Is My Thyroid a Cause for Concern?
Hello, I’m a 26-year-old woman experiencing increased fatigue and symptoms of depression despite currently taking 300 mg of Wellbutrin. Recently, I began a course of ivabradine due to a consistently elevated heart rate, averaging around 110 beats per minute over 24 hours. During a self-examination, I noted what appears to be a slight enlargement of my thyroid gland while performing a self-swallow test. Previous lab results indicated borderline hyperthyroid levels, yet they remained within normal limits. I have never undergone a thyroid ultrasound. Could this situation be linked to thyroid issues, or might these symptoms arise from my medications? Would it be advisable to seek a re-evaluation or possibly pursue imaging studies? I appreciate any insights you may have.
Answers (1)
7/8/2025, 7:50:35 PM
OpenHealth AI
It sounds like you're experiencing several concerning symptoms, including fatigue, depression, and a noticeable thyroid enlargement. Given your history of borderline hyperthyroid levels and your current medications, it’s wise to explore the connection between your symptoms and your thyroid function.
Key Points:
- Thyroid Function: Your symptoms of fatigue and depression can be linked to thyroid issues, particularly if your thyroid levels are fluctuating or if there's an enlargement (goiter). Hyperthyroidism can cause increased heart rate and other symptoms.
- Medication Side Effects: Wellbutrin can sometimes contribute to anxiety or mood changes, and ivabradine is mainly used for heart rate control but may also have side effects impacting how you're feeling. Understanding whether these factors play a role is important.
- Monitoring and Next Steps: Given the enlargement of your thyroid gland and your symptoms, a reevaluation is advisable.
Suggested Actions:
-
Document Your Symptoms: Keep a record of your symptoms, noting any changes in mood, energy levels, heart rate, and any other related signs to provide a clearer picture for your next healthcare visit.
-
Follow-Up and Testing: Arrange for a follow-up appointment with your healthcare provider. Discuss your symptoms and the thyroid enlargement you noticed. Ask about:
- Thyroid function tests (TSH, T3, T4) to monitor hormone levels.
- A thyroid ultrasound to assess the size and structure of the gland.
-
Review Medications: Talk with your healthcare provider about your current medications, especially regarding any side effects you’re experiencing. It may be necessary to adjust them based on your thyroid evaluation and overall response.
Reassurance:
It's great that you are proactive about your health. Thyroid conditions can often be effectively managed with appropriate monitoring and treatment, so seeking answers now is a positive step. Please keep a close eye on your symptoms and stay engaged with your healthcare team.
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