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What Causes Tachycardia, Weight Loss, Tingling Arms And Legs, Palpitations And Shoulder Pain?

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Posted on Tue, 1 Dec 2015
Twitter Tue, 1 Dec 2015 Answered on
Twitter Mon, 21 Dec 2015 Last reviewed on
Question : I am a 33 year old mother of 3. For the past 5 years I have been struggling with tachycardia, weightloss,fatigue, numbness and tingling in arms and legs, palpitations, left shoulder pain and heaviness, joint pain, etc. I dont drink and eat healthy. I have had numerous heart tests which all check normal except 1 ekg that stated delayed conduction right ventrical but that was passed off as no big deal. My thyroid tsh tested at less than .02 but that has since been corrected and is at 1.83 currently. The symptoms have continued and I dont know what to do anymore. Please help any ideas.
doctor
Answered by Dr. Shehzad Topiwala (21 minutes later)
Brief Answer:
Thyroid

Detailed Answer:
I am sorry to learn about your persistent symptoms. They seem very bothersome.

Although they sound like an uncontrolled overactive thyroid, the fact that the TSH is now normal, it is therefore extremely unlikely due to the thyroid condition.

There is another uncommon hormone related problem called Pheochromocytoma. I suggest you get checked out for that. A good way to start screening for this possibility is to do a blood test called

Plasma Free Metanephrines

This test does not require fasting and so it can be done at any time of the day.

Furthermore, whenever you check your thyroid with a TSH test, try to get a Free T4 blood test too. It is helpful.

If you have not had other routine labs like

CBC
CMP
HbA1c

done then it would be advisable to undergo these as well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (20 minutes later)
I have had all routine lab work and everything is normal. I havent had the plasma free that you mentioned. Would this still be a possibility even if I normally have very low blood pressure and only have spells where it isnt high for normal people but high for me. I normally read at about 100/65 but have episodes where its 130/95.
doctor
Answered by Dr. Shehzad Topiwala (5 hours later)
Brief Answer:
Follow up

Detailed Answer:
It is possible.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Causes Tachycardia, Weight Loss, Tingling Arms And Legs, Palpitations And Shoulder Pain?

Brief Answer: Thyroid Detailed Answer: I am sorry to learn about your persistent symptoms. They seem very bothersome. Although they sound like an uncontrolled overactive thyroid, the fact that the TSH is now normal, it is therefore extremely unlikely due to the thyroid condition. There is another uncommon hormone related problem called Pheochromocytoma. I suggest you get checked out for that. A good way to start screening for this possibility is to do a blood test called Plasma Free Metanephrines This test does not require fasting and so it can be done at any time of the day. Furthermore, whenever you check your thyroid with a TSH test, try to get a Free T4 blood test too. It is helpful. If you have not had other routine labs like CBC CMP HbA1c done then it would be advisable to undergo these as well.