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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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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Tab ciplar LA if heart rate persistently high and anxious/restless.
Holter and 2d echo to be done
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Endocrinologist u required.
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Once consult endocrinologist.
Holter monitoring is helpful.
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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
Next Steps
A cardiology and Endocrinologist consultation
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Endocrinologist consultation.
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Connect
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
New few more details. Kindly consult for further evaluation
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Dr. Reshma Rahman
General Physician
3 yrs exp
Delhi
Kindly connect…
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Koushik
MBBS
4 yrs exp
Karimnagar
Kindly connect will help you
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Dr. Javed Akhtar
General Medicine
4 yrs exp
Guwahati
Consult an endocrinologist
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Shruti Goswami
General Physician
12 yrs exp
Pune
Since how many days
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Dr. Himani Shah
General Physician
9 yrs exp
Rajkot
You are taking perfect medication but still life style modification will make difference kindly connect
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Dr. Shivam Mishra
General Physician
5 yrs exp
Mumbai
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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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated.
Do Consult.
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Dr. Asha Garg
General Physician
27 yrs exp
Muktsar
Consult an endocrinologist
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Dr. Thresia Pereira
General Physician
37 yrs exp
Mumbai
Is it in Apple Watch
Stop checking in that
Check normally
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