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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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8 Year Child Feeling Nervous, Shaky, Tightness In Throat, Rapid Heartbeat. EKG Test Done. Is It Related To Thyroid?

My 8 year old daughter has recently been c/o feeling very nervous at tomes. During these times her heart rate is rapid - 140 s, and she is shakey. She also c/o tightness in her throat . These episodes last anywhere from 15 minutes to 2 hours and have occured 2-3 times a week for 3 weeks. She has had EKG s and 24 hr monitor with no significant findings. She had an elevated TSH . Could these symptoms be related to her thyroid?
Fri, 4 Apr 2014
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Internal Medicine Specialist,  's  Response
madam elevated TSH suggests hypothyroidism where in which heart rate reduces and child would feel dull.
but in this case it looks more or less like a case of thyroiditis most commonly Hashimoto's. this would lead to hypothyroidism with bouts of hyperthyroidism. it is in this hyperthyroidism phase where heart rate increases and nervousness appears.
get the child's Anti TPO and anti thyroglobulin done and keep me posted.
God Bless.
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8 Year Child Feeling Nervous, Shaky, Tightness In Throat, Rapid Heartbeat. EKG Test Done. Is It Related To Thyroid?

madam elevated TSH suggests hypothyroidism where in which heart rate reduces and child would feel dull. but in this case it looks more or less like a case of thyroiditis most commonly Hashimoto s. this would lead to hypothyroidism with bouts of hyperthyroidism. it is in this hyperthyroidism phase where heart rate increases and nervousness appears. get the child s Anti TPO and anti thyroglobulin done and keep me posted. God Bless.