Doctor insights on:
Hypothyroid Water Retention Slow Pulse
Low end of "normal" TSH, high T4. Hyperthyroidism or High T4 syndrome? Weight loss, jittery, weak legs, hot flushes, fast h.r.
It denotes the presence of excessive water in intravascular space - vessels & interstitial space - among cells, due to poor automatic water movement and distribution by poor perfusion by low BP from hydration or/+ weak heart, poor osmotic pressure from malnutrition, poor water excretion from kidneys, & poor lymphatic drainage. More? Ask your doctor or contact me; I ...Read more
Hyperthyroid symptoms w/ normal tsh. Weight loss/hunger fatigue/sleep prob, puffy face, sweat, low blood sugar, anxiety, dizzy if stand, dry skin acne
Got postural orthostatic tachycardia syndrome. Bp 120/55-135/85. When i drink 500ml water heart rate a lot lower standing. Florinef (fludrocortisone) help or?
May be alternatives : There are other meds and increasing salt intake , not getting dehydrated all will help before fulrinef. ...Read more
Not really: Many reasons for low BMR and low pulse, no direct correlation. ...Read more
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
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 moreSee 1 more doctor answer
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.
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 moreSee 2 more doctor answers
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?
On prednisone x 1yr. Tapering &getting low bp, thirst &lightheaded daily.Feel better eating lots salt & drinking lots of water.Ok to continue taper?
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
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
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 moreSee 1 more doctor answer
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
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?
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
Insatiable thirst, drinking heaps(!), badly craving salt, but low urine output. Lethargic, LBP, puffy. ~2 wks, increasing fluids but no improvement.
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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