Okay...weird.

[1KJCRUSADE]

Some of you know about older posts...but I'll recamp for the interested (:

2 months ago upped thyroid dose from 50mcgs to 63.5mcgs of Levothyroxine.
About a week or two later went on a walk every day for 3 days.
Started having chest pressure, pain, arm pain, shortness of breath, worse in humidity, heart flutters (or feeling like pulse sometimes has a slight delay)
EKG, Echocardiogram, chest-xray and bloodwork looks good.
Going in for stress test.
I also have a hiatal hernia....
Starting to wonder if this is all AGAIN A THYROID ISSUE.
NOW...for those who always ask...I am getting blood work in the next day or two and will be able to post all labs.
However I have a question.
When I first got these symptoms I had my TSH checked it was elevated...however, the symptoms I'm getting tend to act HYPER. Now, I understand that TSH is pretty worthless without T3 and T4 and I understand the conversion thing. What I don't understand is, could I have an elevated TSH(that shows HYPO) and somehow I am actually HYPER???????????? If so, how would you remedy this, I mean if you are taking T4 only meds like levothyroxine? So, like if a TSH is showing HYPO, but I'm feeling HYPER....which one is it ALREADY!!! I don't understand, and if I don't understand I don't know how to explain it to docs.

Does this sound like somethig that could happen? I mean I know you don't have my labs yet, I just mean is very possible that I'm HYPER even though showing Hypo? Thank you.

I had wondered if the walking stimulated my thyroid and I had just upped my dose, so I got to much meds going, etc.??? Is that far-fetched?

Thanks,

Confused (:

[goolarra]

I have been hyper with a TSH somewhere around 20 (twenty).  I have a pituitary issue, which keeps my TSH high.  So, yes, it is possible.  However, it is very unusual.  

When I was hyper, my FT3 and FT4 levels were still in range; they were just too high for ME.  I happen to be one of those odd people who is comfortable lower in the ranges.  There was no mistaking my hyper symptoms.  They were much different from any symptoms I'd had when hypo.  I agree with Barb, though.  It's often hard to sort out symptoms since so many of them "cross over" and can be symptoms of either hypo or hyper...they just seem to be saying the thyroid hormones are "not right".  

There is no way to directly treat TSH.  Normally, TSH is adjusted by adjusting FT3 and FT4.   So, when TSH doesn't respond to FT3 and FT4 level changes, you have to ignore it.  TSH, in and of itself, causes NO symptoms.  How your meds need adjusting depends on FT3 and FT4 levels (sorry).

GERD is a hypo symptoms...I'm not sure about hyper to tell you the truth.

I doubt the walking had anything to do with it...

[1KJCRUSADE]

Okay, so it could be a hypo swing? Really? I wasn't aware of that. So, let me get this straight...it could be hypo or hyper and my TSH could be naturally higher and my FT3 and FT4 would need to be adjusted possibly. Do they do that with a raise in T4 meds? Let me know....also can hypo or hyper cause stomach issues like GERD????

[Barb135]

There are some people who typically have a higher than normal TSH.  Whether that's your case or not, would depend on what your FT3 and FT4 levels are, as well as other symptoms, if any.  

Do be aware, though, that you can have those same symptoms while hypo - I had all of them at one time, which sent me through all the typical tests for heart issues and turns out I only have some leaky heart valves. I still have "flutters", but, for the most part, all the other symptoms went away, once my FT3 and FT4 got up to the levels I need them to be.