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Syncope in hypothyroidism - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1764 Questions
User :   near syncope twice in two weeks
Doctor :   Hi
Doctor :  
Ok
Doctor :  
Can you describe it in detail?
User :   lying down doesnt help at all.
Doctor :  
ok
User :   warm flushes all over body
Doctor :  
Ok
Doctor :  
May I know your age, gender, height, weight and occupation?
User :   35 female 5"4 200 lpn
Doctor :   Ok

Doctor :  
What did you feel during syncope?
Doctor :  
what were you doing during that time?
User :   like is was going to faint ,both times were exaclty the same symptoms. my eyes felt a bit blurred and awkward
User :   heavy head feeling
Doctor :  
Ok
Doctor :  
and you mentioned something about warm flushes?
User :   yes both times
Doctor :  
Ok
User :   pupils were reacting abnormal
Doctor :  
Do you have any medical illness as of now?
User :   just hypothyroidism
Doctor :   Ok

Doctor :  
How is your thyroid levels of late?
Doctor :  
have you checked it?
User :   normal as of last week
Doctor :  
Ok
User :   i went to ER one week ago ,they did ekg , blood work and chest xray, all were normal. just debating on whether or not to go back and get CT scan of head beofre I have another episode
Doctor :   Ok

Doctor :  
It is good that an Ekg was done
Doctor :  
now the next thing which we need to think of is of brain
Doctor :   You were typing some thing

Doctor :  
I am waiting for that
User :   just wondering if i should go today to get further test or wait
Doctor :   You should get that done

Doctor :  
and how about your Blood pressure and blood sugars
User :   BP 110/60 this morning . not sure about blood sugar
Doctor :   Ok

Doctor :  
How was your food intake during the syncope?
Doctor :  
meaning on that day
Doctor :  
before the episode
User :   i just woke up from sleep
User :   before i got out of bed it started
User :   nothingt to eat
Doctor :   Ok

Doctor :  
Now I shall suggest you one exercise
Doctor :  
shall you do that?
User :   yes i do faithfully
Doctor :  
Ok
Doctor :  
but be careful
Doctor :  
should not fall down
Doctor :  
stand in a safe area, where you have support
Doctor :   Stand and close your eyes

Doctor :  
and tell if you feel any changes
User :   ok
Doctor :  
stretch your hands forward later with eyes closed
Doctor :  
and again see if there are any changes
User :   nothing , i feel fine doing that
Doctor :  
Ok
Doctor :   Did you have any spinning sensation or giddiness of late?
User :   just 4 hours ago, none since then
Doctor :   Ok

Doctor :  
Now there is a possibility of your case being
Doctor :  
just a functional disturbance
Doctor :  
with posture
Doctor :  
as you said, you had it while getting up from bed both times
User :   yes
Doctor :   so that can be tuned with certain medications
Doctor :  
have you taken any medications?
User :   no meds
User :   you do not suspect brain tumor
User :   all my labs are perfect
Doctor :   I shall not be able to rule out of any intracranial disturbance

Doctor :  
but this functional vestibular issue
Doctor :  
is a possibility
User :   ok thank you
Question is related to
Diseases and Conditions
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