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Suggest Treatment For Symptoms Of Hyperthyroidism

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Posted on Fri, 8 Jul 2016
Question: I am 37 and 10 years ago had the same symptoms however this time they have progressed rapidly. I have a hx of Breast CA 4 years ago with chemo and reconstruction. My HR is sinus tachycardia heat brings it on and I begin sweating excessively I have lost 15 with 4 in the past week because I am not hungry fatigue I am on thyroid medicine for hypo Hashimoto however I am having hyper symptoms I thought Hashimotoxis (? spelling)
doctor
Answered by Dr. Shehzad Topiwala (4 hours later)
Brief Answer:
Hormone tests

Detailed Answer:
Sorry to learn about your bothersome symptoms.

Some possible causes of sweating are:

1 An overactive Thyroid condition called Hyperthyroidism

A simple blood test called TSH can help screen for this. I see you are on thyroid medicine. If the dose is excessive for you, then it is equivalent to a 'hyperthyroid' state

2 Acromegaly

This is an uncommon disorder but can be tested for by doing a blood test called IGF1 (Insulin like Growth Factor) 1

3 Pheochromocytoma

This is another rare condition in which affected individuals get spells of sweating associated with chest pain, shortness of breath and headache.

A blood test called Plasma Free Metanephrines can be useful in detecting this.

4 Menopause-related hot flashes

If your menstrual cycles are regular, then this is not the case with you.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Plasma Free Metanephrines
IGF1

None of these tests require any fasting and can be done at any time of the day
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest Treatment For Symptoms Of Hyperthyroidism

Brief Answer: Hormone tests Detailed Answer: Sorry to learn about your bothersome symptoms. Some possible causes of sweating are: 1 An overactive Thyroid condition called Hyperthyroidism A simple blood test called TSH can help screen for this. I see you are on thyroid medicine. If the dose is excessive for you, then it is equivalent to a 'hyperthyroid' state 2 Acromegaly This is an uncommon disorder but can be tested for by doing a blood test called IGF1 (Insulin like Growth Factor) 1 3 Pheochromocytoma This is another rare condition in which affected individuals get spells of sweating associated with chest pain, shortness of breath and headache. A blood test called Plasma Free Metanephrines can be useful in detecting this. 4 Menopause-related hot flashes If your menstrual cycles are regular, then this is not the case with you. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) Plasma Free Metanephrines IGF1 None of these tests require any fasting and can be done at any time of the day