[Marykaye]

#1060597

Over the Summer I started experiencing bad gas and bloating and pressure on the sternum that was alleviated by burping. I had high B/P, pulse 100ish , itchy skin,’weight loss and severe anxiety and nervousness and at times some floaters in my right eye. . I had my thyroid levels done and was diagnosed with Graves. I have been on Methamalazole since October 10mg and my levels are now within normal range…but my gastro issues and eye floaters remain. I can go 2 weeks and feel completely normal and then out of the blue the gasto issues start all over again. Can this disease fluctuate day to day or week to week…Can levels randomly go up and down? I am getting frustrated and tired from all of this. Many Thanks.

[Kimberly]

#1183575

Hello and welcome – I would definitely mention these fluctuating symptoms to your doctor. If you can keep a log over time that would be helpful information for your doc. Both hyper/hypo can definitely affect the digestive system, but it might also be helpful to visit with your GP to see if there is another underlying cause.

For some patients, finding the “sweet spot” dose of methimazole that keeps levels normal and stable can be a challenge. Hopefully, you are getting labs done every few weeks and your doc is making dosing decisions based on Free T4 and T3. TSH is not a good benchmark, so relying on that for dosing decisions can sometimes lead to swings.

[Marykaye]

#1183577

Thanks Kimberly My doc has not as yet done blood work for T3 only TSH and T4 and TSI He has never ordered blood work for T3?

[Kimberly]

#1183578

Hello – The latest medical guidance considers T3 optional to measure, but it can be helpful, especially if you are symptomatic. T3 is more active and powerful than T4. If you offer to pay out of pocket if insurance doesn’t cover, most docs are willing to run this test.

Hopefully, your doc’s dosing decisions have been based on the T4 and not the TSH. You can really see hyper/hypo swings if the doc is only looking at TSH.

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