I get gushing and thumping feeling in my chest even after taking Metaprolol. Why?

Hello,

Welcome to icliniq.com.

I have some trouble downloading your reports. (attachment removed to protect patient identity).

I went through your symptoms, that you have been taking Metoprolol for palpitation in your chest. I can just give you some advice in terms of these symptoms. Consume less caffeine and do yoga practice. Take Propranolol 10 mg twice a day instead of Metoprolol 25 mg.

Since I have trouble downloading I am not able to view all this lab report. I hope you could send the lab values. TSH, hemoglobin, liver function test and other essential values in your lab test.

Hello,

Welcome back to icliniq.com.

I just went through your lab values. (attachment removed to protect patient identity).

Yes, your thyroid-stimulating hormone that is your thyroid function is low causing your TSH hormone in the higher sided, which means that your thyroid gland is functioning slightly on the lower side and that is why your thyroid-stimulating hormone from the brain is on the higher side. Usually, the thyroid hormones from the thyroid are normal, it will keep the thyroid-stimulating hormone from the pituitary at normal level through the feedback inhibition system. I hope you understand that. So I want you to continue the medications advised by your doctor there and you also have been taking a quite a number of anti-hypertension medications. I want you to get reviewed those hypertension medications with your doctor. Other medications such as Diclofenac should be avoided. If necessary use other modes of painkiller medications.

Your serum creatinine is also on the higher side which is 1.43 and I want you to review the medication Diclofenac sodium because it also shows some effects on the kidney, and that is why you are creatinine is on the higher side which is 1.43. I want you to stop that medication.