How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. R. Bora Your Own Question

Dr. R. Bora
Dr. R. Bora, Doctor
Category: Health
Satisfied Customers: 5227
Experience:  14 years experience in the emergency room.
Type Your Health Question Here...
Dr. R. Bora is online now
A new question is answered every 9 seconds

Hello, I have been diagnosed with Hashimotos and am currently

Resolved Question:

Hello,

I have been diagnosed with Hashimoto's and am currently taking 2.5 grains of Armour Thyroid. I am still feeling a lot of symptoms of hypothyroidism, save one. I have a resting heart rate in the upper 80's coupled with low blood pressure around mid 90's over 60-61. I find that these symptoms seem to occur regularly at night.

I also feel a slight pressure on my chest and sometimes it's feels difficult to take a full deep breath. My free T3 and free T4 levels are perfectly normal and because I still feel hypo, I don't think my level of Armour is too high. Any ideas what's going on with my heart rate and blood pressure?
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Saha replied 1 year ago.
Hello,

Thank you for your question,

I’m Dr. Saha and I’ll try to help you.

When did you start to feel those symptoms in chest?

How frequently are you feeling those?

How was your usual blood pressure, pulse?

Did you consult doctor for this?

Did you have any test like EKG, echo?

When have you been diagnosed as hypothyroid? How long are you taking thyroid medicine?

Customer: replied 1 year ago.

I've been feeling these symptoms for the last few weeks...they occur primarily at night. My usual blood pressure was always around 110-115 over 70-78. My resting pulse was usually under 80.


 


I talked to my endocrinologist about this, but he didn't seem to listen much. He thinks that I'm just taking too much Armour although I still have SO MANY hypo symptoms and the racing heart beat is the only hyper symptom I'm experiencing.


 


I haven't had an EKG or anything like that, but I've always been very healthy and have never had any heart problems before this.


 


I was diagnosed with Hashimoto's last summer and have been taking Armour since April 2013. All of my physical symptoms are making me want to increase my dosage of Armour to 3 grains, but this rapid heart rate and low blood pressure is making me wonder what I should do.

Expert:  Dr. Saha replied 1 year ago.

Thank you Melissa, for all the information,

 

I feel you need not to increase the dose of Armour.

 

Given the blood levels, it seems that you are not hypothyroid now.

 

The pressure feeling in the chest can be due to a few causes.

 

This can occur in ischemia or low blood supply to the heart.

 

Sometimes anxiety, tension or reflux can also such feeling

 

Reflux symptoms can get worse at night.

 

The normal systolic pressure or the upper number usually is taken from 90 - 120 & diastolic is taken as 60-80 mm Hg.

 

Normal heart rate in an adult is taken as 60-100/ min.

 

Your blood pressure & heart rate are within this range.

 

But as the pressures are lower than usual & you have a feeling of tightness in chest, I would suggest to take an examination by doctor.

 

An EKG, echo, blood tests need to be taken to rule out any heart issues.

 

I hope this information helps.

 

I will be happy to assist, if you need any clarification.

 

Please feel free for any follow up query.

 

Regards.

Customer: replied 1 year ago.

Unfortunately, being hypothyroid is much more than levels on a lab test. If I'm still having all of the symptoms of being hypothyroid, I don't see why I wouldn't try a higher dosage of Armour.


 


Is it possible that my low blood pressure (another symptom of being hypothyroid) is causing my elevated heart rate, since these two events always pair together? Wouldn't it then be feasible that more Armour might alleviate this problem?

Customer: replied 1 year ago.
Relist: Answer quality.
Expert:  Dr. R. Bora replied 1 year ago.

Hello, I am DR. BORA. As you have re listed the question, I have come forward to provide you an answer.

The slightly increased heart rate is likely to be a side effect of armour thyroid. This does not mean that you are over medicated but it is just an effect from that drug.
The low blood pressure is because you are already hypothyroid.

Sometimes, it's hard to recognize the signs of overmedication. You might assume that if you are overmedicated, you would feel the opposite of hypothyroid; you think taking too much medication will make you feel energetic, or that you'll lose weight, and feel great.


All you can do now is to get a holter monitoring done, a 24 hour EKG monitoring to tell you if the slightly high pulse rate is normal or if there is any irregularity in the pulse rate that needs evaluation.

 

Anyway, your blood pressure can also be low if you are having low blood hemoglobin, iron deficiency, stress and anxiety. So, talk to your GP and get a complete lab work done including hemoglobin and serum ferritin, transferrin levels.


If you have any further question, I would be happy to help you.


I hope my answer has helped you.


Please remember to rate my service positive once you have all the information you need. If you have any other questions, please ask me – I’ll be happy to respond. Thank you!

Dr. R. Bora, Doctor
Category: Health
Satisfied Customers: 5227
Experience: 14 years experience in the emergency room.
Dr. R. Bora and other Health Specialists are ready to help you
Expert:  Dr. R. Bora replied 1 year ago.
Before opting to increase your dose of armour thyroid, I think you should first get the holter monitoring and the lab work done. You should also get a repeat of the free T3 and T4 to be sure that you need an increase in the dose of armour thyroid.

Expert:  Dr. Saha replied 1 year ago.
I noticed you put a poor service rating.

I was offline, so could not respond.

Do you need any more clarification? if so, please write.

I want you to be satisfied.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery