Hello doctor I have a problem of hypothyroidism for late 10 years and currently taking tab. Thyronorm 125. Many times I need pain killers like aceclofenac 200 od and etoricoxib 90 od for legs pain and back pain which exist because of hypothyroidism as I was told. That caused me a problem of gastritis. Confirmed by endoscopy. So my question is what pain killer options are available to patients of gastritis. Because sometimes I really need them for pain in both the legs. Because paracetamol is not that useful.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. I have seen the details mentioned. As I understand you have hypothyroidism since 10 years and you are on 125 mcg. However, there is no mention of current t3, t4 & tsh levels. Because if hypothyroidism is under good control then all the symptoms related to that condition are in control. So if you are getting back ache and pain in legs, then there is a need to look at those values. If hypothyroidism is well controlled then one has to investigate and find out the reasons for such pain. Another important aspect is your height & weight. With a bmi (body mass index) of 29.29 kg/sq meter (normal < 23 kg/sq meter), you are already very close to become grade 1 obese person. Your ideal body weight should be about 59 kg. Which means there is an excess of over 16 kgs. In uncontrolled hypothyroidism weight does go up. As regards gastritis, repeated use of painkillers does lead to that condition. Etoricoxib is supposed to cause very little effect on stomach mucosa and supposed to be safe. There also a need to look at your vitamin d3 & calcium levels, plus time spent on exercises daily. So please come back with these details and then I may be of help. Thanks.  

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