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What causes lethargy, tiredness, diarrhea and heart palpitations?

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Posted on Wed, 25 Jun 2014
Question: I don't know if my large report on my medical life made it through however if it did I apologize. I essentially in a nutshell I was asking if you believed in your professional opinion that the rarity and plethora of diseases I have contracted in the last 2 years including XXXXXXX Hunt syndrome shingles, four different fungal infections one of which is thrush 1 is an uncontrollable athlete's foot the other two a pigment eating fungus on my skin off my back finally I constantly have chronic bronchitis which ends painfully,with horrific ear infections the last of which blew my right ear drum exacerbating My XXXXXXX Hunt which resulted in loss of hearing in my right ear >50 % and loss of ocular movement in my right eye, nerve damage to my face and finally a long battle with post herpetic neuralgia which was maybe the most significant medical battle I've ever fought . I dealt with it all the while finishing my Masters of Science raising a family of 4 and working full time in union construction as a Shot Crete XXXXXXX (a highly carcogenic mix of concrete) on the XXXXXXX tunnel project as well as 10 yrs of exp. in this field combined with heavy tobacco use as well as very heavy alcohol and oxycotin drug use throughout my undergrad 7 yes ago but heavy enough It's medically relevant. .. Furthermore while taking a position in North XXXXXXX as the project manager for the cement contractor responsible for the South XXXXXXX Boeing plants project I simply scraped my uncle and was unable 2 fight off infection and almost lost my finger. ( i only mention project site names to highlight the high stress environment of my projects this ur. more than past year s) I was told that my case of shingles extremely rare at the age of 33 and I was an interesting somewhat as a case study considering odds put me at 1 in 3 million cases. . As of 6 months ago I finally begin to feel a 100% after a two and a half year battle with PHP athough the nerve pain subsided my hearing never returned nor did my eye movement and once again I was battling pain pill withdrawal successfully, but the stress on the body was incredibly difficult. . Unbeknownst to me right around the corner was the next maybe even more difficult battle again with some rare disease so I thoufht.. At the same time I was beginning to become extremely lethargic in the morning and almost unable to stay awake at night for dinner. I first assumed that it was life circumstances I.e. the purchase of a new home, the long hours at the XXXXXXX tunnel project however over the last 3 months my lethargic demeanor was coupled with a cornucopia of medical mental and physical anomalies . These included , however this list is no way completely comprehensive, my moods became intense and almost unbearable, no amount of coffee was going to provide me with enough energy needed for my busy life, I was extremely irritable either very hungry or not at all for days I had a constant headache behind my eyes I begin to feel the nerve damage in my ocular nerve again from my PHP my diarrhea was often accompanied by constipation one day a week that was literally so bad that I would bleed out my anus, I was constantly extremely dehydrated I was alwaus profusely sweating to the point of embarrassing I was disoriented close to fainting, my heart had palpitations I was suddenly hypoglycemic to the point of shaking which I found out from the emergency room visit approximately the beginning of April and plus much much more. I decided enough was enough and 3 weeks ago I visited my family practitioner to tackle what I thought to be a problem of insomnia and stress. He drew Blood and stated he would contact me if there were concerns. He never got back to me on my blood work but he didn't have too I got back to him. Because alarmingly As of three weeks later I lost 28 pounds without trying to, after asking for a copy of my blood work I found my TSH levels to be at .24 half that of a normal level from what I understand maybe even 2/5 a normal level this I believe is hyperthyroidism however I don't have a follow up appointment until next Monday but since then I've lost 10 more pounds Im either manic, depressed, cold, hot, a always sweaty never content full of anxiety argumentative I'm jumpy almost in capable of controlling my emotions. Furthermore I have a tendency to unintentionally become obsessive over one topic and focus too much time with out the ability to you le Profesional it alone. I have never experienced an illness which effects the mind so so much. I am tired I have no energy luckily I trust myself and I myself am convinced I am correct in diagnosing myself with Hashimotos hyperthyroidism. However I am NOT a doctor and I need help I heard through the grapevine th website was very helpful with health issues which are up concern or you or you just want to have answers for topics of interest. So I would appreciate all the help you can provide. In the wake of purchasing my first home one of the most greatest achievements of my life I am now facing what seems to be worst of all health issues. Now I have contracted thrush so I now believe that I have re confirmed my hypothesis that I have the autoimmune version of hyperthyroidism named Hashimoto's. Question do you concur in your professional opinion that I may be on to something with hashimotos? Do my symptoms seemed indicative of hyperthyroidism in general ?Finally how should I proceed from here in order to obtain a professional diagnosis in which entire Diagnostics is performed not only on my thyroid but on th,e related symptoms ( the thrush, hypoglycemia extreme weight loss, malnutrition, skin problems, mental health issues, loss of appetite, loss of ability to see hear and taste etcetera) which seem to be a result of and/or exacerbate my overall health condition along with the main cause the thyroid problem in the first place thank you XXXXXXX
p.s I forgot to mention all but 1 so 3 of my siblings and my grandmother have thyroid diseases including with hashimotos and my grandmother died of thyroid cancer
doctor
Answered by Dr. Rovena Murati (4 hours later)
Brief Answer:
Your symptoms are indicative for hyperthyroidism.

