Does this sound like anything serious? - Thyroid UK

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Does this sound like anything serious?

Syd35 profile image
23 Replies

Haven't posted for a while will try to keep it brief.

Hashimotos diagnosed since 2016, also have high BP. Things have generally been stable and have been aware I've had a low pulse for some time. These past few weeks it's dropped to 51bpm and coincides with me having a few dizzy spells and feeling extremely fatigued and generally unwell.

My BP generally runs on the high side despite a recent increase in meds but yesterday I recorded a reading of 95/65 which is unusually low for me. Spoke to a doctor who was dismissive of my symptoms said I was too young for heart block etc (I'm 47). Then in the evening I felt awful with tightness in my legs, shaking uncontrollably, cold despite a hot water bottle and normal temp 36.1. Took my BP and it had jumped to 191/101. Maybe an over-reaction but I was scared and got my husband to call for an ambulance. They declined to come and made us call 111. They were pretty useless and advised a doctor would call back. Got the call 2 hours later by which time things had settled down was no longer shaking and BP was more normal.

Just feel no-one is taking my symptoms seriously and genuinely feel something is being missed. Has anyone experienced similar or have any ideas?

Thanks for reading.xx

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Syd35 profile image
Syd35
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23 Replies
Jaydee1507 profile image
Jaydee1507Administrator

These are symptoms that I have had. The changing blood pressure is called Labile Hypertension.

I see in the past you have trialed T3 but said you felt worse. This is usually due to low vitamin levels. As hypo people we don't absorb vitamins well due to low stomach acid caused by the hypo. If you have low vitamin levels then your thyroid hormone can't work properly. Can you ask your GP to test ferritin, folate, B12 and D3? Come back when you have the results, post them here for people to make recommendations.

GPs don't usually test FT3 so people here buy private tests to get that done, which is essential to optimise thyroid treatment and for us to feel well.

monitormyhealth.org.uk/thyr...

Syd35 profile image
Syd35 in reply toJaydee1507

Thanks Jaydee. Interesting to hear you've experienced the same. Were you offered any treatment to help with this, has it stopped now?

I've recently had a whole host of bloods done which came back normal. Also a pelvic scan which showed fatty liver changes but told this is nothing to worry about.

Just seems a struggle getting any help these days

Jaydee1507 profile image
Jaydee1507Administrator in reply toSyd35

Can you ask your GPs receptionist to print of the results? They may have checked key vitamins. If not then ask GP to do bloods for - ferritin, folate, B12 and D3. Post results here for people to make recommendations.

I have a pretty long story. The short version is I'm now here having been housebound and unable to work for the past 9 years. It's early days getting vitamin levels optimal so my body can use the thyroid hormone I take. Also have added some T3 which I'm still adjusting my dose with. It feels positive though and I'm hopeful of better health to come.

The slightly longer version is I was eventually diagnosed with POTS and multi system dysautonomia. There are treatments which improve some symptoms but nothing for the fatigue works. Hence back to basics with sorting my thyroid out.

Never accept your GPs opinion on thyroid or vitamin results. They will tell you everything is normal when there is a lot to be done to improve your health and wellbeing.

Syd35 profile image
Syd35 in reply toJaydee1507

Thanks and wishing you well💕

Buddy195 profile image
Buddy195Administrator in reply toSyd35

Please remember that when GP’s say that blood results are ‘normal’ this may be far from ‘optimal’. If you post vitamin results (with ranges in brackets) members will be able to advise if your levels are optimal.

Whenever my thyroid levels fluctuate, I get increased anxiety, palpitations etc. I always recheck thyroid levels and key vitamins to try and address this.

Syd35 profile image
Syd35 in reply toBuddy195

Thanks Buddy195, good of you to reply. Really hope I can get to the bottom of this.

PurpleNails profile image
PurpleNailsAdministrator

Doctors not taking it seriously is going to be adding to anxiety which isn’t going to be helping.  

How much replacement do you take?

Do you take other medications? 

Do you have any recent thyroid results you can add ?

If your levels aren’t right low or high or out of balance that might be contributing to blood pressure.

Syd35 profile image
Syd35 in reply toPurpleNails

Thanks PurpleNails. I take 125mcg Thyroxine daily and 7.5mg Ramipril for the high BP. Know to take my Thyroxine first thing and leave an hour before breakfast.

Just last month TSH was 0.77 (0.55-4.78) and T4 was 14.6 (10-25)

PurpleNails profile image
PurpleNailsAdministrator in reply toSyd35

GP / Lab can’t / won’t test FT3? often the case.  

The FT4 looks on lower side perhaps - room for increase?   Doctors likely disagree and TSH is low in range.

Privately test function including FT3.  

Have you seen advice on recommended testing times and options for private companies? 

Do you have tests for Folate, ferritin, vitamin D & B12? 

Do you take any supplements?   

Do you leave gap with medicines replacement & any supplements? 

Ramipril can decrease FT4.

Syd35 profile image
Syd35 in reply toPurpleNails

No they only tested my FT3 once. Don't have the actual results for the other tests was just told all are normal.

Yes thanks pretty well informed after being on this forum for a few years. Know to leave a gap between meds etc.Don't take any supplements currently.

Interesting didn't know Ramipril could affect T4 levels.

