Hyperthyroidism

[yankeeRN]

ONSET ? early August: hands shaky with fine motor  stuff in the morning (thought it was my morning coffee), resting heart rate 90-108 (had been exercising intensely should have been lower), heat intolerance and sweating worse, nervous energy (fidgety),had to decrease weights at the gym, had to decrease intensity levels on  aerobic equipment,  otherwise felt fine

Early September   h/a, dizziness, pounding heart--went to ER hr 120-160, bp 180/97, shaky to arms, hands , legs, and abd  ( felt awful )   ER result: dx hyperthyroidism per labs tsh not detectable, free t4 2&1/2 what the high should be

Since the day in the ER: shakiness intermittently all over (comes and goes suddenly), increased heart rate and pounding heart with walking slowly from one room to another (my heart rate jumped to 120-130 with just that little activity), felt panicky (stopped with betablocker), shaky legs going down stairs, chest pressure at times with walking but resolved with stopping activity (have had 2 EKGs and 2 chest xrays), muscle weakness (arm and legs), weight loss 18 pounds (? 10 lbs from exercise then the rest just came off and appetite increased), loss of muscle tone in arms and legs, swallowing different but ok (occ slight hoarseness after eating), hungry more often, shortness of breath at times with talking , increased frequency of stools but not loose




TREATMENT thus far:started  metoprolol ER 12.5mg increased gradually to 75mg daily (dose increase only good for 1-2 days then symptoms  intensifying)
After thyroid scan started PTU 50mg q8h  felt great for 2 days then shakiness and s/s returned (had also been decreasing the metoprolol by 12.5 mg per day per md order)  9/26 per md increased PTU to 100 mg  q8h with dose started   at 1330h and felt good by 1600h with no shakes and hr in 90's

When is this going to get better?.....have been out of work for 2+ weeks  I see the endocrinologist  in a little more than 2 weeks..not soon enough in my opinion.  Am I ever going to be normal again? From everything I have read this hyperthyroid is not an easy fix. I was healthy as a horse before all of this.

[Anniegoose]

keep up the good work.

i'm just taking one day at a time.  went to get my blood re-tested today.  hopefully my levels will be better.


one day at a time .......

[yankeeRN]

Being hyperthyroid with the shakes all over and high heart rate with little to no activity is a scarey thought...for the past few days  I have been so much better..the PTU must have kicked in--I am still on the metoprolol ER 25 mg  daily too.  I still get the shakes but they are so much better then they had been.I also get a rare palpatation up to 120 when laying on the couch in the evening and sometimes in the morning..I see my primary md tomorrow and I will tell him then.  I do feel stronger than I had a few weeks ago..my legs don't seem to shake going down the stairs.  After I talk to my md I will see if he thinks I need to increase the PTU or wait till I see the Endocrinologist...we shall see.  I am just feeling so much better and for that I am so very happy  .  Thank you all :)

[juice279]

i lifted wieghts 5 days a week, ate healthy, 200 grams of protein a day. wieghed 225, i lost 35 pounds and most of my muscle mass. after  7 months on tapazole i was able to gain it all back, however im extremley hyperthyroid now and have lost 21 pounds in last 35 days and again unable to lift or run. but i know in a few months ill be ok, i bet u will too

[yankeeRN]

Thanks for the info.  So there is hope soon :)

[cachawaca]

It will take six to eight weeks for regulation. That surplus thyroxine in your bloodstream needs to be utilised first, then meds will work on the gland itself. Unfortunately meds do-nothing for excess levels that are initially in the blood stream.  

[cachawaca]

It will take six to eight weeks for regulation. That surplus thyroxine in your bloodstream needs to be utilised first, then meds will work on the gland itself. Unfortunately meds do-nothing for excess levels that are initially in the blood stream.