Guest guest Posted March 21, 2007 Report Share Posted March 21, 2007 Is anyone out there who could explain when they do consider being hyper? i have been hospitalized recently with chest pains and a few days later I started to vomit around the clock. They checked me for stomach as well as gallbladder problems, also the heart checked out okay. After I got home I felt very anxious and almost panicky for no real reasons, my doc ordered TSH, FT4,T3 and he called me and told me my TSH is a little low 0.16, but that my T4,T3 were in normal range and all we need to do is to repeat the test again in a few weeks. I do have a multi nodular Goiter and my TSH has been always on the very low end of normal. The panick like attacks are getting more frequent and scare the hell out of me, during the attacks my Bp goes very high but within the hour it usually goes back into normal range. I am on no thyroid medication, only on HRT and they gave me ativan for these attacks and to try to prevent them (they do not do the job) I would greatly appreciate any info or any advise. Thank you SG Don't pick lemons. See all the new 2007 cars at Yahoo! Autos. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2007 Report Share Posted March 21, 2007 Hyper, for most folks, is an extremely low TSH, near zero, AND Free Ts that are both at the top of 'normal' or over... plus symptoms... But not all of us are the same... Panic attacks, as a general rule, tend to be adrenal related..... from there you need to determine what has caused the adrenals to surge.. be it a fatigue state from the thyroid being off, long term stress, or other physical ailment... I had a panic attack, while hypo, that had me in the ER. Whenever I tried to stand I collapsed, ended up crawling down a flight of stairs to get to a phone. They ran all the tests on me, said that my heart and all was fine and said it was in my head.... handed me ONE Synthroid tablet and sent me home. How has your heart rate been the rest of the time, have you been checking? Any increase in appetite, sudden loss in weight? Have they tested your for Thyroid antibodies yet?? Topper () On Wed, 21 Mar 2007 16:00:38 -0700 (PDT) "Sonja S." writes: Is anyone out there who could explain when they do consider being hyper? i have been hospitalized recently with chest pains and a few days later I started to vomit around the clock. They checked me for stomach as well as gallbladder problems, also the heart checked out okay. After I got home I felt very anxious and almost panicky for no real reasons, my doc ordered TSH, FT4,T3 and he called me and told me my TSH is a little low 0.16, but that my T4,T3 were in normal range and all we need to do is to repeat the test again in a few weeks. I do have a multi nodular Goiter and my TSH has been always on the very low end of normal. The panick like attacks are getting more frequent and scare the hell out of me, during the attacks my Bp goes very high but within the hour it usually goes back into normal range. I am on no thyroid medication, only on HRT and they gave me ativan for these attacks and to try to prevent them (they do not do the job) I would greatly appreciate any info or any advise. Thank you SG Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2007 Report Share Posted March 21, 2007 , Thanks for your reply. My Antibodies have not been checked. Puls is most of the time in normal range, Bloodpressure varies, but in normal to upper normal unless I get these attacks. Been to ER sveral times and they could not find the reason for these Bloodpressure surges, have been as high as 220/116, but as I said before came down without med within short period of time. Lost some weight, but I believe that is due to my hospital stay and my appetite did not return. Again, Thanks Don't pick lemons. See all the new 2007 cars at Yahoo! Autos. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2007 Report Share Posted March 21, 2007 Sonja Very important: Have they ever discovered that you have one or more "hot" nodules, among these nodules? If you've had this testing done, has it been recent or a few yrs ago or a yr ago or more? A hot nodule produces it's own thyroid hormone, independent of whether or not the WHOLE gland is normal or hypo or what. During the short times it may throw out it's own thyroid hormone, it would have the effects of hyper, but MAYBE not for extended periods of time. I'm just throwing this out there as a "possible". Hyper? Is anyone out there who could explain when they do consider being hyper? i have been hospitalized recently with chest pains and a few days later I started to vomit around the clock. They checked me for stomach as well as gallbladder problems, also the heart checked out okay. After I got home I felt very anxious