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Am Feeling One Strong Pulse In My Throat About 50

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Posted on Thu, 26 Nov 2020
Question: Am feeling one strong pulse in my throat about 50 times aday . It mostly occurs after sunset . I was diagnosed as stress but am on leave for 12 days now chilling all day night and still it didnt decrease.. i was diagnosed in thyroid gland issues and am taking thyroxine 25 for 3 weeks now .. and still it doesnt work .. some times i feel i want to faint but when i massage my neck and traps it feels better.. what could possibly be my issue?!
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Follow up: Dr. Ilir Sharka (0 minute later)
Am feeling one strong pulse in my throat about 50 times aday . It mostly occurs after sunset . I was diagnosed as stress but am on leave for 12 days now chilling all day night and still it didnt decrease.. i was diagnosed in thyroid gland issues and am taking thyroxine 25 for 3 weeks now .. and still it doesnt work .. some times i feel i want to faint but when i massage my neck and traps it feels better.. what could possibly be my issue?!
doctor
Answered by Dr. Ilir Sharka (40 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I passed carefully through your question and would explain that your symptoms could be related to possible cardiac arrhythmia or thyroxine adverse effects.

For this reason, I would recommend checking thyroid hormone levels in case thyroxine dose adjustments are needed

It is also important performing an ambulatory 24-48hours EGG monitoring, in order to examine your heart rhythm trends for a prolonged period of time and exclude cardiac arrhythmia.

Other tests to consider would be:
- complete blood count for anemia
- blood electrolytes for possible imbalance.

You may need to take low dose of betablockers ( metoprolol, atenolol, etc.).

Hope you will find this information helpful!I remain at your disposal in case of further question whenever you need!

Kind regards,

Dr.Ilir Sharka, cardiologists


Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I passed carefully through your question and would explain that your symptoms could be related to possible cardiac arrhythmia or thyroxine adverse effects.

For this reason, I would recommend checking thyroid hormone levels in case thyroxine dose adjustments are needed

It is also important performing an ambulatory 24-48hours EGG monitoring, in order to examine your heart rhythm trends for a prolonged period of time and exclude cardiac arrhythmia.

Other tests to consider would be:
- complete blood count for anemia
- blood electrolytes for possible imbalance.

You may need to take low dose of betablockers ( metoprolol, atenolol, etc.).

Hope you will find this information helpful!I remain at your disposal in case of further question whenever you need!

Kind regards,

Dr.Ilir Sharka, cardiologists


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ilir Sharka (2 days later)
A electrolyte test was okai
Anemia is okai
Thryroid levels was okai
But thyroid anti bodies was high
Thats y iam taking thyroxine now
I have also stomach helicobacteria Please tell me if my any of what i have is causeing me that extra pulse.
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Follow up: Dr. Ilir Sharka (0 minute later)
A electrolyte test was okai
Anemia is okai
Thryroid levels was okai
But thyroid anti bodies was high
Thats y iam taking thyroxine now
I have also stomach helicobacteria Please tell me if my any of what i have is causeing me that extra pulse.
doctor
Answered by Dr. Ilir Sharka (16 hours later)
Brief Answer:
Opinion as follows:

Detailed Answer:
Hello again!

It seems that thyroid gland disorder may have an influence on your extra pulse feeling.

It is necessary to perikdically check your thyroid hormones level and also optimize appropriately your daily thyroxine dose.

As I mentioned above, a low dose betablocker like 50 mg/day Metoprolol could be of help. A 24 hours ambulatory ECG monitoring test (Holter) would be helpful a couple of weeks after therapy optimisation..

You should discuss with your attending physician on the above mentioned issues.

Hope you will find this answer helpful!

Let me know in case of any further questions.

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
Opinion as follows:

Detailed Answer:
Hello again!

It seems that thyroid gland disorder may have an influence on your extra pulse feeling.

It is necessary to perikdically check your thyroid hormones level and also optimize appropriately your daily thyroxine dose.

As I mentioned above, a low dose betablocker like 50 mg/day Metoprolol could be of help. A 24 hours ambulatory ECG monitoring test (Holter) would be helpful a couple of weeks after therapy optimisation..

You should discuss with your attending physician on the above mentioned issues.

Hope you will find this answer helpful!

Let me know in case of any further questions.

Kind regards,

Dr. Iliri
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. Arnab Banerjee
doctor
Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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Am Feeling One Strong Pulse In My Throat About 50

Am feeling one strong pulse in my throat about 50 times aday . It mostly occurs after sunset . I was diagnosed as stress but am on leave for 12 days now chilling all day night and still it didnt decrease.. i was diagnosed in thyroid gland issues and am taking thyroxine 25 for 3 weeks now .. and still it doesnt work .. some times i feel i want to faint but when i massage my neck and traps it feels better.. what could possibly be my issue?!