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Hyperthyroid
I have untreated Graves’ disease for the past year.
For the past 1 month, I’ve had severe heat intolerance, sweating even in AC, palpitations, muscle cramps in legs, insomnia, and a persistent low-grade fever (around 99°F).
In the last few days, symptoms have worsened — I now have extreme dry mouth, I’m sipping water every few minutes, feel dizzy, and my urine has turned brownish. My BP was 143/80, and resting heart rate is 95 bpm.
I’m very concerned
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Thyroid profile ; you have symptoms of hyperthyroidism , your medication if your on , needs to be altered . Kindly connect .
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Thyroid profile.
Lot of advise u got from doctor according to Harrison. Follow n IN EMERGENCY GET TREATED.
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Hello,
Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399.
Thanks.
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Need to check T3-T-4-TSH
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I can definitely help you over this being a general physician
You can consult with me online on Practo or Contact on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Need few more details
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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You have described worsening symptoms in untreated Graves' disease, which need urgent attention. Based strictly on the content from Harrison’s Manual of Medicine, here’s what you need to know:
1. Explanation of Your Symptoms:
Heat intolerance, sweating, palpitations, and insomnia are classic signs of thyrotoxicosis.
Muscle cramps and weakness, especially in the legs, are associated with hyperthyroid myopathy.
Dry mouth and dizziness may indicate volume depletion or early dehydration.
Brownish urine could suggest muscle breakdown (myoglobinuria) or dehydration.
Persistent fever with a high heart rate may signal worsening hyperthyroidism or possible early signs of thyroid storm, a dangerous, life-threatening condition.
2. Warning Signs of a Thyrotoxic Crisis (Thyroid Storm):
Fever, palpitations, vomiting, diarrhea
Mental status changes (delirium, seizures, coma)
Jaundice or signs of liver dysfunction
Resting heart rate >100 bpm with systemic symptoms
These are medical emergencies and need hospitalization.
3. What You Should Do Immediately:
Seek urgent medical evaluation. These symptoms, especially worsening over days with brown urine and elevated BP/HR, require rapid clinical assessment.
Blood tests including TSH, free T4, electrolytes, liver enzymes, and possibly creatinine kinase and urine tests should be done.
Beta-blockers (e.g., propranolol) may be initiated to reduce heart rate and adrenergic symptoms.
Antithyroid drugs (e.g., methimazole or PTU) are the mainstay for Graves’ disease and need prompt initiation under medical supervision.
4. Key Medical Recommendations:
Don't delay care. Thyroid storm has a high mortality rate if untreated.
Avoid self-medication. Treatment requires monitoring of thyroid hormone levels.
Rehydration and supportive measures may be urgently required.
Reference: All information is based on Harrison’s Manual of Medicine, 20th
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Get thyroid profile done.
And have a follow-up.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Immediately start inderal
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.