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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hand Tremors And Dizziness With Normal Thyroid Reports?

iam 24 now, last year on May 2009 i started with a swollen throat it went away and came back on august 2009 i was diagnosed with hyperthyroid i was on medication and i stopped taking the medication on march per doctors orders that my level went to normal. my swollen throat went away after a couple of months taking the meds.On June i had another thyroid test done it came out normal. but now i still get nervious my hands shake and here and there i feel a heartbeat in my lower throat, i tend to get dizzy like if i was going to faint. i dont know if there should be another kind of test of my thyroids but every time doctor does it, it comes out normal but i feel something is not right.
Fri, 24 Feb 2017
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Endocrinologist 's  Response
Hello and thank you for asking!
I have gone carefully through your concern.
If hyperthyroidism is excepted as a cause of your symptoms (by checking the hormonal thyroid levels) other causes should be tried to find:
I would suggest the below blood tests:
-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).
-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)
-25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
-Calcium

Will be a pleasure to help you further after the above results.
Kind regards,
Dr.Mirjeta
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What Causes Hand Tremors And Dizziness With Normal Thyroid Reports?

Hello and thank you for asking! I have gone carefully through your concern. If hyperthyroidism is excepted as a cause of your symptoms (by checking the hormonal thyroid levels) other causes should be tried to find: I would suggest the below blood tests: -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). -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) -25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) -Calcium Will be a pleasure to help you further after the above results. Kind regards, Dr.Mirjeta