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Lack Of Energy, Breathing Problem, Fast Heart Rate, Cough With Phlegm, Constipation, Blood In Stool

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Posted on Mon, 21 May 2012
Question: Hi i am 30 years old. I have been suffering from lack of energy for a year now. It started with breathing problems and fast heart rate. Have good and bad days. On a bad day at the mo I have hoarse voice and cough phlegm I feel like can not get air out feel out of breathe talking and walk slow as again feel out of breath when walk quickly. On days tired I find it hard to carry out everyday tasks like drying hair and jobs etc. which is not me as I usually always doing something. other symptoms are constipation with blood in stool and always cold.
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Answered by Dr. Naveen Kumar Nanjasetty (2 hours later)
Hi XXXXXXX

Thanks for the query

The symptoms of lack of energy, tiredness, lethargy, feeling of cold and constipation are all the features of hypothyroidism for which you are already taking thyroxine. Hoarseness and cough with phlegm could be due to Laryngopharyngeal Reflux (LPR) which occurs as a result of reflux of acid from the stomach into the throat.

As you are already on thyroxine I would suggest you to get a thyroid profile repeated to find out whether there is any derangement of the thyroid hormones even after taking medications. If so, then the dosage of the thyroxine has to be adjusted accordingly.

Regarding LPR, you need to drink plenty of warm water, avoid excessive coffee/tea, smoking, alcohol and stress if any. When you consult your physician he can start you on medicines for gastric problem also.

Hope I have answered your query. If you have any more doubts you are welcome.

Regards
Dr. Naveen Kumar
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Naveen Kumar Nanjasetty

Otolaryngologist / ENT Specialist

Practicing since :2001

Answered : 2540 Questions

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Lack Of Energy, Breathing Problem, Fast Heart Rate, Cough With Phlegm, Constipation, Blood In Stool

Hi XXXXXXX

Thanks for the query

The symptoms of lack of energy, tiredness, lethargy, feeling of cold and constipation are all the features of hypothyroidism for which you are already taking thyroxine. Hoarseness and cough with phlegm could be due to Laryngopharyngeal Reflux (LPR) which occurs as a result of reflux of acid from the stomach into the throat.

As you are already on thyroxine I would suggest you to get a thyroid profile repeated to find out whether there is any derangement of the thyroid hormones even after taking medications. If so, then the dosage of the thyroxine has to be adjusted accordingly.

Regarding LPR, you need to drink plenty of warm water, avoid excessive coffee/tea, smoking, alcohol and stress if any. When you consult your physician he can start you on medicines for gastric problem also.

Hope I have answered your query. If you have any more doubts you are welcome.

Regards
Dr. Naveen Kumar