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DR.EHTISHAM
DR.EHTISHAM, Doctor
Category: Medical
Satisfied Customers: 1731
Experience:  MBBS, FCPS
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I have had heart palpitations, chest pain, hot flashes, racing

Customer Question

I have had heart palpitations, chest pain, hot flashes, racing heart, neck
Submitted: 6 years ago.
Category: Medical
Expert:  DR.EHTISHAM replied 6 years ago.
Chat Conversation Started
DOC EK :

hi

JACUSTOMER-3f567b9q- :

Hello

DOC EK :

since how long do you have these problems

JACUSTOMER-3f567b9q- :

about 2 months or so. The most recent thing is the jaw pain.

DOC EK :

how about your menstrual cycle

JACUSTOMER-3f567b9q- :

it is irregular, but has been for a few years

DOC EK :

any other medical problems

JACUSTOMER-3f567b9q- :

no. Have had some strange neurological symptoms over the last 2 years, bu thaven't found anything with that either.

JACUSTOMER-3f567b9q- :

Oh, also have really bad ringing in the ears.

DOC EK :

what are those symptoms

JACUSTOMER-3f567b9q- :

numbness in the leg, some facial numbness, some eye disturbances

JACUSTOMER-3f567b9q- :

normal mri etc

DOC EK :

what investigations have been done and what was the results

JACUSTOMER-3f567b9q- :

blood work was normal except for vitamin D, had a treadmill stress test and an ekg and Holter that were normal, so not the heart. Last MRI was a couple of years ago.

DOC EK :

what about the result of thyroid function test

JACUSTOMER-3f567b9q- :

I think it was normal, although when I talked to the nurse the numbers she gave me for the normal limits were different from what was on line.

DOC EK :

do you have the report with you

JACUSTOMER-3f567b9q- :

no, is that something I can ask for? I haven't seen it.

DOC EK :

Well yes i would like to know if the thyroid function tests are within normal limits or not as most of your symptoms are compatible with a hyperfunctioning thyroid

DOC EK :

second think would be to see what is your hemoglobin levels as anemia can cause most of these problem

JACUSTOMER-3f567b9q- :

I can request the report from them, but they did say it was normal. Are they usually accurate?

DOC EK :

Third possibility considering your symptoms and an abnormal menstrual cycle is of a perimenopausal syndrome which can cause these symptoms

JACUSTOMER-3f567b9q- :

at 35 years old?

DOC EK :

if the thyroid turn out to be normal then other possibilities should be considered

DOC EK :

perimenopausal syndrome can occur about 10-15 years before having a menopause and so possibility does exists

JACUSTOMER-3f567b9q- :

would that casue the neck & throat & jaw pain as well?

DOC EK :

Also see your ENT doctor about problem of ringing in ear to have a complete examination

DOC EK :

it can cause non specific pains and so does thyroid disorder

DOC EK :

Throat pain can be due to problem of sorethroat as you also have ringing in ears so that is why important to get an opinion from ENT doctor as well because ear, nose and throat are inter-connected

DOC EK :

Feel free to ask anything

JACUSTOMER-3f567b9q- :

what about thyroid cancer?

DOC EK :

Well usually thyroid cancers present with a swelling on the frontal aspect of the neck and if such a swelling is found then further evaluation by thyroid scan,ultrasound of thyroid and biopsy is required but before going on to such tests an examination will be required

DOC EK :

Feel free to ask anything
Click ACCEPT if you are satisfied

Expert:  DR.EHTISHAM replied 6 years ago.
If you have any follow up question you are most welcome

Click ACCEPT if you are satisfied

Regards

DR EK
Customer: replied 6 years ago.
Would it be ok to get my thyroid funtion report and check back with you tomorrow?
Expert:  DR.EHTISHAM replied 6 years ago.
Sure

You can reply over to me when you get the report

Regards