OpenHealth Q&A

Get answered by medical professionals

Unraveling the Enigma of My Symptoms

9/12/2025, 8:50:27 PMMale25-34

Temperature: 31°F Weight: 160 lbs Height: 5’10” Tobacco: None Recreational Drugs: Absent (including cannabis) Caffeine: Absent Health Diagnosis: Diagnosed with Hashimoto's thyroiditis (thyroid hormone levels are stable within the normal range). Gastrointestinal Assessment: All tests returned normal results, with no presence of fecal white blood cells. A CT scan with contrast showed clear results, and all blood tests came back without abnormalities. Neurological Evaluation: MRI results indicated no significant issues, and the EEG findings were within normal parameters. Migraines are suspected, although a formal diagnosis has not been established. Endocrinology Review: Prescribed 50 mcg of Synthroid along with a 5 mcg dose of T3; the addition of T3 led to marked improvement in symptoms and lab results. Prior to the incorporation of T3, I experienced intense body pain, flu-like symptoms, extreme fatigue, and cognitive fog. Obstetric Examination: All results are normal, including hormone levels. Cardiac Assessment: Observations of occasional PVCs and PACs; however, no alarming findings were noted. Primary Care: Currently at a loss for answers. I’m reaching out in hopes that a physician might provide insight or guidance regarding a potential underlying cause for my condition. I’m not expecting a definitive diagnosis, but rather a suggestion on where to focus my investigations regarding my symptoms. Here’s the issue: I experience random episodes of intense heart palpitations. There can be several days of normalcy before I suddenly wake feeling overwhelmed by severe anxiety, elevated blood pressure, and increased heart rate along with frequent palpitations. There are moments I feel jittery as if my blood sugar is low, despite maintaining normal eating habits. My fine motor skills feel significantly impaired, and I experience restlessness—desiring to be productive yet unable to concentrate or settle down, all while feeling utterly drained. This contrast is excruciating. A peculiar phenomenon often precedes these episodes—what I can only describe as bizarre glitches in my perception of reality, akin to the sensation of free-falling moments before sleep. These fleeting moments leave me unsettled, as though there’s been a disruption in my reality. I noted an abundance of these sensations yesterday, and while they have decreased today, the other troubling symptoms have emerged out of nowhere. I’ve observed no connection to my menstrual cycle, sleep patterns, or even intake of sugar and hydration levels. It’s utterly perplexing and exasperating, and I’m reaching out to find out if others have encountered similar experiences. What steps or avenues should I explore next? Medical professionals seem baffled. Any insights would be greatly appreciated! 💡 Thank you! 🙏

Thyroid DisordersEndocrinologyRheumatology

Answers (1)

Cony

9/12/2025, 8:50:46 PM

OpenHealth AI

It sounds like you are experiencing complex symptoms that are affecting your quality of life. Your episodes of heart palpitations, anxiety, and the peculiar sensory glitches certainly warrant further exploration. Here are some key points and next steps to consider:

Main Points:

  1. Symptom Patterns: You have described episodes of heart palpitations, anxiety, and unusual perceptual experiences that seem intermittent and may require a nuanced approach to understand.
  2. Current Health Status: You have stable thyroid hormone levels, a diagnosis of Hashimoto's thyroiditis, and have undergone extensive testing that returned normal results.
  3. Possible Links: Your symptoms could have a neurological, hormonal, or psychological basis.

Explanation:

The symptoms you’ve outlined, including palpitations, anxiety, and cognitive unrest, can arise from several factors:

  • Thyroid Management: While your thyroid hormones are stable, fluctuations or inadequacy in hormone levels can still impact mood and physical sensations.
  • Anxiety Disorders: The intense anxiety you describe may be contributing to your palpitations and perceptual disturbances.
  • Neurological Aspects: The “glitches” in perception could suggest transient neurological events, perhaps related to migraine or other triggers.
  • Autonomic Nervous System: The feelings of jitteriness and the perception of low blood sugar might relate to sympathetic nervous system activation.

Next Steps:

  1. Keep a Detailed Symptom Diary: Document the frequency, intensity, and specific circumstances around your episodes. Note any triggers, dietary patterns, sleep quality, and stress levels. This information can be valuable for your healthcare provider in identifying patterns.