and almost panicky for no real reasons, my doc ordered TSH, FT4,T3 and he called me and told me my TSH is a little low 0.16, but that my T4,T3 were in normal range and all we need to do is to repeat the test again in a few weeks. I do have a multi nodular Goiter and my TSH has been always on the very low end of normal. The panick like attacks are getting more frequent and scare the hell out of me, during the attacks my Bp goes very high but within the hour it usually goes back into normal range. I am on no thyroid medication, only on HRT and they gave me ativan for these attacks and to try to prevent them (they do not do the job) I would greatly appreciate any info or any advise. Thank you SG Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2007 Report Share Posted March 21, 2007 Sonja Here is another far fetched one: Have you yet had an ultrasound or a scan on your internal organs, most particularly your adrenal glands. There is a tumor, most likely on the adrenal glands, called Pheochromocytoma, which makes it's own substances independent of the adrenals, that causes the blood pressure to rise sharply, panic attacks, heart rate surges, and so on. Have they done this one? Might suggest that to the doctor who is handling this. It wouldn't be thought of right away. Re: Hyper? , Thanks for your reply. My Antibodies have not been checked. Puls is most of the time in normal range, Bloodpressure varies, but in normal to upper normal unless I get these attacks. Been to ER sveral times and they could not find the reason for these Bloodpressure surges, have been as high as 220/116, but as I said before came down without med within short period of time. Lost some weight, but I believe that is due to my hospital stay and my appetite did not return. Again, Thanks Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2007 Report Share Posted March 21, 2007 > > Is anyone out there who could explain when they do consider being hyper? i have been hospitalized recently with chest pains and a few days later I started to vomit around the clock. They checked me for stomach as well as gallbladder problems, also the heart checked out okay. After I got home I felt very anxious and almost panicky for no real reasons, my doc ordered TSH, FT4,T3 and he called me and told me my TSH is a little low 0.16, but that my T4,T3 were in normal range and all we need to do is to repeat the test again in a few weeks. > I do have a multi nodular Goiter and my TSH has been always on the very low end of normal. > The panick like attacks are getting more frequent and scare the hell out of me, during the attacks my Bp goes very high but within the hour it usually goes back into normal range. > I am on no thyroid medication, only on HRT and they gave me ativan for these attacks and to try to prevent them (they do not do the job) > I would greatly appreciate any info or any advise. > Thank you > SG What you are describing is subclinical hyperthyroidism, although you do not say where in the range you are.. Normally they do not give you any antithyroid drugs, although it is possible to do well on a modified block and replace regimen. That is taking ATD's at a low dose and when they start to make you hypo instead of stopping or reducing you add T4..this keeps a lot fo people stable and is common in other parts of the world although slowly catching on here, it is not that common. The medical reccomended choice is a beta blocker to help with the heart symptoms ( propanolol is the one of choice for this as it slows T4 to T3 conversion as a side effect).. On this you should feel a lot better and then frequent labs to determine if you are hyper or heading in that direction. Kats3boys Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2007 Report Share Posted April 12, 2007 Thanks for the info. I have been tested for Pheo, 24hr urine plus abdominal MRI, came back normal. Noone has done a biopsy on the nodules, they just send me for US and they have been pretty much the same. Just got my labs back, my TSH came up, but according to this lab I am still below normal. Maybe someone could look at these and let me know what you think. Reference Range SED RATE BY MODIFIED 6 <or =30mm/h WESTERGREN THYROGLOBULIN ANTIBODIES <20 <20 IU/ml THYROID PEROXIDASE 12 <35 IU/ml ANTIBODIES T3 TOTAL 116 60-180ng/dl TSH 0.37 0.40-50 mIU/L T-3 UPTAKE 34 22-35% T-4 UPTAKE 8.3 4.5-12.5 mcg/dL FREE T4 INDEX ( T7) 2.8 1.4-3.8 I am still not feeling well, restless and anxious. The doctor feels that I need to repeat the labs and US in September. I appreciate everyones input. Thank's SG Don't pick lemons. See all the new 2007 cars at Yahoo! Autos. Quote Link to comment Share on other sites More sharing options...
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