Please any ideas?

[bluebottle228]

I am wondering whether the following signs and symptoms give any clues.
I have been told that I dont present as any specific neurological problem by a physio.  I have a dry gums, my TSH is 5.8 FT4 15, i have a lump in my throat that doesnt interfere with swallowing. I have lost weight. I have noticable weakness in the thigh muscles.  NCS were normal.  needle EMG done after which suggested that the neurologist looks at my back. I get a twitch in my back especially when tired physically.  i dont know what is going on, I exercise daily but no muscle growth. i have difficulty in getting going but once warmed up it gets easier.  I get tired easily.  can a slightly elevated TSH not requirng medication cause these symptoms or do I have something neurological going on?

[JainMD]

Hi,
Your question about elevated TSH and not taking medications causing your symptoms, the answer is yes in some cases. Elevated TSH suggests that you are hypothyroid and if you go through hypo-thyroidism,  it suggests that you would have preference for cold and you would be slow in activity too.
Hence it is necessary for you take appropriate medications and see the improvement in your symptoms.
Peripheral nervous system is a group of nerves outside the brain and spinal cord.
Central nervous systems consist of brain and spinal cord.
NCS does not test both Peripheral nervous system and Central nervous system.
Your symptom of weight loss with associated increased appetite, increase thirst and increase urine output suggests that either you might have Diabetes, Hyperthyroidism or Hyperparathyroidism.
If you have associated fever then the diagnosis could be Tuberculosis and other infectious diseases.
Keep me posted if you have any queries.
Bye.

[bluebottle228]

Just an addition to this question - what is the difference between the peripheral nervous systema nd central nervous system?  Does the NCS test both PNS and CNS?