I went to a specialist today (endo) and she said that all my test results point to graves disease. She did not do any additional tests. We already did the blood work, the radioiodine uptake scan. I am however antibody negative. She said though even if i was positive the treatment would be the same. I opted to try the medication first before radiation therapy. I am going to start taking Methimazole ( 10mg) once a day and also atenolol ( 25 mg ) once a day. The only thing that worries me is that my blood pressure is only 94/60. I thought that if you had already low blood pressure you shouldn't take this medication? My pulse rate is steady at 104 bpm. I guess that's why I will be taking the atenolol. Should I be concerned about that medication... Also, what should I start to expect with the methimazole with regards to my thyroid? Anyway, I am happy to be fixing the issues my body is having with out having to go and kill my thyroid. I mean I already lost my gallbladder and appendix! I didn't want to loose that too... haha
Thanks for any help with my concerns and what to expect in the future!
Hi I am having thyroid symptoms but I have not had the uptake yet. My labs are normal except tsh .50. My ultrasound showed and enlarged thyroid and possible thyroiditis. I had a Thyroid perox anitbodies test that was negative I have the symptoms of hyper but have low blood pressure most of the time 95/60 except for some episodes where it raises to 120/85 or more. The endo said beta blocker would normally be prescribed but my blood pressure is so low its not safe so I would be careful taking it.
You may not see a bp drop on that low a dose of atenolol. It should affect the heart rate more than the bp. You may want to get a bp monitor to use at home. Maybe twice a day but don't go hog wild with it or you'll end up terrifying yourself at what are really normal swings. Once in the morning before you take the atenolol and once before bed or anytime you start to feel real light headed.
A little unconventional but I found a good shot of caffeine and some extra salt would help if my bp dropped out on me when I was taking mega doses to keep my heart rate down. Once the Methimazole kicks in, you should be able to stop taking the atenolol but when the heart rate is consistently over 100, there's more risk from throwing an embolism than there is from the annoyance of low bp.
Boy I am confused. When I went to my endo, and was officially diagnosed, I was sent home with the meds, and i started to take them. Before I left her office though she made me do more blood work. I had been taking the medication for two weeks and I get a phone call... Good news, the blood work came back negative, no more hyperthyroidism....! She told me to stop the meds. How is that possible after I had 3 blood tests and a uptake and ultrasound that all came back positive before that test??? That is good, don't get me wrong, but I am just confused. Has anyone else had this problem?
Yeah, I have levels that go in and out of range. Usually slip into range when I've spent a long time waiting to see an endo. Twice it happened when I was pretty sick with something else. Found out I had some kidney problems to complicate the issue. Even though the labs go normal sometimes doesn't mean I still don't have a thyroid issue.
Did you request a copy of your labs to find out how normal normal is? I've run into some really idiotic endos out there. My gp treats me now. He's a smart cookie.
Dito on Access's recommendation. Get a copy of your labs so you can look at them yourself. It is common for thyroud levels to flux dependent on diet, medication, supplements, illness. Also with something like Graves it can activate and go into remission then reactivate. All in all if you have Graves you need to be closely watched and have medication available. It also never hurts to get a second opinion. How were you feeling on the anti-thyroid drugs?
If we learn by our mistakes, I am working on one hell of an education.