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Doctor insights on: Hypothyroid Water Retention Slow Pulse

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Low end of "normal" TSH, high T4. Hyperthyroidism or High T4 syndrome? Weight loss, jittery, weak legs, hot flushes, fast h.r.

Low end of "normal" TSH, high T4. Hyperthyroidism or High T4 syndrome?  Weight loss, jittery, weak legs, hot flushes,  fast h.r.

Needs evaluation: 24 hour Radioactive Iodine uptake test of thyroid can differentiate high T4 versus Graves disease (Hyperthyroidism.) Please seek evaluation by primary care, Internal Medicine or Endocrinologist. Thanks for trusting HealthTap! ...Read more

Dr. Kerrie Pinkney
335 doctors shared insights

Slow Heart Rate (Definition)

Slow heart rate, also called bradycardia, is defined as a resting heart rate (pulse) less than 60 beats per minute. Having a heart rate less than 60 is not necessarily abnormal. In fact, people in good cardiovascular shape have a low heart rate. People with certain heart conditions may take medications which lower the heart rate as one of ...Read more


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Heart failure diet to lose water retention?

Heart failure diet to lose water retention?

Low sodium: The most important thing--almost the only thing--is to restrict the sodium content of your diet. Sodium will cause fluid retention. ...Read more

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Can a slow pulse slow down your weight gain due to low bmr?

Can a slow pulse slow down your weight gain due to low bmr?

Not really: Many reasons for low BMR and low pulse, no direct correlation. ...Read more

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How much will salt and water increase blood volume? I have postural orthostatic tachycardia syndrome

How much will salt and water increase blood volume? I have postural orthostatic tachycardia syndrome

Right treatment: Salt and water is the way to go. Your volume will increase based on the amount of salt you ingest and the volume of water you drink. ...Read more

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Could fludrocortisone cause reflex bradycardia if blood volume increases too much increasing central pressures?

Could fludrocortisone cause reflex bradycardia if blood volume increases too much increasing central pressures?

Theoretically: It is possible that you could get reflex bradycardia from volume increase but the amount of volume required to trigger this reflex would not be achievable with florinef (fludrocortisone) alone. Bradycardia is a common response in dysautonomia which florinef (fludrocortisone) is used for in treatment. I suspect the reflex bradycardia is actually the physiologic response from dysautonomia not volume overload. ...Read more

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Nadolol changed to carvedilol 6.25 am12.5PM;resting rate 60s; exertional 100-120;IST back? If so, y isn't rest rate increased?my low BP stable so far.

Nadolol changed to carvedilol 6.25 am12.5PM;resting rate 60s; exertional 100-120;IST back? If so, y isn't rest rate increased?my low BP stable so far.

Need more info...: You don't give us enough information to answer intelligently. What is being treated here, high blood pressure, palpitations? What was the dose of naldolol? When and how are your pulse and BP being measured? ...Read more

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Just diagnosed w/ hypothyroid TSH 25 in the ER. Symptoms are hyper, rapid pulse & weight loss, tremors,freq. bathroom.How is this possible? Thanks.

Just diagnosed w/ hypothyroid TSH 25 in the ER. Symptoms are hyper, rapid pulse & weight loss, tremors,freq. bathroom.How is this possible? Thanks.

Repeat the test: Hi. First of all, no symptom is specific for a disease, and no disease is specific for a symptom. You were on l-thyroxine for 2 weeks for TSH 25. You could have had a postpartum thyroiditis (as you state) that was caught in the hypothyroid phase which then recovered and went back to normal. Then the 100 mcg dose could make you hyperthyroid. Your doc will check labs to see. Good luck! ...Read more

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I have POTS. Still waking up with orthostatic, lethargic,lightheaded,& BPs of 90s/50s despite 50 mcg Florinef/day & 8 grams salt daily.Increase dose?

I have POTS. Still waking up with orthostatic, lethargic,lightheaded,& BPs of 90s/50s despite 50 mcg Florinef/day & 8 grams  salt daily.Increase dose?

BP 90s/50s: Before you increase your dose you should see your primary doctor or a Gynecologist. If either or both cannot help you with 90/50 you will have to see a heart specialist. Hope all goes well - please keep me informed. ...Read more

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Will fludrocortisone lower resting heart rate due to increased pressure?

