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    Old 12-07-2005, 01:18 PM   #1
    fishertimm
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    thyroid ?'s

    I have a thyroid goiter, but is not very big. no dominate nodules and Dr. said my lab results were very good. Goiter was found when I complained about throat pain, which ended up was not from the goiter but from acid reflux which is being treated rather well now. I do have heart palps sometimes, but not sure if my goiter is causing that. I take 25mg Toprol 1/day and really helped with the heart palps. Only thing that concerns me is taking toprol with the thyroid problems (especially if I become hypo). Was wondering if anybody else has the palps and if I should worry about taking toprol with my goiter even with such a low dose?

     
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    Old 12-08-2005, 06:03 AM   #2
    midwest1
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    Re: thyroid ?'s

    Doctors are very often wrong about lab results being "very good". The fact you have a goiter in the first place is because your gland is struggling to keep up with your need for hormone. Don't assume he's right in this regard.

    The palps and acid reflux are often directly caused by low thyroid function. Chances are you have other thyroid related symptoms that you may not even know are related.

    Beta blockers like Toprol are contraindicated for untreated hypothyroid people, because of their heart-slowing action. The heart already beats more slowly and has poor contractility because of low thyroid; slowing it further with beta blockers can cause permanent heart muscle damage.

    If I were you, I'd get another opinion. You can post your thyroid lab results and ranges here to get some idea where you stand.

     
    Old 12-09-2005, 08:54 AM   #3
    fishertimm
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    Re: thyroid ?'s

    what do I do, just ask my Dr. what the lab results were? I saw a cardiologist, even though I am only 34, just to make sure my heart was ok and he wanted me on Toprol also. Stress echo was fine and I wore a 24 hour monitor. Usually only have a couple of palps a week. What are some of the other thyroid symptoms? Most what I can tell from posts is fatigue, weigh gain or loss... and I have none of those. I already drive my Dr. nuts with these problems, but its scary to develope these and not really know whats going on.

     
    Old 12-09-2005, 09:06 AM   #4
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    Re: thyroid ?'s

    I agree with Midwest.............get another opinion and please post your results. Never take a dr's word on any test results, ALWAYS get your own copy of everything. You would be so surprised how many folks have been told things are perfectly normal and then when they get copies they find out anything but! Dr;s do not know how to read thyroid labs, they just see if you are in range and announce you are fine if you are. They have NO idea where YOU need to be in that range.

    Call the office and say you need a copy of the labs or have them tell you on the phone,............the test names, the results and the reference ranges. They have to give you your own results.

    I too developed acid reflux when this first started for me about 6 years ago. I have ended up having my thyroid removed due to the goiter and nodules. I would be interested to know if you have hashi's since it is enlarged and for that you should have the thyroid antibodies tested.

    let us know.
    Karen

     
    Old 12-09-2005, 09:36 AM   #5
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    Re: thyroid ?'s

    I called Dr. today, and left a msg. When call back I will ask what my results were and about taking toprol with this problem. I don't want to just stop the toprol because I heard that can be bad even with this low of a dose. Becoming a nervous wreck over this! I was told goiters were nothing to worry about and that I will need my blood work done every 4 months to see if any changes in the results. I am also going to ask for the biopsy to be done to make sure no problems. Begining to think my Gerd is from the tyroid. My goiter is very small, cannot see it on my neck, and was only found by accident. I have an appointment with my Dr. on the 30th, but my nerves can't handle waiting that long.

     
    Old 12-09-2005, 10:26 AM   #6
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    Re: thyroid ?'s

    Are you the type of person who feels that knowing everything there is to know about an illness is the best way to deal with it? If so, you need to start educating yourself ASAP about thyroid disease, because you can't trust any doctor to absolutely know what he/she's doing in that area. Ask any one of us who posts here regularly; it's the truth.

    If you are the opposite kind... You want to trust your doctor to know everything, and finding out new information scares you more than it comforts you, stop asking questions now. I don't mean to sound harsh about this. Some people are just that way - It's neither good nor bad to be one way or the other. But it doesn't do the latter kind any good to keep getting answers that just scare the dickens out of them. You should be aware though, that having your head in the sand about it will often get you the worst possible care when it comes to thyroid disease. If I tell you that now, you will be armed with the information in case you change your mind and want to find wellness later.

    If you are the type who wants to learn everything you can, get a copy of Thyroid for Dummies by Dr. Alan Rubin. I would guess almost every public library has a copy or two, or you can buy it in major bookstores. It explains in easy-to-understand language what a thyroid gland is, what it does, what happens when it doesn't work well, and how to treat it.

    You misunderstand the significance of a goiter. The term is simply another name for an enlarged thyroid gland. "Goiter" isn't a disease unto itself; it's a symptom of a disease... namely, thyroid disease. The gland enlarges (becomes a "goiter") when it's either overworking or underworking.

    I didn't have fatigue or weight gain either when my hypoT was discovered. No one will have every single possible symptom of the condition. Mine was diagnosed after I had heart attack-type pains that caused me to need a complete cardiac workup. I also had severe acid reflux that has disappeared since I've been in successful thyroid treatment. You can see how I would believe that hypoT could be your primary problem, too.

    Do not stop taking the Toprol... You're right about that. I didn't mean to imply you should. But in the long run, when it eventually comes to light that you are hypothyroid and begin getting proper treatment, you probably won't need it at all. What I am saying is that continuing to take it can cause major damage to an untreated hypo heart in the long term.

    You can find a complete list of symptoms in our "Information Archive" at the top of the thread subject page. Check it to see if you have others you may be unaware that can be caused by low thyroid function.

    Last edited by midwest1; 12-09-2005 at 10:30 AM.

     
    Old 12-09-2005, 10:52 AM   #7
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    Re: thyroid ?'s

    thanks midwest. I am a little of both. Want the information but does make me nervous. I do realize everybody is different and affected different. I started having the sever Gerd at same time I found out about the goiter. Did not even know what nodules on the tyroid were. At any rate, I am going to get that book and have written a list of ?'s for my Dr. (want the lab results, going to insist on a biopsy etc...) waiting for the Dr. office to call me back today and going to start at that. I am starting to think also that the gerd is from the thyroid. I would actually love that because, once treated correctly, might end the gerd! My Dr. is usually really good about sending me for tests, diagnosing etc.. but I wan't to make sure. Don't want to have heart problems or any other later on because I didn't. Last ? I have, who is best type of Dr. to deal with thyroid issues? My Dr. never has a problem referring me to specialists or anybody I request, so I am going to ask for that now. A second opinion is never a bad thing.

     
    Old 12-09-2005, 03:49 PM   #8
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    Re: thyroid ?'s

    My Dr.'s nurse called me and wanted me to see my Dr. Monday am. She told me that my results were within normal range, but that may not be normal for me and they are going to do some more detailed bloodwork. I asked for the lab results and told her they could just give me a print out on Monday. She said they would be happy to and I will post them when I get back. I am starting to feel better about where this is going. My neck has been hurting lately (like a pressure feeling) so I am sure its probably getting worse. I will also get a biopsy scheduled then.

     
    Old 12-10-2005, 05:26 AM   #9
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    Re: thyroid ?'s

    Quote:
    Originally Posted by fishertimm
    She told me that my results were within normal range, but that may not be normal for me and they are going to do some more detailed bloodwork.
    This is a very hopeful sign that this MD knows more about thyroid disease than the average MD. The majority doesn't have a clue that people can still be unwell within the normal ranges.

    Please let us know how things go on Monday! Did you check out that symptom list so you can report the ones you have? Let me know if you can't find it... I'll look it up for you.

     
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