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Suggest Treatment For Dizziness And Swelling In Tongue In An Elderly Person While On Levothyroxine

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Posted on Thu, 28 Jan 2016
Question: I have had thyroid cancer and my thyroid removed. I take 175 mcg levothyroxine, lisinopril 30 mg and triamterene-hctz 37.5-25 mg. I am 61 years old, male and having severe hypothyroidism. I feel dizzy, light headed, swoalan touge etc....any ideas .I also am getting severe headaches and swollen feet
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Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
Needs management, multiorgan involvement

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. History of thyroid removals urgery and use of thyroxine of just 175 mcg may not be adequate specially with simultaneous use of diuretics where clearance is increased. Get thyroid hormones evaluation and consider increasing the dose till you achieve euthyroid status. All you symptoms will fade including dizziness.

The medication both lisinopril and triamterene and hct in combination causes this dizziness as side effect as well. You may consider symptomatic treatment with antivert etc.

Swollen feet should be evaluated for cardiac problem as congestive heart failure or renal functions derangement both can lead to pedal edema.

Nutshell,get hormonal and cardiac and renal evaluation and let them reschedule the dose as well as management plan.

I hope it helps. Take good care of yourself and don't forget to close the discussion please.

Regards
Khan
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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Suggest Treatment For Dizziness And Swelling In Tongue In An Elderly Person While On Levothyroxine

Brief Answer: Needs management, multiorgan involvement Detailed Answer: Thank you for asking I read your question and i understand your concern. History of thyroid removals urgery and use of thyroxine of just 175 mcg may not be adequate specially with simultaneous use of diuretics where clearance is increased. Get thyroid hormones evaluation and consider increasing the dose till you achieve euthyroid status. All you symptoms will fade including dizziness. The medication both lisinopril and triamterene and hct in combination causes this dizziness as side effect as well. You may consider symptomatic treatment with antivert etc. Swollen feet should be evaluated for cardiac problem as congestive heart failure or renal functions derangement both can lead to pedal edema. Nutshell,get hormonal and cardiac and renal evaluation and let them reschedule the dose as well as management plan. I hope it helps. Take good care of yourself and don't forget to close the discussion please. Regards Khan