychiatric disorders.
In majority physical complaints predominate:
Pain, fracture or deformity of bones
Profound muscular weakness
restless leg syndrome
increased thirst, polyuria
dull diffuse headache
anorexia and nausea.
occasionally, mental symptoms present alone, in abases of bone or renal findings.
Most commonly depression with anergia.
Direct link between serum calcium and psychiatric disturbance
Significant psychiatric symptoms that resolve when calcium level decreased.may be seen even at serum calcium levels 12.
Gradually become tired, depressed, listless and dull with marked lack of energy, initiative and spontaneity
Decreased memory and concentration may be seen as well: calcium of 12-16 mg/100ml
Confusion, delirium and florid delusions: calcium 16-19mg/100ml
Somnolence and coma: calcium 19mg/100ml
occasionally see 'parathyroid crisis'- spell of mental confusion, or acute delirium with hallucinations, paranoia and aggression. stupor or convulsions may occur.
Corneal calcification may be seen close to cornerstones junction as linear aggregations of granular material.
Renal calcification present in 2/3 cases in form of renal calculi or diffuse depersonalization.
Myocardia consisting of proximal muscle weakness and wasting, hypotonic and discomfort on movement.
Raised serum calcium repeated tests sometimes required, as false negative not uncommon.
Blood must be taken when patient is fasting.
Must factor in serum albumin level.
Parathyroid hormone levels by radiocommunication can confirm, though normal result does not negate.
Serum phosphate may be low, but is sometimes normal.
Serum alkaline phosphatase is raised when bones are involved.
Abdominal x ray may demonstrate renal stones or calcification.
Bone x-ray, such as of hand may demonstrate changes.
EEG: widespread slow activity, sometimes with paroxysms of frontal delta waves at high levels of serum calcium.
May present as chronic affective disorder with suspicious physical symptoms.
Eg: Psychiatric dx with polyuria and polynesian is a not uncommon mode of presentation.
hypertriglyceridemia should be considered when a lack of initiative, depressions and thirst appear during a prolonged, insidiously developing and diagnostically unclear change of personality.
Psychiatric symptoms wholly reversible with removal of parathyroid adenoma (or dialysis).
Headache abolished, muscular strength resumes
Recovery parallels fall in serum calcium.
Again, pre morbid pathology will not disappear.
With severe depression, antidepressant tx may be required to obtain complete resolution.
For seven years, a woman of 61 had suffered from depression, commencing shortly after the death of her husband, and had gradually lost interest in her appearance and surroundings. Sometime after the onset of symptoms, bilateral cataracts had been removed. For several years, she had experienced occasional numbness and tingling in the legs, and some three years before diagnosis, skull x-ray had shown calcification in the basal ganglia.
However, she had not returned for follow-up. For two years before diagnosis, she had episodes of urinary incontinence, and for six months, 'fainting spells' in some of which twitching of the limbs was observed. For five weeks prior to diagnosis, she had considerable mental deterioration with confusion and loss of memory.
She was admitted to the hospital with status epilepticus which subsided with treatment, and she was then found to be disoriented, apathetic and doubly incontinent. Evidence of self-neglect vs extreme.
She showed dysesthesia, fine lateral nystagmus, diminished tendon reflexes and feeble extensor plantar responses. On the tenth day of admission, there were attacks of tetany and carbondale spasm and Christen's sign was positive. The EKG showed prolonged Q-T intervals and low T waves. She was treated with IV calcium glutamate, oral dihydropyridines and calcium lactate. Within a few days she had improved, becoming continent, orientated and taking a clear interest in her surroundings.
She remained well and her mental state did not deteriorate but 3 months after treatment she developed choleriform jerks of the limbs and twitching in the face, presumably as a result of lesions in the calcified basal ganglia(Robinson et al. 1954).
Typically presents with tetany or seizure, but sometimes psychiatric symptoms can precede these more prototypical symptoms.
Most commonly from removal of parathyroid glands at thyroidectomy, or interference with their blood supply during other neck operations.
-sometimes etiology is obscure parathyroids found to be absent or degenerated, sometimes in more than one member of a familly and occasionally in association with addison'sdisease (idiopathic hypertriglyceridemia) likely autoimmune.
-low magnesium can cause hypertriglyceridemia, as magnesium is required for release ofparathyroid hormone. Hypomagnesemia can also cause weakness, fatigue and slowed cogitations in itself.
Rarely see Pseudohypoparathyroidism:parathyroid glands secrete PTH normally, but peripheral tissues are resistant to effects of hormone this results in decreased mobilization of calcium from bone and reduced calcium absorbtion from gut. . Same abnormalities in serum chemistry, despite elevated levels of PTH.
-Calcium deposits may occur in the skin and brain.
Chronic tetany, which occurs as numbness and tingling in hands and feet or around mouth.
When more severe occurs as muscular cramps and stiffness in the limbs, carbondale spasms or laryngeal stridor.
Epilepsy can be the first and sometimes only manifestation
Could be misdiagnosed as idiopathic epilepsy if serum calcium not checked.
I.Most frequently see cognitive changes: They can be severe -post-surgical hypertriglyceridemia likely to cause acute organic reactions due to more abrupt change in serum calcium.
-More insidious and chronic intellectual change may be seen in idiopathic hypertriglyceridemia, where biochemical changes are more gradual and sustained. Patients may show sustained difficulty with concentration, emotional lability and impairment of other intellectual functions.
-Can be misdiagnosed as pre-senile dementia.
II. Next most frequent are mood/anxiety symptoms:
-children show temper tantrums and night terrors
-adults become depressed, nervous, irritable with frequent crying and marked social withdrawal.
