Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Fatigue, Tachycardia, Weight Gain And Thyroid Dysfunction?
Question: Hello,
I have these heart thuds, one big thud and then things seem "normal" . Sometimes I can feel a thud thud thud in my thyroid area. I feel anxious, not from GAD though. I'm feeling absolutely exhausted.
My symptoms:
Fatigue
Heart thud
Tachycardia
Thyroid thud
Hard time losing weight.
And recently unable to drink any amount of alcohol - puts me into SVT runs for long than 1/2 hr
(many others that I'm positive are from Lyme)
Current cinditions:
SVT
Hypoglycemia
Low b12
Anemimic (from b12)
Total Hysterectomy (endometiosis)
Cronin Lyme disease
Epilepsy
Current meds:
Carbamazepine
B12
Magnesium
Iron
I'd love some help on this new heart thud please.
I have these heart thuds, one big thud and then things seem "normal" . Sometimes I can feel a thud thud thud in my thyroid area. I feel anxious, not from GAD though. I'm feeling absolutely exhausted.
My symptoms:
Fatigue
Heart thud
Tachycardia
Thyroid thud
Hard time losing weight.
And recently unable to drink any amount of alcohol - puts me into SVT runs for long than 1/2 hr
(many others that I'm positive are from Lyme)
Current cinditions:
SVT
Hypoglycemia
Low b12
Anemimic (from b12)
Total Hysterectomy (endometiosis)
Cronin Lyme disease
Epilepsy
Current meds:
Carbamazepine
B12
Magnesium
Iron
I'd love some help on this new heart thud please.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that your symptoms do not seem to be cardiac related. Your Holter monitoring has not detected any possible cardiac arrhythmia. You should know that this symptomatology could be related to different disorders:
a) A thyroid dysfunction. I would recommend performing thyroid hormone levels and a thyroid gland ultrasound to exclude possible thyroid gland dysfunction
b) Lyme disease can lead to several symptoms like cardiac arrhythmia, different types of electrolyte imbalances, parathyroid gland dysfunction, possible numbness or cardiac palpitations. That is why I would recommend performing inflammation tests (PCR, sedimentation rate) and blood electrolytes including calcium, potassium, phosphorus, sodium and chlorides. Liver and renal function tests are also needed, as Lyme disease can affect these organs too.
c) Low blood glucose levels could also be related to Lyme disease. But I would recommend performing a glucose tolerance tests, insulin plasma levels to exclude possible pancreatic dysfunction.
d) Adrenal gland dysfunction could also cause some of your symptoms. I would recommend performing cortisol plasma levels for this purpose.
From the other hand sexual hormone imbalances (and early menopause) caused by histerectomy could lead to chronic fatigue and anxiety.
I would also like to have some more information of the type of Epilepsy and the type of seizures that you have had. Some types of partial Epilepsy (especially temporal lobe epilepsy) can lead to similar thyroid or heart thud feelings.
You should discuss with your doctor on the above issues.
Hope to have been helpful!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that your symptoms do not seem to be cardiac related. Your Holter monitoring has not detected any possible cardiac arrhythmia. You should know that this symptomatology could be related to different disorders:
a) A thyroid dysfunction. I would recommend performing thyroid hormone levels and a thyroid gland ultrasound to exclude possible thyroid gland dysfunction
b) Lyme disease can lead to several symptoms like cardiac arrhythmia, different types of electrolyte imbalances, parathyroid gland dysfunction, possible numbness or cardiac palpitations. That is why I would recommend performing inflammation tests (PCR, sedimentation rate) and blood electrolytes including calcium, potassium, phosphorus, sodium and chlorides. Liver and renal function tests are also needed, as Lyme disease can affect these organs too.
c) Low blood glucose levels could also be related to Lyme disease. But I would recommend performing a glucose tolerance tests, insulin plasma levels to exclude possible pancreatic dysfunction.
d) Adrenal gland dysfunction could also cause some of your symptoms. I would recommend performing cortisol plasma levels for this purpose.
From the other hand sexual hormone imbalances (and early menopause) caused by histerectomy could lead to chronic fatigue and anxiety.
I would also like to have some more information of the type of Epilepsy and the type of seizures that you have had. Some types of partial Epilepsy (especially temporal lobe epilepsy) can lead to similar thyroid or heart thud feelings.
You should discuss with your doctor on the above issues.
Hope to have been helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your quick response.
The heart holter test did find an arrhythmia, svt. I had several runs.
I neglected to mention when I climb hills or stairs my legs become fatigued and heavy, it becomes hard to breathe. I find it concerning because I am a fit active person. I jog daily, play tennis 3xs per week and walk for at least an hour. I eat healthy and do not drink alcohol.
I will definitely ask for the tests you have suggested thank you!
I have complex partial seizures that originate in the temporal and now suspected in the frontal lobe. I take carbamazepine for this. I sometimes have generalized tonic clonic seizures.
I've had anaemia and hypoglycemia since childhood.
The heart holter test did find an arrhythmia, svt. I had several runs.