  2. Explore Anxiety Management Techniques:

    • Cognitive Behavioral Therapy (CBT): Consider seeking a therapist trained in CBT, which can help you develop coping strategies for anxiety and may lessen the severity of palpitations.
    • Mindfulness and Relaxation Techniques: Practices such as meditation, yoga, or breathing exercises can help regulate the autonomic nervous system.
  3. Review Medication Management with Your Provider:

    • Discuss the dosage and effectiveness of your current medication, including Synthroid and T3, with your endocrinologist. Sometimes, adjusting thyroid medications can help with overall symptoms.
    • Ask about medications specifically targeting anxiety or palpitations if they become overwhelming.
  4. Lifestyle Factors: Ensure you are maintaining a balanced diet, regular physical activity, and good sleep hygiene, as these can all impact your physical and mental health.

  5. Consider a Multidisciplinary Approach: Consulting with a neurologist or psychiatrist could be beneficial. They may explore other underlying conditions or recommend treatment for your migraine-like symptoms and anxiety.

Final Note:

It's completely normal to feel overwhelmed by the complexity of these symptoms. You are taking a positive step by seeking guidance and exploring avenues for improvement. Focus on the steps above, and remember that addressing these symptoms may take time and persistence. Please keep tracking your experiences, as this insight is vital for tailoring an effective management plan. Best wishes on your journey towards feeling better!

Related Questions

Experiencing Clear Fluid from Ear with No Discomfort: Should I Wait for My Appointment?

I am a healthy 57-year-old female, weighing 120 pounds and standing 5 feet 5 inches tall. My daily medications include 100 mg of Losartan for effectively managed high blood pressure, 200 mg of Lyrica taken twice daily for post-herpetic neuralgia, 100 mg of Synthroid following treatment for thyroid cancer, and a combination hormone replacement therapy patch. Additionally, I take Zyrtec and Flonase every day to combat allergies. Since October, I have been dealing with persistent tinnitus in my right ear, accompanied by some pressure and a muffled sensation. Recently, I've noticed that when I speak, it feels akin to the sensation I experience when my ears clear during a flight after chewing gum—my voice sounds amplified in my head. I've scheduled an appointment with a physician's assistant in an ear, nose, and throat (ENT) office for the end of March due to my worries about the tinnitus and any potential hearing impairment. Yesterday, I noticed that my ear emitted a clear fluid. Thankfully, there was no associated pain. The fluid was somewhat thicker than water, completely odorless—unlike the unpleasant discharge I recall from my daughter's ear infections—and there was no sign of blood. Could this indicate a perforated eardrum? I suspect this might be the case, but can this occur without an underlying infection? Should I seek attention sooner than my appointment in March? I would prefer to avoid urgent care during flu season; however, if this situation is serious, I am prepared to take precautions and visit.

Thyroid DisordersInternal MedicineEndocrinology
Male25-34
18 minutes ago

Assessing My Health Concerns: How Anxious Should I Be?

I’m a 32-year-old woman, weighing 124 pounds and standing at 5 feet 6 inches tall. For over a year, I have been experiencing bright red rectal bleeding. Initially, I attributed this issue to hemorrhoids that developed during my pregnancy two years ago. The bleeding occurs with most of my bowel movements, sometimes happens without one, and on a few occasions, has been enough to stain the toilet bowl significantly. The color of the blood is typically darker than what I observe during a hemorrhoid flare-up. There is a notable family history of bowel cancer on both sides; one family member was diagnosed at age 45, and another at 60. In the past six months, I have encountered several episodes of severe abdominal pain—3 to 4 instances—intense enough to consider a trip to the emergency room. However, the pain usually subsides within about an hour. It’s unusual for me to experience such acute pain, given my high tolerance for discomfort; for example, I once played rugby shortly after dislocating and fracturing my finger. Recently, I mustered the courage to consult with my doctor, who recommended a FIT test, which returned a positive result (30.1). Additionally, I underwent a complete blood test, and aside from having low ferritin levels (7 µg/L), all other results were normal. I have since been referred for a colonoscopy on a two-week waiting list to rule out any possible bowel cancer. Given these circumstances, how concerned should I be? Thank you for your input.

