Prior to having a thyroid storm, I had no idea I even had a thyroid issue. Turns out I have a bad case of Graves disease. I have a lump in my throat (goiter) that I didnt even notice til I had the storm. My labs the day of the storm are as follows:
T3 uptake 50.07 (25-36)
T4 22.2 (5.4-12.0)
FTI 11.12 (1.25-4.55)
TSH 0.03 (0.4-5.3)
FT4 5.79 (0.8-1.6)
T3 Free 9.35 H
I was put on Propanolol 40 mg, four times a day, PTU 200 MG, every 4 hours (total 1200mg), and iodide 1 hour after the PTU.
Exactly one week later, my labs are:
FT4 2.40 (0.8-1.6)
T3 Uptake 38.08 (25-36)
T4 9.4 (5.4-12.0)
FTI 3.58 (1.25-4.55)
TSH 0.03 (0.4-5.3)
My meds were changed to PTU 150 mg, three times daily and Propanolol 40 mg, three times daily. (Note: 5 days later, my propanolol is 40 mg twice a day).
Can someone please explain what all this means? I obviously have made a remarkable recovery in a short amount of time. Is there anything I should be aware of when eating? I keep reading dairy is bad but I drink 3 shakes a day with ensure and ice cream (I lost 15 pounds in 2 weeks prior to the thyroid storm so I am trying to gain weight back).
Also, my doctor says to take the PTU three times daily divided evenly during my waking hours. Is this okay? I would be without any PTU for about 8 to 10 hours at night. I worry about another storm. My anxiety is thru the roof right now.
I noticed when taking PTU everry 8 hours, spaced evenly, I would get heart palpitations and chest pain 6 hours into my medication. If I take my PTU spaced evenly during my waking hours, how can I avoid the chest pains and palpitations that I might experience in the middle of night due to the long gap?