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What Causes Cold Limbs, Heaviness In Chest, Headaches And Frequent Urination?

Posted on Mon, 6 Apr 2015

Question: Cold hands and feet, pulse drop to 45-51 when sitting, heavy chested, headache, frequent urination and chills. I have no thyroid and am on synthroid 150mg.

Answered by Dr. Shehzad Topiwala (1 hour later)

Brief Answer:
Thyroid

Detailed Answer:
Sorry to learn about your symptoms. They are highly suggestive of an inadequately replaced thyroid.
When was the last time you had your TSH and free T4 checked?

The target range for TSH for a young healthy adult is about 0.5 to 2.5. Has yours been at goal recently?

When I see someone like you in my practice, I order the following tests in addition to a thorough physical examination:
CBC
CMP
TSH
Free T4

Your pulse rate is quite low. It can occur in a grossly under-replaced thyroid. Regardless, in view of your overall other symptoms it is judicious to go to the emergency room

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (17 minutes later)

About ten minutes ago my period started. The heavy chest is gone, I can catch my breath and other than achey chest and arms my pulse rate is now steady between 55-62. Should I still go to the emergancy room?

Answered by Dr. Shehzad Topiwala (11 hours later)

Brief Answer:
Follow up

Detailed Answer:
Kindly contact your primary care provider. Please get your thyroid checked too

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar