Can anyone throw any light on this? Keep getting this weird slight burning feeling in my upper chest that makes me very anxious. I’ve just had an ECG which was ok. Dr was unsure what it could be as the symptoms didn’t go hand in hand with gerd/acid. Quite often goes after eating or sucking a sweet and don’t get it in bed. I do have very bad catarrh which I’ve had for years but is particularly bad at the moment. I feel generally a bit anxious and this chest feeling is contributing to this. One way to describe it is a feeling a bit like eating a menthol sweet. I would appreciate any help or advice. Thankyou.
Don’t understand this weird feeling: Can anyone... - Thyroid UK
Don’t understand this weird feeling
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morningside4518
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SlowDragonAdministrator
Sounds like acid reflux
Extremely common when under medicated for thyroid
How much levothyroxine are you currently taking
When were levels last tested
Do you always get same brand of levothyroxine at each prescription
Essential to test vitamin D, folate, ferritin and B12 at least annually
Do you know if reason for your hypothyroidism is autoimmune thyroid disease also called Hashimoto’s diagnosed by high thyroid antibodies
For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also EXTREMELY important to test vitamin D, folate, ferritin and B12
Low vitamin levels are extremely common, especially if you have autoimmune thyroid disease (Hashimoto's) diagnosed by raised Thyroid antibodies
Ask GP to test vitamin levels
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .
Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
Is this how you do your tests?
Private tests are available as NHS currently rarely tests Ft3 or thyroid antibodies or all relevant vitamins
List of private testing options
thyroiduk.org/getting-a-dia...
Medichecks Thyroid plus antibodies and vitamins
medichecks.com/products/adv...
Thriva Thyroid plus antibodies and vitamins By DIY fingerpick test
Thriva also offer just vitamin testing
Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins by DIY fingerprick test
bluehorizonbloodtests.co.uk...
If you can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3
£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code
thyroiduk.org/getting-a-dia...
NHS easy postal kit vitamin D test £29 via
SlowDragonAdministrator
Looking at previous post, you were only on 75mcg...that’s only one step up from starter dose
Unless very petite, many/most will need dose at least 100mcg levothyroxine per day, or higher
guidelines on dose levothyroxine by weight
Even if we frequently don’t start on full replacement dose, most people need to increase levothyroxine dose slowly upwards in 25mcg steps (retesting 6-8 weeks after each increase) until eventually on, or near full replacement dose
NICE guidelines on full replacement dose
nice.org.uk/guidance/ng145/...
1.3.6
Consider starting levothyroxine at a dosage of 1.6 micrograms per kilogram of body weight per day (rounded to the nearest 25 micrograms) for adults under 65 with primary hypothyroidism and no history of cardiovascular disease.
Also here
cks.nice.org.uk/topics/hypo...
gp-update.co.uk/Latest-Upda...
Traditionally we have tended to start patients on a low dose of levothyroxine and titrate it up over a period of months. RCT evidence suggests that for the majority of patients this is not necessary and may waste resources.
For patients aged >60y or with ischaemic heart disease, start levothyroxine at 25–50μg daily and titrate up every 3 to 6 weeks as tolerated.
For ALL other patients start at full replacement dose. For most this will equate to 1.6 μg/kg/day (approximately 100μg for a 60kg woman and 125μg for a 75kg man).
If you are starting treatment for subclinical hypothyroidism, this article advises starting at a dose close to the full treatment dose on the basis that it is difficult to assess symptom response unless a therapeutic dose has been trialled.
BMJ also clear on dose required
bestpractice.bmj.com/topics...
Guidelines are just that ....guidelines. Some people need more some less
healthunlocked.com/thyroidu...
Being under medicated will frequently result in low vitamin levels
Low vitamin levels tend to lower TSH
Important to get full thyroid and vitamins tested
