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Symptoms of THYROID problem with thyroid test.

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I have had a number of symptoms over the past 12 months generally feeling unwell and I am concerned there is a problem with my thyroid.
My symptoms have been - Dizziness (daily), breathlessness and tight chest daily, headaches, sinus pressure, slow heart rate (nearly always below 50bpm), tiredness, pins and needles in hands and arms occasionally, muscle weakness occasionally, poor sleep. I have been investigated by an ENT who suggested migrainous vertigo and given me pizotifen but this has not resolved my symptoms. I have had thyroid tests and attach the results below. Of note I have ankylosing spondylosis and psoriac arthritis but take no medication for it.

Results taken on 30/07/14

FREE THYROXINE 21.7 pmol/l 12.0 - 22.0 FREE T3 4.9 pmol/L

THYROID ANTIBODIES Thyroglobulin Antibody <10.0 IU/mL 0-115(Negative)
Method used for Anti-Tg: Roche Modular

Thyroid Peroxidase Antibodies 12.9 IU/mL
Method used for Anti-TPO: Roche Modular

Category: Endocrinologist

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Category: Diabetologist
 28 Doctors Online

Thank you for your query at

Although you do have certain symptoms which may suggest hypothyroidism, the biochemical tests are absolutely normal.
Symptoms in thyroid diseases are often non-specific and eventually it is the blood test for TSH and T4, T3 which leads to a diagnosis of hypothyroidism. So you do not have any thyroid dysfunction.
You can be rest assured that these symptoms are not due to a thyroid problem. You can repeat the test after 1-2 months if symptoms persist.

The dizziness seems to be migranous vertigo as your doctor has mentioned. The other symptoms like breathlessness, chest tightness etc need to be evaluated with a physical examination of all systems and a basic work-up. So please consult your physician in this regard.

I hope this was helpful. Feel free to discuss further.

Thank you.

Dr. J Muthukrishnan
Category: Diabetologist
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

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