Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

124 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Have RAI, taking thyroxine 50mg, dosage increased to 75mg, started chest pain, numbness in gum. Suggestion?

I am 57yrs old female, wt 45kg ht 1.56 m. I ve RAI a yr ago and was on thyroxine 50 mcg then increased to 75mcg 6mths ago but started getting chest pain and radiates to upper rt gum which felt like numbness in the gum . This lasted a couple of minutes.
Then bld test showed need to reduce thyroxine to 50mcg daily. Still getting chest pain/discomfort again a couple of times daily . No family history of any heart problems.

Is this normal when one is on thyroxine? I cannot have thyroxine dosage reduced any further as my T4 will be low .(itried one period on 37.5mcg (half of a 75mcg tablet ....for 3wks and had no chest pain but I started to have constipation and I took 50 mcg again , 2wks later bld test done confirm T4 is sl. low)
Wed, 9 Oct 2013
Report Abuse
Question is related to
Diseases and Conditions ,   ,  
General & Family Physician 's  Response
Hello.An increase of 25 mcg in the dose of thyroxine
with a total dose of 75 mcg is highly unlikely to cause chest pain by heart pathology except in people with multiple cardiovascular risk factors
(diabetes, high cholesterol, high blood pressure, smoking, obesity).
Perhaps it is possible that increased doses cause anxiety, pathology that also causes chest pain.To find out if you need to decrease the dose of thyroxine
is advisable to realize a measurement of thyroid hormone levels in blood.
I wish you good health.
(If the answer has helped you, please indicate this)
I find this answer helpful

 1 user finds this helpful

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

My name is Nikki. Long story short, for 20 yrs I had an over active thyroid and didn t know it. Because it effected my heart I ve seen dozens of cardiologist , all just about killed me. Lots of test with iodine . I no longer have a thyroid but I still have way too many PVC s. At the peak I was having over 58,000 of them in a 24 hour period. I know they got bad again last night because I was riding my bike up a hill and I started getting the chest pains. The chest pains are still lasting this morning. I wish there was something I could take or a doctor I could find that could help me.

doctor1 MD

I recently had heart bypass surgery about 3 and a half months ago. Five weeks ago, I underwent a procedure called cardio version for an atrial fibrillation condition I developed one month after my surgery. However, about a week ago I started experiencing a recurrence of chest pains which I had prior to my heart surgery. I am currently travelling in China and now back to taking nitrates to relieve the chest discomfort. I thought the bypass already took care of the artery blockage problem. But now I feel back to square one. What could be happenning? Are my arteries blocked again? A blood clot perhaps blocking new arteries? Or is possible failure of grafted veins during the bypass? What is going on?

doctor1 MD

DEAR DOCTOR, FOLLOWING DISCOMFORT AND CHEST PAIN WHILE PLAYING A CRICKET MATCH, I WAS ADMITTED IN HOSPITAL. EVENTUALLY A 4.5 X 20 MM LIBERTE STENT WAS DEPLOYED ON 18/12/2010. HAVE BEEN TAKING TAB CARVEDELOL 20 MG,CLOPIDOGREL 75 MG,CARVEDELOL 12.5 MG,REMIPRIL 5 MG. ALTHOUGH ALL REPORTS ARE NORMAL , I GET TIRED VERY FAST, I GET SEVERE PAIN WHILE CLIMBING STAIRS. RECENTLY I STARTED GETTING NUMBNESS IN MY FEET AND TWO HANDS. NOW I M IN INDIA AND MY DR IS IN THAILAND. HOW DO I DO SIR ? I AM VERY WORRIED. PL ADVICE ! THANKING YOU ! SHEKHAR A.MULYE

Recent questions on  Chest pain

doctor1 MD

hello dr, im suffering from frequently chest pain, heartburn and diziness and drowzy. upperback leftside more offen getting inflamation. my ECG IS normal lipid profile is as follows TG 92mg/dl HDL 36mg/dl LDL 59mg/dl total CHOL 113mg/dl total CHOL/HDL ratio is 3 pls help my problem

doctor1 MD

my son just flew into la paz (13,000 feet) and had altitude sickness. Spent one night in a clinic with O2 (also has a bacterial infection) at clinic and when at airport yesterday they said his heartbeat was irregular. He is now at 9,000 feet and says he doest know if he is having panic attacks or something wrong ( gets pain in chest) says he feels better most of time. Want to take bus for day trip 4,000 feet higher. WOuld this be dangerous? Does irregular heartbeat mean anything? He is 20 and otherwise health

doctor1 MD

I had been in coma for 3 days and was in ventillation for 7 days due to ARDS in the last february but since then after my recovery I started having severe pain in my chest accompanied with breathing problem. Doctor has advice me to go thruogh a chest x-ray, it shows little congestion in lungs. But doctor has told me that it cant be the cause of chest pain. I am an field executive and had to work through the entire day in the field. I used to take alzolam 0.5mg every night because I have severe sleeping disorder and tremendous pressure of work. May I please know how can I get relief of the pain?

