Heart palpitations/chest discomfort

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Heart palpitations/chest discomfort

by JMac85 on Thu Jan 10, 2019 06:03 AM

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I had my thyroid removed in June 2017 and for about a year I had no issues following surgery. In August 2018 I started to get heart palpitations and had to change my diet a bit to limit their frequency. While I don’t get palpitations much anymore, I do have some discomfort in my chest. Nothing painful, but like a full feeling and just feels like activity going on. Is this normal for anyone else? Part of what hypothyroidism feels like? My endochronologist didn’t seem too worried about the palpitations so I’m not sure I need to be worried about this, but wanted to hear from others.

RE: Heart palpitations/chest discomfort

by butterfly501 on Thu Jan 10, 2019 08:29 AM

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On Jan 10, 2019 6:03 AM JMac85 wrote:

I had my thyroid removed in June 2017 and for about a year I had no issues following surgery. In August 2018 I started to get heart palpitations and had to change my diet a bit to limit their frequency. While I don’t get palpitations much anymore, I do have some discomfort in my chest. Nothing painful, but like a full feeling and just feels like activity going on. Is this normal for anyone else? Part of what hypothyroidism feels like? My endochronologist didn’t seem too worried about the palpitations so I’m not sure I need to be worried about this, but wanted to hear from others.

What's your TSH?

RE: Heart palpitations/chest discomfort

by JMac85 on Thu Jan 10, 2019 02:57 PM

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Last time I was tested it was at 0.10 L

RE: Heart palpitations/chest discomfort

by butterfly501 on Sun Jan 13, 2019 02:53 AM

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On Jan 10, 2019 2:57 PM JMac85 wrote:

Last time I was tested it was at 0.10 L

That could be why you're having heart palpitations.  The condition comes with an oral thyroid dose that is too high.

A slight decrease in thyroid dose could help.  Ask your dr. for an adjustment.

RE: Heart palpitations/chest discomfort

by ToddlerFather on Sun Jan 13, 2019 05:07 AM

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On Jan 10, 2019 2:57 PM JMac85 wrote:

Last time I was tested it was at 0.10 L

Unless you are actively going for TSH supression, a protocol designed to handle remaining tumor cells, this is way too low, indicating your intake is too high. 

RE: Heart palpitations/chest discomfort

by BiomedEE on Thu Jan 17, 2019 04:06 PM

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What are your actual thyroid hormone levels? TSH is a pituitary hormone, not a thyroid hormone. Thyroid hormones are:

Free t4, Free t3, Reverse t3.

Often when the Free t4 is up there over say 1.3 or 1.4 the dose needs reduction as it causes palps in some people. If one needs TSH suppression and T4 causes palps, one can take the Free t4 down to say 1 or 1.1, and add some T3 (NOT once a day!!) and it should not cause palps at the lower free t4 but will suppress TSH. See the Free t guide

http://biomedee.blogspot.com/

RE: Heart palpitations/chest discomfort

by tangledstar on Wed Jan 23, 2019 02:12 AM

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I am currently going through a very similar situation. I had a complete thyroidectomy in April 2017 and had no issues until about September 2018. Since then, I had my levothyroxine dosage reduced and was feeling okay until this past week. This past weekend, I went to the ER with palipations that came and went over the course of 4 hours. Of course, when I got in to the ER the palpitations stopped and the EKG picked up nothing. My blood work came back normal and I was referred to see a cardiologist to follow up. My cardiologist appointment brought me no answers and I was told to wait for it to happen again. Today, I spent most of my morning dealing with lightheadedness and palpitations. I have a follow up appointment tomorrow with my cardiologist that will consist of an eco and also being hooked up to a monitor. I am a bit relieved to see that someone else is going through this, although- I would never wish it upon anyone else, it makes me think that it truly does have something to do with our lack of thyroid and not so much with cardiac issues. When I have brought this to the attention of my PCP and endo, they've both sort of played it down. I've even been told this is my "new normal", so long as it is not daily. 

RE: Heart palpitations/chest discomfort

by butterfly501 on Wed Jan 23, 2019 09:24 AM

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On Jan 23, 2019 2:12 AM tangledstar wrote:

I am currently going through a very similar situation. I had a complete thyroidectomy in April 2017 and had no issues until about September 2018. Since then, I had my levothyroxine dosage reduced and was feeling okay until this past week. This past weekend, I went to the ER with palipations that came and went over the course of 4 hours. Of course, when I got in to the ER the palpitations stopped and the EKG picked up nothing. My blood work came back normal and I was referred to see a cardiologist to follow up. My cardiologist appointment brought me no answers and I was told to wait for it to happen again. Today, I spent most of my morning dealing with lightheadedness and palpitations. I have a follow up appointment tomorrow with my cardiologist that will consist of an eco and also being hooked up to a monitor. I am a bit relieved to see that someone else is going through this, although- I would never wish it upon anyone else, it makes me think that it truly does have something to do with our lack of thyroid and not so much with cardiac issues. When I have brought this to the attention of my PCP and endo, they've both sort of played it down. I've even been told this is my "new normal", so long as it is not daily. 

Your oral thyroid hormone is doesed too high. 

That's it......not  a mystery.

get your "med" adjusted.

feel better.



RE: Heart palpitations/chest discomfort

by ToddlerFather on Thu Jan 24, 2019 09:00 PM

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Blood work looking at T3, T4, Free T3, Free T4, TSH will likely indicate new adjustments to levothyroxine are in order. 

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