I neglected to mention when I climb hills or stairs my legs become fatigued and heavy, it becomes hard to breathe. I find it concerning because I am a fit active person. I jog daily, play tennis 3xs per week and walk for at least an hour. I eat healthy and do not drink alcohol.
I will definitely ask for the tests you have suggested thank you!
I have complex partial seizures that originate in the temporal and now suspected in the frontal lobe. I take carbamazepine for this. I sometimes have generalized tonic clonic seizures.
I've had anaemia and hypoglycemia since childhood.
Brief Answer:
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
Thank you for the additional information!
Regarding PSV I would explain that in a structurally normal heart (resulted in ultrasound) this type of cardiac arrhythmia is not a serious one. It can also be related to other metabolic causes like chronic anemia, thyroid dysfunction, etc..
That is why I encourage you to perform thyroid hormone levels and a thyroid gland ultrasound.
Regarding the temporal lobe epilepsy, I explained you that these type of seizures can be related to similar symptoms (epigastric discomfort and the feeling of throat thud).
Regarding chronic fatigue, I would recommend discussing with your attending physician on a new evaluation of Lyme disease, because this disorder has been strongly associated to chronic fatigue syndrome. Some new tests for this disorder would also be helpful to exclude possible reactivation of the disease.
Hope to have clarified some of your uncertainties!
Best wishes,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
Thank you for the additional information!
Regarding PSV I would explain that in a structurally normal heart (resulted in ultrasound) this type of cardiac arrhythmia is not a serious one. It can also be related to other metabolic causes like chronic anemia, thyroid dysfunction, etc..
That is why I encourage you to perform thyroid hormone levels and a thyroid gland ultrasound.
Regarding the temporal lobe epilepsy, I explained you that these type of seizures can be related to similar symptoms (epigastric discomfort and the feeling of throat thud).
Regarding chronic fatigue, I would recommend discussing with your attending physician on a new evaluation of Lyme disease, because this disorder has been strongly associated to chronic fatigue syndrome. Some new tests for this disorder would also be helpful to exclude possible reactivation of the disease.
Hope to have clarified some of your uncertainties!
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank so much! Yes I was told my heart was structurally normal, it was explained to me I have an electrical issue. ð
Could my leg fatigue when climbing stairs be caused by SVT? Poor circulation from?
Could you please tell me the names of the thyroid tests? I've had one thyroid function test called TSH. Which was 1.30
I'm interested in hearing more about temporal lobe epilepsy and the thudding, is there a link you could provide me? I know your time is valuable and I appreciate all your help!
Thank you again Dr. Iliri!
Could my leg fatigue when climbing stairs be caused by SVT? Poor circulation from?
Could you please tell me the names of the thyroid tests? I've had one thyroid function test called TSH. Which was 1.30
I'm interested in hearing more about temporal lobe epilepsy and the thudding, is there a link you could provide me? I know your time is valuable and I appreciate all your help!
Thank you again Dr. Iliri!
Brief Answer:
My answer as follows:
Detailed Answer:
Dear XXXXXXX
I do not think that the leg fatigue is related to SVT or any possible poor circulating.
You should know that the main symptoms of SVT are palpitations and possible acute shortness of breath during palpitations.
While poor circulation in the lower limbs, related to chronic pheripheral artheropathy usually leads to muscle cramps and pain after a certain perimeter of walking, but not shortness of breath during climbing stairs.
I would recommend performing the above mentioned tests in order to find the possible cause of your symptoms.
Regarding thyroid hormone tests, your TSH seems to be within the normal ranges. Anyway fT3 and FT4, coupled with a thyroid ultrasound or scintigraphy would help examine better your thyroid function.
Regarding temporal lobe epilepsy, I would explain that epigastric and throat aura are very common in this type of epilepsy. There are many article in relation to this symptomatology. Here are some links where you can read more and also the links of some articles:
-www.epilepsy.com
-www.ncbi.nlm.nih.gov/pubmed/0000
-www.ncbi.nlm.nih.gov/pubmed/0000
-tmslab.org/research-publications.php
Hope you will find this information useful!
Best wishes,
Dr. Iliri
My answer as follows:
Detailed Answer:
Dear XXXXXXX
I do not think that the leg fatigue is related to SVT or any possible poor circulating.
You should know that the main symptoms of SVT are palpitations and possible acute shortness of breath during palpitations.
While poor circulation in the lower limbs, related to chronic pheripheral artheropathy usually leads to muscle cramps and pain after a certain perimeter of walking, but not shortness of breath during climbing stairs.
I would recommend performing the above mentioned tests in order to find the possible cause of your symptoms.
Regarding thyroid hormone tests, your TSH seems to be within the normal ranges. Anyway fT3 and FT4, coupled with a thyroid ultrasound or scintigraphy would help examine better your thyroid function.
Regarding temporal lobe epilepsy, I would explain that epigastric and throat aura are very common in this type of epilepsy. There are many article in relation to this symptomatology. Here are some links where you can read more and also the links of some articles:
-www.epilepsy.com
-www.ncbi.nlm.nih.gov/pubmed/0000
-www.ncbi.nlm.nih.gov/pubmed/0000
-tmslab.org/research-publications.php
Hope you will find this information useful!
Best wishes,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