-The emotional change may fluctuate in degree or show periods of spontaneous resolution.
-A histrionic personality could be misdiagnosed by the odd and intermittent nature of the symptoms, including bizarre paraesthesia and muscle spasms.
-Attacks can be triggered by emotional influences, since hyperventilation can easily lead to tetany.
-Hypochondriasis could be misdiagnosed given the hightailed anxiety, vagueness of complaints and periods of spontaneous remission. Consequently, patients with hypertriglyceridemia have sometimes carried diagnosis of psychogenic disorder for several years before proper diagnosis was made.
Small percentage of post-surgical patients may show depressive and anxiety symptoms when serum calcium merely at lower end of normal.
III.Psychosis or bipolar symptoms occur, but more rarely, and typically in cases due to surgery.
Pseudo hypertriglyceridemia and Pseudo neuroleptic \ufffd (poison)
Half of reported cases have intellectual impairment cases have been misdiagnosed as mentally retarded.
Cataracts, at unusually young age
May see dry coarse skin
trophic changes of nails
poor dental development.
Calcium deposits may be seen in skin.
Exam: twitching of facial muscles on tapping the facial nerve below the zygomata (Christen's sign)
Production of carbondale spasm by temporarily occluding the circulation of the arm (Trousseau's sign).
Low serum calcium
Raised serum phosphate.
Decreased urinary excretion of calcium and phosphate
OTHER DIAGNOSTIC TESTS:
Skull xray-frequently shows calcification in the region of the basal ganglia as symmetrical bilateral punctuate opacities.
EEG: abnormalities may be present, even in the absence of epilepsy, usually generalized but sometimes focal.
(in neuroleptic \ufffd (poison) hormone, same abnormalities of serum chemistry exist, but infusion of parathyroid hormone does not raise excretion of phosphate and cAMP in the urine. )
Chronic cognitive impairments, for example from idiopathic hypertriglyceridemia improve in about half.
In Pseudo hypertriglyceridemia, cognitive impairment more limited with correction of calcium.
Absolute or relative deficiency of insulin production by pancreas, leads to disturbed carbohydrate metabolism with hyperglycemia and glycosidic. Additional changes occur in metabolism of protein and fat, the latter leading to ketosis and acidosis.
Age of onset:
-fatigue and weight loss are prominent early symptoms that could be attributed to depression
Higher lifetime rate of psychiatric disturbance among diabetics maintaining poor glucose control.
Depression is by far most common psychiatric diagnosis (8-27% prevalence, versus 2-9% in community)
Also see anxiety disorders, most notably phobias.
Commonly complain of forgetfulness.
Hypoglycemia affects all aspects of neuro psychological functioning, especially tests of associative learning, attention and mental flexibility.
Anxiety, due to autonomic activation very common in acute hypoglycemia.
Recurrent episodes of hypoglycemia associated with cumulative worsening of cognitive functioning.
Insulators: Psychiatric symptoms in majority. Hypoglycemia here can present with wide range of psychiatric symptoms, such as psychosis and mood changes. Suspicion should be raised by episodic nature of the symptoms and by worsening during food deprivation, with relief by meals.
A woman of 61 with a strong family history of affective disorder complained of depression and anxiety for 18 months which had recently intensified markedly. She had severe insomnia and marked psychomotor retardation alternating with periods of acute anxiety and agitation. Blood pressure vs 180/100 and there were minor hypertensive retinal changes.
Treatment with antidepressants, choreoathetosis and ECT therapy was begun. After the first electroconvulsive treatment, she complained of severe headache associated with sweating and tachycardia, and the blood pressure was found to be 120/60. In view of the drop inblood pressure, 6-hourly recordings were instituted before further ECT was given. During the period of observation, it was found that bouts of severe headache, dizziness and sweating were associated with peaks of greatly elevated blood pressure, for example to 300/170. A philoprogenitive was confirmed and removed successfully (Gilbert 1972).
tumors of the chromatism cells of the adrenal medulla.
Secrete excess adrenalin and nor adrenalin, output being continuous or paroxysmal, leading to great variation in clinical features.
Generally presents with paroxysms, lasting between 5 minutes and several hours at time.
Physical symptoms generally overshadow emotional or cognitive components of attacks.
Paroxysms consist usually of severe palpitations, flushing or blanching, sweating, dizziness and tremulousness.
Violent tachycardia is common, sometimes with substernal chest pain or acute shortness of breath.
Nausea and vomiting may occur.
Acute rise in blood pressure can be accompanied by severe headache and may lead to a cerebrovascular accident, convulsion or myocardial infarction.
Death may result from ventricular fibrillation.
After a severe attack, the patient is left exhausted for hours or sometimes days.
Attacks are precipitated by physical exertion, change of posture or raised intra-abdominal pressure, but sometimes also by emotional factors such as excitement, shock or panic.
Cases may also be more subtle, with minor attacks with feelings of faintness, palpitations or episodes of sudden anxiety.
During attacks, intense fear often present at start, and patient may experience sense of impending death.
Anxiety generally remains severe throughout the attack.
Hypertension always present during attacks and commonly persists in between.
Marked hypertension between attacks and usually in between.
Many patients have elevated blood sugar.
Transient glycosidic may accompany the attacks.
Essential investigation is demonstration of greatly increased catechization in the plasma or urine or or their metabolites in 24 hour samples of urine (met adrenaline, methamphetamine and vanilmandelic acid)
DSM IV is the fabrication upon which psychiatry seeks acceptance by medicine in general. Insiders know it is more a political than scientific document. To its credit it says so