doctor1 MD

I am a 34 year old female weighing approximately 240 pounds. I smoked off and on for fifteen years and quit on my own in January 2011 for good. Shortly before I kicked the habit, I began feeling as if I had panic attacks. I went to my physician who prescribed me Buspar for depression / anxiety. I had a reaction to the medicine causing my heart to race, chest to hurt, and arms to tingle. I was advised to stop taking the medication and was not prescribed anything else. All throughout February I had what I thought were panic attacks, but they progressively got worse and lasted longer, always worse at night. I finally went to the Emergency Room on March 12th thinking perhaps it was Asthma, even though I have no cough or wheeze. I thought since we are renovating my mother s house and from years of cigarettes that I had Asthma for sure, but the doctor discovered through X-Rays that I had a large air bubble that had pushed up my left diaphragm causing me trouble breathing. They performed a dilatation where 4 pounds of air was pumped from my stomach and sent me home. I felt so much better and was able to sleep through the night like a baby. Then, four days later, I had trouble breathing again and this time had chest pain as well, so I went to the ER again. They performed a Stress Test, EKG, and MRI scans. They said that my chest was fine, but that I needed to see a Gastro Intestinal doctor as my stomach was bloated. Two days later, I went to the doctor and had an emergency Endoscopy that found I had Pyloric Stenosis (I have no ulcers or scarring and never had it as a child). I had no stomach pain, vomiting or acid reflux, the only GI symptoms I had were nausea, diarrhea, weight loss and bloating. The doctor prescribed Omeprazol & Reglan and had me go back in 2 weeks for a follow up. I felt great for 2 weeks, and at the follow up I was prescribed Paxil to help with IBS symptoms of diarrhea, simithecone to relieve gas and bloating, & Lisinopril for High Blood Pressure (which I did not have before all this). I also caught an ear infection in my right ear during all this and was prescribed Cefdinir, then Allegra and Nasonex to help, and I began having trouble breathing again. X-Rays again showed I had an elevated left diaphragm and air bubbles. I have had blood tests for diabetes and thyroid among other things, CT Scans, another Endoscopy, a colonoscopy, Pulmonary Function tests, Arterial Blood Oxygen tests, Sleep Apnea tests, a Fluoroscopic SNIF test and more X-Rays. I have been told that I have a very small hiatal hernia (too small to operate) and mild asthma (prescribed Pulmicort). I have no other GI tract issues, my heart is fine and my lungs are clear, yet I still have the elevated left diaphragm (which is not paralyzed - it is still functioning in my chest), which has pushed my heart over to the right side of my chest, and pain on my left side now. I stopped taking all meds except the Lisinopril, Gas-X & Pulmicort for Asthma. Some I was told to stop, others I stopped because they seemed to be making the diarrhea, pain and nausea worse. Two nights ago, I tried to lay on my left side to help reduce some of the pain and I immediately felt like I was starving, to the point where I got extremely nauseous and had pain radiating through the left side of my body! I took two bites out of an energy bar, but the feeling was still there. I thought I might be having a heart attack, so I called the doctor and left a message with his answering service. I began to dry heave uncontrollably and then quickly felt better. The doctor said that I should go to the ER if it continued, but it went away, so I did not. So, my current symptoms now are pain in my left side from my stomach / colon to my shoulder that gets worse at night and better in the morning. Sudden nausea with bouts of gas and constipation, PVC heart palpitations, bloating, losing weight quickly and then gaining it back very quickly, loss of appetite then sudden feelings of starving, & discomfort in my chest with physical activities (like sex - I have not been able to do that in 2 months now for fear of making this worse). My question is: What could be causing this and how do I make it stop? Any advice you can give is greatly appreciated! I am allergic to Morphine and Demerol Surgeries: Gall Bladder removed in June 1997, Endometrial Ablation and Tubal Ligation in July 2010. I have had (3) live births (all full term). My last pregnancy in 2005, I had Pregnancy induced hypertension and was on bed rest for one month. My father had a heart attack in his forties and died from a stroke at age 50 - he was a lifetime smoker and had controlled adult onset diabetes and controlled high blood pressure. My mother is still living - she has controlled high blood pressure and at age 58 had a stint put in her heart with a 99% blockage - she is now on blood thinners and doing well.

doctor1 MD

getting pain in some parts of chest in random time any type of injections for D3 and B12 and dose for same as per reports

doctor1 MD

I started having symptoms about 7 weeks ago. Head congestion, then chest congestion, some fever, a cough, shortness of breath , and now pain in my chest under my left breast. (always after eating or drinking and random, when not, pain is worse...

doctor1 MD

i. I am 30 year old obese when I tried to laugh too hard had strange feeling in head for a second.later next day I laughed even harder this time felt like head was holding or dizzy kind of like passing out it stopped when I stoped laughing feeling...