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Suggest Treatment For Palpitations And Sweating
Question: Hi
I keep getting palpitations with butterflies, sweating and sometimes pain to L of my L breast.
Been to A&E for tests and overnight stay on ward.
PMH: SVT -ablated 1992 and taken propranolol 80mg BD since.
Graves Disease - in affeffective radioactive iodine last XXXXXXX Stopped levothyroxine 6 weeks ago as all results stable again. Awaiting radiotherapy and IV Prednisalone for eye complications and having regular bloods.
Yesterday all tests were normal (except WCC 12.5 but without pyrexia)
Been discharged today - tachycardia settled to 80-95b but other symptoms persist.
Unable to eat due to nausea. Not eaten properly in a week - maybe 2 very small child-size portions. No vomiting just nausea.
Had very loose stools this morning but isolated incident.
Prefuse sweating day and night.
Am very concerned that nobody interested in finding the cause.
Can you help?
I keep getting palpitations with butterflies, sweating and sometimes pain to L of my L breast.
Been to A&E for tests and overnight stay on ward.
PMH: SVT -ablated 1992 and taken propranolol 80mg BD since.
Graves Disease - in affeffective radioactive iodine last XXXXXXX Stopped levothyroxine 6 weeks ago as all results stable again. Awaiting radiotherapy and IV Prednisalone for eye complications and having regular bloods.
Yesterday all tests were normal (except WCC 12.5 but without pyrexia)
Been discharged today - tachycardia settled to 80-95b but other symptoms persist.
Unable to eat due to nausea. Not eaten properly in a week - maybe 2 very small child-size portions. No vomiting just nausea.
Had very loose stools this morning but isolated incident.
Prefuse sweating day and night.
Am very concerned that nobody interested in finding the cause.
Can you help?
Brief Answer:
queries explained
Detailed Answer:
Hello and Welcome
I appreciate your concern.
Sweating profusely, Tachycardia or palpitations, Nausea and the loose stool episode included points mainly to a hyperthyroid state and warrant a re check of your TFTs ( thyroid function tests).
The propranolol dose can be increased to 120 mg bd to keep the heart rate
around 65 to 70 BPM ( beats per minute).
WBC count around 12500 is a little high but not significant if clinically there is no sign of any focus of infection.
You may take Metoclopramide and a PPI ( esomeprazole ) for a week to empirically see for improvement in appetite. Appetite stimulators such as cipraheptidine may also be used in combination with the above two.
Let me know if you have any query
wishing you best of health
Thanks
queries explained
Detailed Answer:
Hello and Welcome
I appreciate your concern.
Sweating profusely, Tachycardia or palpitations, Nausea and the loose stool episode included points mainly to a hyperthyroid state and warrant a re check of your TFTs ( thyroid function tests).
The propranolol dose can be increased to 120 mg bd to keep the heart rate
around 65 to 70 BPM ( beats per minute).
WBC count around 12500 is a little high but not significant if clinically there is no sign of any focus of infection.
You may take Metoclopramide and a PPI ( esomeprazole ) for a week to empirically see for improvement in appetite. Appetite stimulators such as cipraheptidine may also be used in combination with the above two.
Let me know if you have any query
wishing you best of health
Thanks
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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