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Monday, November, 23, 2009
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upper back pain can it be heart disease for a 32 fem non smoker?

anta
08/14/08

i am 32 fem with hashimotos.

 

i have been having some symptoms lately.

 

1) a feeling i can breeth very well

2) difficulty sleeping or sometimes wake up suddently

3) palpitations

4) chest pains mostly on the left but on the right side too

   but not always the same kind of pain or on the same spot althought non-radiating.

5) a couple of times upper back pain on the left side

 

i can climb stairs ok but afraid it may be heart disease

 

i had a heart u/s 8 mos ago which was ok and had a stress test 2 yrs ago, also ok.

 

the chest pains i've been having are since december.

 

 

pls i'm desperate

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Answers (1)
Neil MD
Neil MD
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Neil MD is a physician in internal medicine.

Thursday, August 14, 2008

Hello anta,


Hashimoto's disease is common cause of hypothyroidism.  But your symptoms are much more consistant with HYPERthyroidism.  The symptoms of hyperthyroidism are as follows:  weight loss, anxiety, intolerance to heat, fatigue, hair loss, weakness, hyperactivity, irritability,nausea, diarrhea, sweating, and palpitations.


Sometimes hashimoto's thyroiditis can cause symptoms similar to those you are having, hyperthyroid-like, especially if you are early on in the disease and in an acute attack.  When the antibodies at the center of your disease attack your thyroid gland, it can release a significant amount of thyroid hormone which makes you hyperthyroid.


However, if you are on thyroid replacement medications, I wonder if somehow you are taking too much medication?


I doubt you are having a heart attack, or that these are cardiac causes of chest pain.  Back pain accompanied with the rest of your symptoms is much more likely to be a systemic disease. I am even less worried because you have had what sounds like both an echocardiogram and a stress test recently and because you are quite young.


You should absolutely make an appointment with your endocrinologist, or whomever follows your hashimoto's, to discuss these symptoms and how you can better manage your disease. 


To your health,

Neil MD

 

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