Will fludrocortisone lower resting heart rate due to increased pressure?

Not usually: In most cases it would not be expected to lower your resting heart rate unless you had truly severe hypotension (low bp). But we're all a little different so you'll have to see for yourself. ...Read more

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Low bp, slow HR (40s-50s) & POTS. On meds, high fluid&salt intake. Sometimes symptomatic w.dizziness, nausea or fainting. Rollercoasters bad idea?

Low bp, slow HR (40s-50s) & POTS. On meds,  high fluid&salt intake. Sometimes symptomatic w.dizziness, nausea or fainting. Rollercoasters bad idea?

Yes bad idea: Roller-coaster? No. Excessive gravitational forces the last thing a person with POTS wants to experience. People with POTS have enough difficulty with 1 earth-field of gravitation force. Dysautonomia seems to be causal of POTS, wherein autonomic nerves impinged & incited by hypermobile lumbo-pelvic joints seems etiologic; IMO from several clinical observations of persons with fibromyalgia & POTS. ...Read more

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Dysautonomia body over vasoconstricts in the brain causing reflex bradycardia and light headedness, midodrine makes worse, florinef (fludrocortisone) lowers k. Help!

Dysautonomia body over vasoconstricts in the brain causing reflex bradycardia and light headedness, midodrine makes worse, florinef (fludrocortisone) lowers k. Help!

Comments: You describe a somewhat peculiar constellation of vascular effects, and the medications selected may not be the most appropriate, if your blood pressure does not drop when standing. You need clarification, and would encourage a neurological and cardiological second opinions. Have you had a tilt table test? ...Read more

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High TSH (10), normal t3 (liothyronine) and t4, skin changes (dark circles, dilated blood vessels, non-bacterial acne), ridiculously fast metabolism, fatigue, feel constantly warm all the time. Is this hyper or hypo?

Maybe both!: This is a confusing picture. High TSH suggests you are hypothyroid, possible even with "normal" T3 (liothyronine) and T4, but fast metabolism/feeling warm are symptoms of hyper. I agree with Dr. Gliksman that this is suspicious for thyroiditis. There might be other factors affecting your symptoms too. It would be reasonable to consult with both a thyroid specialist and integrative doc for further evaluation. ...Read more

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Taking Florinef (fludrocortisone) 100 mcg daily & high salt diet for POTS & low BP. How to control belly fluid retention I get since starting treatment? I exercise.

Taking Florinef (fludrocortisone) 100 mcg daily & high salt diet for POTS & low BP. How to control belly fluid retention I get since starting treatment? I exercise.

Treatment: You should first start again with your primary doctor to make sure that some items are OK and possibly some items need correction. You did not include your age, height, and weight so I cannot give further information. I would appreciate it if you send me some more information. ...Read more

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On Florinef (fludrocortisone) 100 mcg daily & high salt diet for POTS & low BP. Get very bloated in abdomen after salt &fluids which I need to not be lightheaded.Help?

On Florinef (fludrocortisone) 100 mcg daily & high salt diet for POTS & low BP. Get very bloated in abdomen after salt &fluids which I need to not be lightheaded.Help?

POTS and BP: You need and will get help. I suggest you make an appointment to see a cardiologist. High salt diet needs care - perhaps more importantly, you should see a hormone specialist (Endocrinologist) as well. Please let me know how things go. ...Read more

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Sat down post exercise,hr decreased to 125; stayed there for about 25 minutes.diastolic and systolic bp progressively decreased to 84/54.v lightheaded?

Sat down post exercise,hr decreased to 125; stayed there for about 25 minutes.diastolic and systolic bp progressively decreased to 84/54.v lightheaded?

You need to be seen: for an assessment of your heart, ECG / other tests may be needed, start with your doctor, who may refer you to a cardiologist, don't exercise for now till seen, best wishes ...Read more

Dr. Su Fairchild
1,247 doctors shared insights

Hypothyroidism (Definition)

When the thyroid gland is overactive and too much thyroid hormone is produced, which speeds up metabolism. This results in weight loss, a quick heartbeat, sweating, nervousness, ...Read more


Dr. Herman Hammerstead
371 doctors shared insights

Water Retention (Definition)

fluid retention = edema. Occurs when excess fluid collects in tissues, body cavities ...Read more