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Thyroid tests normal bu symptoms are sti
I have been diagnosed with graves disease in nov 2024. Currently tsh, t3 and t4 are in range but heart rate increases up to 160 bpm every now and then. I have conxulted cardio also ecg and echo are normal. I am taking carbimazole 10 mg BD.
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You may require to use beta blockers to control heart rate and use of anxiolytics maybe beneficial. An ecg and 24 hour Holtar monitoring might help in ruling out and associated arrythmias
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A cardiology and Endocrinologist consultation
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Thank you for sharing your concerns regarding your Graves' disease and persistent symptoms despite normal thyroid tests. Here’s what you should know:
1. Thyroid Levels vs. Symptoms: While your TSH, T3, and T4 are now in range, symptoms like a heart rate of 160 bpm suggest that your Graves' disease may not yet be fully controlled. This could be due to:
- Delayed response to medication (carbimazole).
- Fluctuating hormone levels between tests.
- Possible adrenal or autonomic dysfunction.
2. Cardiac Evaluation: It’s reassuring that your ECG and echo are normal, but tachycardia (high heart rate) in Graves' disease can persist even after thyroid levels normalize. Beta-blockers (e.g., propranolol) are often used to manage this symptom.
3. Medication Review: Your current dose of carbimazole (10 mg BD) may need adjustment. Over-treatment can lead to hypothyroidism, while under-treatment may prolong symptoms. Regular monitoring is key.
4. Next Steps:
- Thyroid Antibodies Test: Check TRAb (TSH receptor antibodies) to assess Graves' disease activity.
- Holter Monitor: A 24-hour heart rate monitor to evaluate tachycardia episodes.
- Endocrinologist Consultation: Essential to fine-tune treatment and rule out complications like thyroid storm.
For a detailed evaluation and personalized management plan, I recommend scheduling a consultation with me. Your symptoms require careful assessment to ensure optimal control of Graves' disease and prevent long-term complications.
**To book an appointment or discuss further, you can reach me on WhatsApp at eight zero zero nine eight two one three three two.**
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