Detailed Answer:
Hello XXXXXX!

I read very carefully your queries and medical history.
First of all I am very sorry for the health problems you are facing and I thank you for the detailed description of your medical history,It is very important to understand better what is going wrong with you.

Hashimoto's disease, or thyroiditis is an inflammation of the thyroid as a result of an immune attack on the thyroid.Now usually in about 95% of the cases, Hashimoto's results in an underactive thyroid, or hypo-thyroidism.
In a very small percentage of patients that have Hashimoto's antibody the thyroid becomes overactive. But this is very rare, and I must say that we rarely see it.

I can say that your symptoms (Lethargy,excessive tiredness,diarrhea,profuse sweating,dehydration,palpitations,weight loss, difficulty sleeping , stress , nervousness, anxiety and irritability ) are very indicative for Hyperthyroidism.
The fact that you have familiar history for thyroid disease make this more possible.

It would be helpful if you send me a copy of your blood test report so I can evaluate the results and to know which tests you have already done.

A diagnosis of Hyperthyroidismcan be confirmed with blood tests that measure the levels of thyroxine and TSH in your blood. High levels of thyroxine and low or nonexistent amounts of TSH indicate an overactive thyroid.

So you need to run some tests :
-FT3 and FT4
-TSH
If the test results indicates Hyperthyroidism then you should consult an Endocrinologist and do further investigations (Radioactive iodine uptake test,Thyroid scan,Specific Antibodies ) to sort out the real cause of Hypothyroidism and get the right treatment.

Another issue that worries me are the repetitive infections you have.Most of them are very rare in people with competent immune system,this make me think probably your immune system is weak and unable to fight these infections as it should.
The major reasons for weak immune system are:
-Diabetes Mellitus.
-Blood disease.
-HIV infection.

I suggest to run a complete blood count to evaluate Red blood cells count,White blood cells count,Platelet count.
-Run a fasting blood sugar test.
If these test result normal,you finally should get tested for HIV infection to exclude this possibility.

I don't know which test you have already done and maybe some of these causes have been excluded from these tests.

Hope my answer has helped.
If you have any additional question please feel free to write me back,I will be happy to answer.

Wish you good luck with your investigations and let's hope for the best.

Take care

Dr.Rovena Murati
Above answer was peer-reviewed by : Dr. Raju A.T
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Dr. Rovena Murati

General & Family Physician

Practicing since :2013

Answered : 1243 Questions

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What causes lethargy, tiredness, diarrhea and heart palpitations?

Brief Answer: Your symptoms are indicative for hyperthyroidism. Detailed Answer: Hello XXXXXX! I read very carefully your queries and medical history. First of all I am very sorry for the health problems you are facing and I thank you for the detailed description of your medical history,It is very important to understand better what is going wrong with you. Hashimoto's disease, or thyroiditis is an inflammation of the thyroid as a result of an immune attack on the thyroid.Now usually in about 95% of the cases, Hashimoto's results in an underactive thyroid, or hypo-thyroidism. In a very small percentage of patients that have Hashimoto's antibody the thyroid becomes overactive. But this is very rare, and I must say that we rarely see it. I can say that your symptoms (Lethargy,excessive tiredness,diarrhea,profuse sweating,dehydration,palpitations,weight loss, difficulty sleeping , stress , nervousness, anxiety and irritability ) are very indicative for Hyperthyroidism. The fact that you have familiar history for thyroid disease make this more possible. It would be helpful if you send me a copy of your blood test report so I can evaluate the results and to know which tests you have already done. A diagnosis of Hyperthyroidismcan be confirmed with blood tests that measure the levels of thyroxine and TSH in your blood. High levels of thyroxine and low or nonexistent amounts of TSH indicate an overactive thyroid. So you need to run some tests : -FT3 and FT4 -TSH If the test results indicates Hyperthyroidism then you should consult an Endocrinologist and do further investigations (Radioactive iodine uptake test,Thyroid scan,Specific Antibodies ) to sort out the real cause of Hypothyroidism and get the right treatment. Another issue that worries me are the repetitive infections you have.Most of them are very rare in people with competent immune system,this make me think probably your immune system is weak and unable to fight these infections as it should. The major reasons for weak immune system are: -Diabetes Mellitus. -Blood disease. -HIV infection. I suggest to run a complete blood count to evaluate Red blood cells count,White blood cells count,Platelet count. -Run a fasting blood sugar test. If these test result normal,you finally should get tested for HIV infection to exclude this possibility. I don't know which test you have already done and maybe some of these causes have been excluded from these tests. Hope my answer has helped. If you have any additional question please feel free to write me back,I will be happy to answer. Wish you good luck with your investigations and let's hope for the best. Take care Dr.Rovena Murati