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Medical Forum / General / General / October 2006pain breathing in
About 6 months ago, I started with a pain in my throat when breathing in. The next day, I felt pain in my upper back too when breathing in. When I bent or lay down, I felt a terrible pressure in my throat that took a few minutes to subside. It got to a point that if I made any movement other than stand up straight, I felt this pressure and pain. I think the pressure was where my thyroid gland and tonsils are. The doctor checked me over and couldn't find anything wrong. He said it was a virus and nothing to worry about. After a day or two, the pain went. About two weeks ago, I had the same thing, slightly milder. Doctor said the same thing. Since then, I'm not quite got back to normal - tired, aches in arms and legs as if I had been doing too much exercise the day before, which I hadn't. That may or may not be connected to the throat pain. Background: I'm 28, healthy with no known medical conditions. I don't know if this is relevant, but my throid hormones have been a little low recently, but is now back within the normal range. Recent test results: T4: 10.9, TSH: 4.19. Has anyone had anything similar? Any idea what it could be? thanks  SignatureZippy S > About 6 months ago, I started with a pain in my throat when breathing > in. The next day, I felt pain in my upper back too when breathing in. [quoted text clipped - 22 lines] > thanks > -- Viral thyroiditis http://www.nlm.nih.gov/medlineplus/ency/article/000375.htm > Zippy S >Viral thyroiditis > >http://www.nlm.nih.gov/medlineplus/ency/article/000375.htm >> Zippy S Thanks for your prompt reply. I had a look at the link you posted. It doesn't sound like I had viral thyroiditis - I didn't have most of the symptoms listed there: no previous upper respiratory infection, no tenderness or pain when pressure was applied. All I had was a sharp pain in the throat/upper back when I breathed in and a heavy pressure when bending or lying down. Any other ideas? SignatureSusanne > About 6 months ago, I started with a pain in my throat when breathing > in. The next day, I felt pain in my upper back too when breathing in. [quoted text clipped - 23 lines] > -- > Zippy S You are leaving out important info. A healthy person with no medical conditions does not have "thyroid hormones little low recently but now normal". If it has nothing to do with the thyroid then why do thyroid testing? No values were given about your previous thyroid or other testing such as sedrate, CBC. A TSH of 4.19 is within the "normal range" but it is not normal. There are clinical cut-offs that some endocrinologists use with a 3.0 or greater indicating primary thyroid failure. Such a value is considered a compensated subclinical hypothyroidism or conditions such as congenital or acquired peripheral resistance to thryoid hormones. The preferred testing is free thyroxine levels and not total T4 levels as there are other variables that may impact total T4 values other than thyroid illness. Just a guess here but I am thinking your doctor is waiting for your TSH to get over 5 or out of the normal range in order to treat you for hypothyroidism. The most common cause of hypothryoidism is Hashimoto's, an autoimmune disease involving the destruction of the thryorid gland. If it is viral in origin then the gland may return to normal with time and that is the hope at least. >You are leaving out important info. A healthy person with no medical >conditions does not have "thyroid hormones little low recently but now >normal". >If it has nothing to do with the thyroid then why do thyroid testing? >No values were given about your previous thyroid or other testing such [quoted text clipped - 3 lines] >is considered a compensated subclinical hypothyroidism or conditions >such as congenital or acquired peripheral resistance to thryoid hormones. <Snip> I didn't think the thyroid details were relevant, which is why I didn't mention them. Here goes: About 4 years ago, after the birth of my first child, a blood test showed that I had high TSH and low Free T4 levels. (Sorry, can't remember the amounts). Doctor said it is common after birth and it may right itself, which it did. After the birth of my second child, about 2 years ago, I had the same problem. This time, my T4 levels didn't return quite to normal. A year later, they were at Free T4: 10; TSH 6. My most recently results were Free T4 10.9 and TSH 4.19. My GP told me that these values were fine - no need to treat them, even in pregnancy. A while ago, I was reading on the net that there is a difference of opinion as to what thyroid levels are considered low and need treating, as you pointed out. I'm not sure whether to rely on my doctor's decision not to treat me, or whether to see another doctor/endocrinologist. I don't think I have any symptoms of hypothyroidism. Does that make a difference? Thanks. SignatureSusanne |
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