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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
chest discomfort and appoinment in 2 weeks
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.
chest discomfort and appoinment in 2 weeks
by nechy, Jul 30, 2007 12:00AM
I post hear 7/10/07 TSH 145.589 T4 O.7 start levoxyl 125 then TSH 0.061mydr stop the levoxil thanks you that recommend lower the levoxil the thyroid panel was repleted one month later TSH 100.96 T42.9 free T4 0.9 I call for an appointment and ask for a copy of my record the receptionist ask if I going to an other dr I said yes and the summary he gave my rx levoxil 75 after I ask please give my tx because she don't want to because I want to change the dr .The new dr appointment is in 2weeks .I don't feel good at all .chest discomfort lethargic very tired hungry of air irregular heart rate my question is I FEEL VERY SICK and cant go to my dr and the new dr appointment is 8/13/07 they don't have any sooner I need to wait to the levoxyl work I afraid of my heart and don't know what to do.who can see me before my appointment if I needed THANKS!!!!!!!!!!!!
Doctor's Answer
by Mark Lupo, M.D., Jul 30, 2007 12:00AM
, Jul 30, 2007 12:00AM
I cannot make specific recs and if you are having chest pain and air hunger it is likely from the profound hypothyroidism, but would suggest having a heart evaluation as soon as possible to be certain. This degree of hypothyroidism can cause blood pressure elevation and make the heart slow/irregular. The levoxyl therapy is important and clearly needed but will take some time to take effect. The dose if you are <60 years old without previous heart disease is usually about 0.7mcg/pound but can vary from person to person -- with your previous experience at 125mcg, a dose of 100mcg may be reasonable but only your doctor can decide this.
