I had cataract surgey in 11/2011 at age 55 and the eye specialist said that I also appeared to have Grave's disease.
I went to my PCP and had testing 3/2012:
Nuclear medicine thyroid scan: dx thyromegaly with marked increase uptake in six and 24 hours (31.5% and 45.6%).
Blood work:
TRAb 2.90
Thyroglobulin 60.3 out of reference range of 1.3-31.6
TSH was 0.04
Free T4 was normal at 1.39 in a reference range of 0.40 - 1.40
For over the past year I have been suffering from extreme dry eye with preorbital swelling and the "stare." This winter I enjoyed feeling warm and having regular bowel movements after a history of feeling cold with constipation. My primary care physician said I had subclinical hyperthyroidism that may not need to be treated.
These past few months, however, I find myself exhausted after working the typical eight-hour workday. It's all I can do to not go to bed to sleep right after I get home. Is that a symptom of hyperthyroidism? I thought hyperthyroidism imparted energy. Now that summer has arrived I find myself having a hard time dealing with heat. I am also noticing some mental status changes. I feel impatient, where my nature is to be mellow. I used to read all the time at home, but now am having problems concentrating. I never had unintentional weight loss until very recently, just a few pounds, which I'm not complaining about, as I haven't been able to stop myself my eating like a pig this past year and ended up gaining weight. Two years ago I was normal weight. My blood pressure has been up just this past year, but my PCP hasn't prescribed anything. I've been 160/100 to 150/90-something. My mother died at age 69 from a ruptured thoracic aneurysm.
Should I ask for a referal to an endocrinologist? I don't want to rush into treatment if I don't need it, have no desire to become hypothryoid for the rest of my life.