For over the last years i´ve been having problems with my chest.
I wrote this earlier. spasms around breastbone, skipped heart beats, pain in chest. rapid heartbeat during a minor exercise, and so on.
I have had numerous check ups and so far so good.

The only thing that is a bit odd is my thyroid THS and T4 serum values.
THS is climbling slowly till now 4.0  (must be in the range 0.4 -4 and sometimes 4.3)
T4 14.2  (must be in 11-25 range).

Reading in thyroid studies, my TSH is rather on the high side of normal so you could speak of a possible slow working thyroid.

My doc isnt concerned and he dont want to sent me to a specialist.
Is there a correlation with my symptoms? and what should I do?

its getting more and more complicated.
Last sunday I experienced a huge attack of hyperventilation /chronic hyperventilation..  My father who visited didnt trust it and rushed me to the hospital. I told him not too worry cause this must be my CHV I told him. Like I said he didnt trust it..I was trembling and shaking, had pain in my feet and arms ..tingling an prickling.. the feelings I had for days like I wrote you guys..  In the hospital they indeed saw Chronic hypervantilation levels of bloodgass  and a 100% saturation of oxygen ..
What they didnt understand was my prickles and tingling and painfull feet (frontpart) and toes and the weird prickling in my hands..  it could be due to the hyperventilation but when I told them i had this for days and increasing over days they dindt know for sure..

they thought it could be polyneuropathy ... so now I panicked..
how do I know the difference between needles and pins prickles and tingling cold feelings in my toes and feet and my hands and wrists and bit underarm and leg below knee.. and much cold and painful toes and fingers..  as a symptom of CHV chronic hyperventilation or a polyneuropathy due to an illness?

the hospital checked some reflexes and if I had feeling in my toes..and that was ok..but they say that dindt say everything  but cause it was an emergy room..it was not acute..so it was ok for now..



please help

update : although I had palpitations all night and I couldnt walk easily due the needles and pins and painfull tingling in my feet/toe area I got out of my comfortzone (home and bed) and went to a city nearby where me and my wife have walked for hours. This went quite well as longer as I walked. the pain subsided somewhat, and the prickling too.
the tingling in my hands remain.

I hope that the fact I could now walk for hours while walking the last days wasnt easy due to the havy prickling and sensations in my toes and feet is a good sign.

anyone?

still the same all day and night..

unfortunately no response or no recognition..

very worried never had this constant skin burning over my body for a week now

thx for responding.
I will try to investigate if just when i wake up i experience less symptoms.
About the skin burning sensation. This is new for me, I do have it for over a week now . This started after a week of tingling and prickling in my hands and feet and a attack of (chronic) hyperventilation /anxiety attack, i quess setted of due to these sensations i felt for days.
the burning skin i do feel at night to. its like i cant have anything colder on my skin than my skin temperature. Also when i rub my skin it burns.
its in my opinion my nerves firing so now i'm afraid its a polyneuropathy which is often seen in illnesses. I was hoping RLR would give some advice cause i'm in a loop here.
why is all this only anxiety in me and why is this in other people 7 out of 10 times due to an illness or brainproblem

Hello Richie,

I too have noticed that when I've spoken to my GP and various other doctors about concerns I've had in the past, they have each seen my history of anxiety and seemingly added another symptom to the list.

Having said that, I don't know the process by which they reached their conclusions and it may be that as a patient naive to the majority of the medical world, I am simply drawing conclusions that are false. I will say that I'm pretty sure since anxiety is a nervous disorder, that I believe there is a practically unending number of symptoms that may occur due to the fact that everything is under master control of the brain and nervous system, though this is simply my opinion and may not be true.

I'm sorry but I am in no position to give you an opinion on your problems. I've never experienced what you describe and I've never seen or heard of anyone else experiencing it.

In your first post you said that your THS is on the high side of normal and climbing. Didn't your doctor try and explain why and what the consequences of this are? Is it a case of "normal is normal", meaning high-normal or low-normal are indifferent. Surely a rising level means something? I don't know.

