TSH <0.03 , T3 & T4 in 'normal' lab range *feel sooo I'll though?!*

[I_need_a_holiday]

Hi, I hope someone can help.
I have just turned 40 I am female & been feeling generally unwell constantly since 2014, excessively tired- I fall asleep as soon as i hit the pillow, I get severe chest pains & sometimes feel like a heartbeat gets 'stuck' and then it will thump a beat then go back to normal, bowel changes sometimes with blood (sorry tmi!!), get hot easily, put on a ton of weight more so on tummy even though no eating changes- I look very pregnant (not though!) no SD, quite puffy hands and feet, achy bones really deep ache worse if I had done anything the day before like food shopping anything out of the home, irritability & heavy periods.
Anyway....after being constantly fobbed off by GP I finally got sent for blood tests, everything weirdly fine except ?inorganic phosphate? Was low & TSH was <0.03 mml but the T3 & T4 was in normal range. GP not fussed and just said come back for another blood test at the end of the year.
I don't understand what my results mean or if they are insignificant but I feel really, really unwell and I have a family that needs me to be on top form.
Can anyone tell me more about these results and can I sort this myself?
Thank You in advance!

[Barb135]

Just because the T4 and T3 were in the "normal" range doesn't mean they were really "normal" for you...  Some of your symptoms seem to be those of hyperthyroidism; other seem to apply more to hypothyroidism...

As requested above, please post the actual results of the T4 and T3 tests and be sure to specify whether they were Free T4 and Free T3 or if they were Total T4 and Total T3...  Reference ranges vary from lab to lab, so they do have to be posted with the results for the best comparison.

Also, please indicate whether you've had any other tests done, such as a thyroid ultrasound, abdominal CT or colonoscopy (to see about the blood in the stools).  

Some vitamin/mineral deficiencies can cause symptoms of thyroid disorders, so if you've been tested for any of these (such as vitamin B-12, ferritin, vitamin D) please post those results, with reference ranges, as well.

Hypophosphatemia (low phosphate levels) can be caused by a number of things, including (but not limited to) vitamin D deficiency, hyperparathyroidism, kidney disease and others...  Other tests will be needed to determine the exact cause.  

[I_need_a_holiday]

Hi, thanks for getting back to me.
The blood results are as above.
I have not had/been sent for any tests recently except blood test, the only other test will be a blood test at the end of the year.
I had a hormone test a couple of years ago (different doctor)regarding menopause results indicated no sign of it and not likely to for the foreseeable (according to doctor) mother & grandmother (maternal) signs at 50 completed at 57.
  

[Barb135]

Could you try posting your labs again, please? We can't tell anything from what actually posted.   Thank you.

[I_need_a_holiday]

Hi, I took ages to type it all in and yet again it only showed up the first result!!!! Please can you tell me what I am doing wrong? Do i have to write it all together instead of leaving spaces?
Thank you!

[Barb135]

I'm not sure what kind of phone you have so I can't tell you what you're doing wrong and it could be MedHelp's problem as well and nothing you're doing wrong; if that's the case, my apologies.  Typically, when I type in results, I type them in as follows and they post fine:

TSH = result  (reference range)
Free T4 = result (reference range)
Free T3  = result (reference range)

You don't have to type the words "result" and "reference range"; I just put those there so you'd know what would go there...

Inserting results, it would actually look like this:
TSH = < 0.03 (0.45-4.50)
Free T4 = 1.6 (0.8-1.8)
Free T3 = 4.2 (2.3-4.2)

That's the TSH you listed above, but of course, I don't know what your T4 and T3 are; I just made those results up so you could see how to post them.  Nor do I know if yours were Free T4 and Free T3, but if they were, that's the way you'd put them or you could just type FT4 and FT3, but type what's on your report.  Do the same for other parameters, such as Vitamin B-12, Vitamin D, Ferritin, etc.  They don't always format correctly, but if you can get the numbers and ranges to post, we can work it out from there.

[Morning_Light]

You possibly have multiple things going on here. Blood in your stool is an urgent matter than needs a colonoscopy. This symptom is not related to thyroid, while change of bowel habits can be. Weight gain can sometimes be related to thyroid, but a distended abdomen to the point of looking pregnant is not typically related to thyroid. Blood in the stool can mean something serious, or it could be something relatively minor. Only a colonoscopy can make that determination.

Which T3 and T4 tests did you have? Free? Total tests combine two different types of the thyroid hormones, those that are free and those that are bound, so total tests are not the tests used to diagnose thyroid disease. You mention that your results were within range. Unfortunately, within range can mean you are at the very bottom of the range, or at the very top of the range, both of which would mean you have problems. Basically, if these are the free tests, your results could be half of the range or less, still put you in "normal range", but these levels are often to low for people and cause many people symptoms.

Can you try posting the exact names of the labs, your results and please include the lab ranges relating to each test and your results.
Thank you.

[Barb135]

I gained a ton of weight when my thyroid stopped working and my stomach was distended also to the point of looking pregnant; it still gets that way sometimes if I have "thyroid bloat"; I also had blood in my stool periodically and it stopped when I'd been on thyroid med for a while.   I agree, though, that blood in the stool can be anything from hemorrhoids (very common with hypothyroidism due to constipation) to something serious.  

[AJWS6]

Hi, can you post labs with referance range, all labs differ.  

[I_need_a_holiday]

Thank you for replying.
Results;

Serum TSH level ; 60 m/L
(60.0-99.0) lab range

[I_need_a_holiday]

I posted all of the results but only one posted?!!
Sorry new to this!

[I_need_a_holiday]

Ok.....
Serum TSH level ; 60 m/L
(60.0-99.0) lab range

[I_need_a_holiday]

Please disregard previous comments....my phone is mis behaving?! I will try again!