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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Fluctuating BP Levels

I have high parathyroid levels, high-normal calcium levels, TSH 0.2, normal T4 and high T3. My blood pressure keeps going up and down, palpitations 130bpm resting, trembling, nausea and body pain. Is this parathyroid/hyperthyroid. I also have little red spots like blood blisters on my stomach. This has been going on for 3 years and still no diagnosis
posted on Fri, 14 Mar 2014
Twitter Tue, 6 Dec 2016 Answered on
Twitter Tue, 6 Dec 2016 Last reviewed on
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Internal Medicine Specialist,  's  Response
It sounds like you have what is called "subclinical hyperthyroidism" (diagnosed by low TSH, and normal T4). It can definitely cause the symptoms you described (which are more likely related to your thyroid problem then your parathyroid). If I saw you in clinic, I would prescribe a 'beta blocker' like Metoprolol or Carvedilol to control your symptoms and your blood pressure.

I am not sure what to make of the red spots on your stomach. I would need to know how long they were there for, the pattern of distribution, are the itchy/painful... etc. If you are concerned about them, I would recommend that you speak to your primary care physician or a dermatologist about them. They are probably unrelated to your thyroid/parathyroid problems.
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Suggest Medication For Fluctuating BP Levels

It sounds like you have what is called subclinical hyperthyroidism (diagnosed by low TSH, and normal T4). It can definitely cause the symptoms you described (which are more likely related to your thyroid problem then your parathyroid). If I saw you in clinic, I would prescribe a beta blocker like Metoprolol or Carvedilol to control your symptoms and your blood pressure. I am not sure what to make of the red spots on your stomach. I would need to know how long they were there for, the pattern of distribution, are the itchy/painful... etc. If you are concerned about them, I would recommend that you speak to your primary care physician or a dermatologist about them. They are probably unrelated to your thyroid/parathyroid problems.