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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Shortness Of Breath And Frequent Urination In A Hypothyroid Patient?

i get easily tired when i walk,last yr. i was 86kgs then balooned to 100kgs. i was diagnosed as hypothyroidism. i take inderal ang thiamazole for meds. i have shortness of breathing, frequent urination evrynight almost evry hour.hopeyou give me anwers to my health conditon.thank you very much,
Sat, 3 Sep 2016
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Internal Medicine Specialist 's  Response
There are a couple possible situations that could be causing your symptoms. Unfortunately, all of them require being evaluated by a physician. Futhermore, you can have a combination of each of them. Hypothyroidism is a very common disorder that is fairly easy to treat, but it has significant long term and short terms effects on the body.

1) You are being under-treated with thyroid medication. You should return to your primary care physician to be evaluated with routine screening blood work.

2) Your hypothyroidism caused significant cardiac damage. Generally, people can get decreased contractility of the heart muscle, decreased heart rate, and increase resistant in the vasculature which results in an overall decrease in the amount of blood that can be ejected from the heart with each beat. In some people this can be short term effect, while in others it can a long term effect. You should see a cardiology so you can have an ultrasound of your heart.

3) You can have significant volume overload from many different causes, one of them being hypothyroidism. You will need to see a doctor to be evaluated and putting on medication that will help decrease the amount of volume.

4) You could have an unrelated heart or lung condition effecting your shortness of breath. You will need a chest x-ray and some routine screening blood work to evaluate both.

There is no simple answer. You ultimately need a full work up to ensure that your heart, lungs, and thyroid are in good health.
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What Causes Shortness Of Breath And Frequent Urination In A Hypothyroid Patient?

There are a couple possible situations that could be causing your symptoms. Unfortunately, all of them require being evaluated by a physician. Futhermore, you can have a combination of each of them. Hypothyroidism is a very common disorder that is fairly easy to treat, but it has significant long term and short terms effects on the body. 1) You are being under-treated with thyroid medication. You should return to your primary care physician to be evaluated with routine screening blood work. 2) Your hypothyroidism caused significant cardiac damage. Generally, people can get decreased contractility of the heart muscle, decreased heart rate, and increase resistant in the vasculature which results in an overall decrease in the amount of blood that can be ejected from the heart with each beat. In some people this can be short term effect, while in others it can a long term effect. You should see a cardiology so you can have an ultrasound of your heart. 3) You can have significant volume overload from many different causes, one of them being hypothyroidism. You will need to see a doctor to be evaluated and putting on medication that will help decrease the amount of volume. 4) You could have an unrelated heart or lung condition effecting your shortness of breath. You will need a chest x-ray and some routine screening blood work to evaluate both. There is no simple answer. You ultimately need a full work up to ensure that your heart, lungs, and thyroid are in good health.