apollo
  • Female
  • 26 Years
  • 20/02/2025

I'm kind of worried about my health. My pulse is usually around 90 to 115, and my blood pressure is about 80 over something like 90 to 125 over 40 most of the time. Sometimes I get chest pain, and when I exercise, I feel really breathless. It's strange because my reports have been normal for the past 6 or 7 months. I was diagnosed with hyperthyroidism about 20 months ago, and I've gone from taking 222 carbimazol daily to just 1. I've noticed that my T4 levels slightly increase every couple of months, but they're still in the normal range. So, should I be worried about the chest pain and high pulse rate, or is this okay?

Doctor 1

Answered by 1 Apollo Doctors

Based on your symptoms and medical history of hyperthyroidism, it is important to monitor your heart rate and blood pressure closely. The chest pain and elevated pulse rate could be related to your thyroid condition. To help manage your symptoms, you can consider taking a beta-blocker medication such as Propranolol. I recommend taking Propranolol 10mg twice daily to help control your heart rate and chest pain. However, it is important to consult with your healthcare provider for proper evaluation and management.

Dr. Shubham Suggests...

Consult a Endocrinologist

Answered 04/07/2025

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  1. Understanding Your Thyroid Levels and Medication

    • Slight fluctuations in T4 levels within the normal range are generally acceptable. Continue taking carbimazole as prescribed and monitor thyroid function regularly.
  2. Pulse Rate and Blood Pressure Insights

    • A pulse rate of 90-115 and variable blood pressure can be influenced by hyperthyroidism. These readings should be discussed with your doctor to ensure they are managed appropriately.
  3. Chest Pain and Breathlessness Concerns

    • Chest pain and breathlessness can be related to hyperthyroidism. Seek urgent medical evaluation if these symptoms worsen or are persistent.
  4. Recommended Next Steps

    • Consult with an endocrinologist and possibly a cardiologist. Tests like ECG, echocardiogram, or Holter monitoring may be necessary.
  5. Lifestyle and Symptom Management

    • Manage symptoms through lifestyle adjustments, stress management, and avoiding stimulants that may increase heart rate.
  6. Reassurance and Monitoring

    • Regular follow-ups and open communication with healthcare providers are crucial. Many patients with controlled hyperthyroidism lead healthy lives, but vigilance is key.

Recommended next steps

Consult a Endocrinologist or Consult a Cardiologist

Answered 10/09/2025

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.