symptoms of hypothyroidism, and the report below warns that low thyroid is especially prevelant
in older folks with colonic conditions.
About low sodium (for Paula too): Snipped from: http://www.emedicine.com/pmr/topic57.htm
"Hyponatremia often is seen in patients with hypothyroidism."
(Hyponatremia is the medical term for low sodium in the blood.)
"Hypothyroidism causes a constellation of changes in the body. The lack of thyroid hormone results in
slowed or reduced metabolic function, such as decreased protein turnover and impaired carbohydrate
metabolism. These metabolic changes occur in many organ systems, including muscle. Pain with
muscle exertion is characteristic of defective carbohydrate metabolism."
___________
Here's the report: From http://www.springerlink.com/content/j552v5737392253w/
Acute colonic surgery and unrecognized hypothyroidism: A Warning - Report of Six Cases
Diseases of the Colon & Rectum
Publisher Springer New York - ISSN 0012-3706 (Print) 1530-0358 (Online) Subject Medicine -
Issue Volume 40, Number 7 / July, 1997 - Category Case Reports - DOI 10.1007/BF02055446 -
Pages 859-861 SpringerLink Date Thursday, August 18, 2005 - Eric Bergeron1, Andrew Mitchell1,
Françoise Heyen1 and Serge Dubé1
(1) Department of Surgery, Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada
Abstract PURPOSE: This study was designed to highlight the significant morbidity related to undetected
hypothyroidism in the elderly who are undergoing emergency surgery. METHOD: Case reports of six
patients who presented with acute colonic surgical conditions are reviewed. RESULTS: Six cases of
undetected hypothyroidism in a group of elderly patients was unmasked at the time of surgery for acute
colonic conditions or in the perioperative period. These patients experienced increased morbidity, but once
detected and treated, all but one had an uneventful recovery.
CONCLUSION: Unrecognized hypothyroidism may lead to unnecessary surgery or even a potentially fatal
outcome. A heightened awareness of this not so uncommon entity is mandatory.
____________________
I hope this helps. Jodi
ruth strackbein wrote on 4/4/2007, 4:12 PM:
> Thanks, Paula, I suspect that I may have had excessive stools the day
> they put me in the hospital and tested my sodium level. I do not
> usually actually have "runs", but rather many formed stools in one day
> and then diminishing amounts one or two succeeding days. Then nothing.
> After a day or two, I do something about it because my ascending colon
> feels tight and full and I begin to pass tiny little narrow cylinders
> which require huge effort and sometimes, manual intervention. Sorry if
> this is gross. My problems are usually gross. Ruth
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