Go back to your doctor and push them for answers. You have a right to know everything you want to know and don't allow them to simply shrug off your concerns. Make them explain to you why they're not concerned about your rising levels and tell you why it is of no consequence.

I'm being ignorant, but if it doesn't even matter that your levels are rising or are high, like your doctor has said, what's the point in taking the test in the first place? If it doesn't come with an explanation then it's meaningless. Again, I know nothing of which I speak here so take anything I say with skepticism.

Perhaps it could be a relationship with another entity in the body, for example white cell count rises rapidly and dramatically in the presence of infection, then lowers to normal once the pathogen has been eradicated. Likewise, perhaps the levels you're concerned with also rise and fall with certain conditions? Either way, you need to know.

Anyway, I'll stop trying to sound like I know what I'm talking about and urge you to question your doctor a little deeper until you're satisfied with the advice you're given.

George.

"why is all this only anxiety in me and why is this in other people 7 out of 10 times due to an illness or brain problem?"

Where did you establish such a statistic? You are making interpretations of your clinical lab features and physical symptoms and casting them as pathological in the absence of the requisite clinical training to do so. I'm constrained to point out that the act of doing so doesn't make your conclusions accurate and are only depicted in your postings to confirm your own suspicions or conclusions. Practicing medicine is well beyond merely seeking out literature on the internet and drawing conclusions.

The more you worry that something is wrong, the greater the symptoms become and the more you worry. The problem here is not what is actually wrong with you, but what you believe is wrong with you. It's very critical to realize here that you're seeking my interpretation based upon information you are providing me as though it somehow would validate evaluation by internet. You do see the practical impossibility of doing so, correct?

You are regularly presenting me with lab data and physical symptom characteristics for me to evaluate based upon your belief that something physical is wrong with you and regardless of my response, you seek to challenge it by providing other data and symptoms as though trying to prove to me that something other than what I'm suggesting is present. Not that it's necessary, but I'd remind you that although I'm now 93 years of age, I practiced medicine for more than 40 years. Do you really suggest that I'm so aloof as to not recognize what the most probable cause for your symptoms are and that they do not fit the characteristic patterns for neurological disease which I have observed and treated in hundreds of instances?

In what capacity am I serving here, Ritchie? I'm constrained to point out that I have little time to discuss differential diagnosis with a layperson who refuses to accept the opinions of the collective medical community but yet you continue to make inquiry? If we're inaccurate or not understanding the true nature of your difficulty, of what value is it to repeatedly seek out the very same source time and again?

I've collectively read every single one of your open postings and the multiple private messages you've addressed to me regarding your symptoms. I've repeatedly stated my professional opinion regarding the symptom patterns, as well as my conclusions. If you don't trust those conclusions or you don't feel that my opinions are qualified, then providing me with additional data and argument is not going to produce a different outcome. I'm the physician here, not you.

If you believe that you have a physical illness, then you need to direct your concerns to your primary care physician or specialist for evaluation and potential treatment. I've repeatedly shared my opinions with you, apparently to no benefit and I'll note here that I simply haven't the time to try and unweave the constant attempts being made to interpret your lab data as pathological in some way and a causal factor to your health problems.

I wish you the best in working with your doctors to determine how best to help you restore your physical health, but we've reached a point in the forum discussion here where the capacity of this forum to assist you has been exceeded.

Best regards,

Rutheford Rane, MD (ret.)

symptoms still there.  With a negative ANA bloodtest what do I rule out?
red and whitecell distribution ok. Always a high HB, high hematocriet, high erytrocytes. (high as in ..almost top of the range normal)

If this is all anxiety why is this burning skin all over and prickling arms and feet 24/7 there?  Or is it therefore more likely anxiety than anything neuropathical ? the spasms and palpitations are gone for a week now. That has made me wonder even more. Why do the spasms suddenly are less now I have these skin sensations 24/7?  

I really like more explanation. cause i really hope its due to anxiety but My body does weird things and shouldnt I have more palpitations when so highly stressed that my skin burns and my nerves keep firing??

Allthough I without a doubt have the symptoms seen in neurophatical problems , how do I know this is due to anxiety ?