HomeAnswersEndocrinologyhashimoto's diseaseCan a TSH level of 4.62 cause heart palpitations and blurred vision?

What is the treatment for Hashimoto's with heart palpitations and blurred vision?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Shaikh Sadaf

Medically reviewed by

iCliniq medical review team

Published At May 24, 2022
Reviewed AtJune 15, 2023

Patient's Query

Hello doctor,

I have regularly gone to the doctor for my thyroid for the past two years since I have Hashimotos. My T4 level is normal, but now my TSH is 4.62. My doctor recommends no medicine, but I have been experiencing heart palpitations and blurred vision. Randomly, throughout the day, my eyes will unfocus, and my heart will be racing. It takes about 30 minutes to go away. It is happening more and more often. Previously, I have had these episodes where I am more tired but not accompanied by blurred vision and heart racing. She provided me with no treatment for my symptoms. I do not know what to do.

Answered by Dr. Shaikh Sadaf

Hello,

Welcome to icliniq.com.

I just read your query and the reports that you have attached (attachment removed to protect the patient's identity).

I can see that your TSH (Thyroid-stimulating hormone) is slightly high, and you do have Hashimoto's, but you are still asymptomatic for thyroid function. Therefore you need only regular thyroid function tests three monthly. The symptoms you have mentioned such as blurred vision and racing of heart have to be assessed individually. Regarding blurred vision, I suggest an eye examination with an ophthalmologist as soon as possible. It is unrelated to thyroid condition that you have. For racing the heart, I suggest ECG (Electrocardiography) and 24 hour Holter monitoring, and a follow-up with a cardiologist.

I suggest checking your lipid levels, serum electrolytes, calcium, vitamin D levels, and CBC (complete blood count) before you go for cardiologist. You must avoid caffeine and carbonated sugary drinks. Tiredness can be due to multiple factors, such as any abnormal results of vitamin D or dehydration, or excess carbohydrate consumption. At this level, your thyroid is pretty good and functioning well to cause any such symptoms. It just needs regular follow-up tests.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shaikh Sadaf
Dr. Shaikh Sadaf

Endocrinology

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