Appreciate you taking the time to reply

SlowDragon profile image
SlowDragonAdministrator

Do you always get same brand levothyroxine at each prescription

Was test done early morning, ideally around 9am and last dose levothyroxine 24 hours before test

FT4: 14.6 pmol/l (Range 10 - 25)

Ft4 is only 30.67% through range

Suggests you are not on high enough dose levothyroxine

Most people when adequately treated will have Ft4 at least 50-60% through range or higher

Can you add any recent vitamin results?

How long since you had vitamin D, folate, B12 and ferritin levels tested

What vitamin supplements are you currently taking

Approx how much do you weigh in kilo

Request GP retest thyroid including Ft3

Plus all four vitamins if not tested recently

Alternatively test privately

For full Thyroid evaluation you need TSH, FT4 and FT3 tested.

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

Low vitamin levels are extremely common when hypothyroid, especially if not on high enough dose levothyroxine

Recommended on here that all thyroid blood tests early morning, ideally just before 9am and last dose levothyroxine 24 hours before test 

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

List of private testing options and money off codes

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

If you can get GP to test vitamins 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...

monitormyhealth.org.uk/

NHS easy postal kit vitamin D test £29 via

vitamindtest.org.uk

Only do private testing early Monday or Tuesday morning.

Watch out for postal strikes, probably want to pay for guaranteed 24 hours delivery 

Come back with new post once you get test results

SlowDragon profile image
SlowDragonAdministrator

As you have Hashimoto’s, are you on strictly gluten free diet or dairy free diet?

If not already gluten free, request coeliac blood test via GP BEFORE considering trial on gluten free diet

Syd35 profile image
Syd35 in reply toSlowDragon

Thanks SlowDragon have been tested for Coeliac twice both time negative. Thanks for the idea though!

SlowDragon profile image
SlowDragonAdministrator in reply toSyd35

so you can now trial strictly gluten free diet

Poor gut function with Hashimoto’s can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common. 

According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps, sometimes significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link) 

Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies 

Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

drknews.com/changing-your-d...

Non Coeliac Gluten sensitivity (NCGS) and autoimmune disease

pubmed.ncbi.nlm.nih.gov/296...

The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported

nuclmed.gr/wp/wp-content/up...

In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned

restartmed.com/hashimotos-g...

Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.

Retest thyroid levels 6-8 weeks after going gluten free

AndrewT profile image
AndrewT

I'm NOT a 'expert', by any means, but..... DO Contact your Doctors/ Consultants ASAP! Your Blood Pressure is 'All Over The Place', which is NEVER a Good Sign.

AndrewT

Syd35 profile image
Syd35 in reply toAndrewT

Thanks will be on the case first thing Monday!

Ozziemum profile image
Ozziemum

When you have a dizzy spell please sit or lie down and get your feet up. It's generally low BP, and if you also have a low pulse rate at the same time your BP will not be able to support you being upright. If you try to carry on through eventually you'll pass out. The dizziness, coldness and shaking you had is due to your body shutting off blood to your peripheries and diverting it to your major organs to keep you going whilst it sorts out it's little crisis. Do you have a reliable BP cuff? Rest until you feel better, take your BP & pulse. then stand up and repeat. Normal homeostasis should increase your pulse & BP slightly when doing this due to the extra effort involved. If your BP goes down you have a postural drop and this needs investigating. If you're on BP meds anyway you should be more stable so something's obviously going wrong. See your GP and try not to let them fob you off, especially as things were previously generally stable and now are not. good luck

Syd35 profile image
Syd35 in reply toOzziemum

Thanks appreciate your reply

ICE187 profile image
ICE187

My bp was doing the same thing. I too was diagnosed with non alcoholic fatty liver 7 years before my diagnosis of hypothyroid. My bp has stabilized. I had palpitations and high/low heart beats as well. My TSH is " in range" near optimal. My bp began improving with each levothyroxine increase, but I am taking supplements such as Cordyceps mushroom powder for the heart. I take Milk Thistle, Tudca and Serrapeptase for the liver. My palpitations have stopped. My bp runs 117/75 most of the time now on average up to 125/80. I experienced kidney pains when my blood pressure was very high 180/130- 210/140 :) stroking. I would often sweat when it got high as well. Blurry vision, headaches. When my bp was low 75/50+, I would become very lightheaded. My cardiologist wanted to put a pacemaker in my chest. I refused it. I'm 48. My ECG had shown sinus tachycardia that would become bradycardia "bradycardia-tachycardia". The Cordyceps helped me a lot. If you do decide on Cordyceps, do your research. It has Adenosine in it which is used to correct heart palpitations and arrhythmias. I gave up on all caffeine products. I drink decaf coffee, no added sugar. I drink water and Kefir. I have cut out most gluten and dairy which I think has had a great impact on my health as well.

Syd35 profile image
Syd35 in reply toICE187

Hello and thank you for sharing your story. Wow sounds like you've been through the mill. Heartening to hear you have found things to help you. I'll have a look into your suggestions. Thanks again

serenfach profile image
serenfach

Ramipril has the effect of increasing potassium. Look up the symtoms for high potassium Potassium levels have a direct affect on insulin and therefore blood sugars.

Did they test the potassium levels? Blood sugar levels? Kidney creatinine levels? If not, demand them tomorrow because all these are a wee bit worrying if out of range and could explain your symptoms.

Come back and tell us what happened, it may help someone else on here. Hug.

Syd35 profile image
Syd35 in reply toserenfach

Thanks for the ideas anything is worth a try.

levelslass profile image
levelslass

Are you on levothyroxine and what dose?

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