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Suggest treatment for headache, fatigue, loss of balance and weakness in the body

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Posted on Thu, 21 Jul 2016
Question: Periodically I wake up with a headache on the top of my head. I feel weak sometimes and fatigued. I feel off balance sometimes. I feel weak sometimes when I am using the bathroom. It's very hard to function when I feel this way. Sometimes my heart feels like its taking an extra beat or palpitations.
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Answered by Dr. Mirjeta Guni (43 minutes later)
Brief Answer:
Some examinations would be of help to try to find a proper diagnosis.

Detailed Answer:
Welcome and thank you for asking on HCM!
I have gone carefully through your query.

The symptoms you described are suggestive for an over active thyroid.

In these cases the thyroid hormonal level (TSH, FT4 and FT3) is the first that should be checked.

If there is more than 6 months that you have done a check up, i would suggest to do also;

The glycemia(FBS,PPBS,HbA1C), lipid profile, AST and ALT, urea and creatinine, full blood count and electrolytes as well as 12 lead ECG.

After having excluded a hyper active thyroid, an anemia, electrolyte disturbances, we will try to find other causes.

Please attach the above results when you will have them ready. It will be a pleasure to answer further follow up questions.

Kind regards,
Dr.Mirjeta



Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Mirjeta Guni (22 hours later)
Thank you for your help. I saw a nurse practitioner in Oct 2014 and on XXXXXXX 1, 2016 for the same symptoms. I asked her twice to check my thyroid but she wouldn't do it. She wanted me checked for sleep apnea. My husband said to go to someone else. Sometimes it also feels like I have a lump on my right tonsil. It is larger than my left one. I am seeing a homeopathic practitioner and she wants me to get my thyroid, adrenal and hormones checked. I am post-menopausal and I still suffer from hot flashes.
doctor
Answered by Dr. Mirjeta Guni (21 minutes later)
Brief Answer:
See below.

Detailed Answer:
You should check the thyroid hormones. I do not see any reason to check the adrenal hormones if you do not have problems with the blood pressure and high heart rate.
As you have more than 5 years in menopause you should do a bone densitometry to rule out an osteoporosis.
It is very important to maintain a normal calcium balance at this age. Cramping are a sign of low calcium level.
It will be a pleasure to help you for further queries in the future.
Kind regards,
Dr.Mirjeta
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2414 Questions

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Suggest treatment for headache, fatigue, loss of balance and weakness in the body

Brief Answer: Some examinations would be of help to try to find a proper diagnosis. Detailed Answer: Welcome and thank you for asking on HCM! I have gone carefully through your query. The symptoms you described are suggestive for an over active thyroid. In these cases the thyroid hormonal level (TSH, FT4 and FT3) is the first that should be checked. If there is more than 6 months that you have done a check up, i would suggest to do also; The glycemia(FBS,PPBS,HbA1C), lipid profile, AST and ALT, urea and creatinine, full blood count and electrolytes as well as 12 lead ECG. After having excluded a hyper active thyroid, an anemia, electrolyte disturbances, we will try to find other causes. Please attach the above results when you will have them ready. It will be a pleasure to answer further follow up questions. Kind regards, Dr.Mirjeta