Crohn's DiseaseThyroid DisordersInternal Medicine
Male25-34
1 hour ago

Understanding Possible Seizure Triggers and Recurrence Risks

Health Background: I am a 21-year-old female, standing at 169 cm and weighing 65 kg. Over the past three years, I have been using oral contraceptives. As of this morning, I started taking 25 mcg of levothyroxine along with a weekly vitamin D supplement of 0.266 mg. Recently, I was diagnosed with hypothyroidism and found to have a vitamin D deficiency that I suspect has existed for the last three years. I do not consume alcohol or smoke, and I can confirm I am not pregnant. Two years ago, I experienced a mild concussion. I currently reside in Spain. A couple of months back, in mid-December, I blacked out twice. The second occurrence took place while I was at the doctor’s office after seeking urgent medical care for the initial incident. Following the second episode, I underwent a CT scan and an EKG, both of which returned normal results. Further tests, as directed by my physician, revealed a critical vitamin D deficiency and hypothyroidism; however, he expressed doubt that either of these conditions led to my loss of consciousness. I was then referred to a neurologist, and I am presently awaiting an appointment. Although the waiting period is lengthy, my doctor indicated that I should receive priority for scheduling, although the exact timeframe remains uncertain. The referral document summarized my events, labeling the second episode (which the physician witnessed) as a potential seizure devoid of tonic-clonic movements—a revelation that took me by surprise. After regaining consciousness, I felt extremely disoriented and terrified, struggling to process what was happening. I have no prior history of seizures, epilepsy, or any related conditions, and there is no known family history of these issues. If this indeed was a seizure, what might have triggered it? Additionally, what is the likelihood of experiencing another one? Since that time, I have not had any further incidents, but I have experienced moments where I felt a sense of impending doom, which I managed to overcome. I intend to wait for the neurologist's evaluation, but the uncertainty surrounding a possible neurological condition is quite distressing. Thank you for any insight you can provide!

LupusThyroid DisordersEndocrinology
Male25-34
1 hour ago

Understanding EEG Results for My 22-Month-Old Son: Insights Needed

Could someone help clarify this for me? My son, who is just 22 months old, hasn’t started walking yet, becomes tired easily, and has been experiencing behavioral outbursts. He had a febrile seizure in February 2025, followed by another unexplained seizure in April 2025, which led us to consult a neurologist. Since he was 3 months old, he has been receiving therapy from a physical therapist for torticollis. At birth, he spent five days in the NICU due to issues with meconium aspiration. A recent MRI showed normal results, and he also had a follow-up EEG after one conducted in July 2025. The results from this recent EEG were abnormal for a pediatric patient in awake, drowsy, and sleeping states. Notably, there were brief episodes of left frontotemporal delta slowing, which occurred mainly when he was awake and drowsy. There were no signs of epileptiform activity detected. In contrast, the EEG performed back on July 3, 2025, was deemed normal for both awake and drowsy states, again with no evidence of epileptiform irregularities, although it did not capture any sleep data. This examination was prompted by the child's existing history of febrile seizures. Importantly, he is not currently on any anti-seizure medications. The EEG procedure used standard electrode placements per the 10-20 system, conducted a single-lead EKG, and included continuous video monitoring. During the analysis, the background activity was symmetric, indicating some anterior-posterior (AP) organization, with a dominant rhythm of 50-80 microvolts at 7 Hz. His drowsy state was marked by a reduced amount of eye blink activity, less breathing motion interference, and a generalized slowing in theta/delta frequencies. Stage II sleep exhibited spindles and vertex waves patterns. Additionally, there were intermittent bursts of 250-300 microvolts in the left frontotemporal region with semi-rhythmic activity of 2-4 Hz, mostly observed during wakefulness and drowsiness. No definitive epileptiform discharge was noted. Photic stimulation during the test did not elicit a strong response, and hyperventilation was not conducted during this session.

Multiple SclerosisCrohn's DiseaseEndocrinology
Male25-34
2 hours ago

INTENSE Spine Discomfort, Breathing Difficulties, Muscle Twitches, and Sweating

To elaborate on the situation mentioned in the title, I’ve been experiencing unusual muscle twitches and spasms for the past few days, along with some discomfort in my back. However, today, I felt an unexpected sharp pain shoot through my spine, which has left my legs feeling numb and made it impossible for me to sit up straight. Additionally, I’ve been dealing with cold sweats for the last hour and struggling to breathe properly. Perhaps I’m just overanalyzing things and it’s a common occurrence, but the intensity of the pain is overwhelming—it's truly unbearable. I’m shaking quite a bit, and unfortunately, my parents aren’t responding to my attempts to reach them for help. I have a history of a chronic heart condition and arthritis, yet I’ve never experienced pain this severe, especially in my spine. For context, I am nearly 15 years old and female. My current medications include pain relievers, anxiety medication, beta blockers, and some vitamins, though those specifics may not be particularly relevant. I don’t smoke; however, I have tried vaping a few times, which might not matter much, but I thought it was worth mentioning as it was requested.

ArthritisCOPDRheumatology
Male25-34
2 hours ago