What should I do?
I have a question: I previously visited a traditional Chinese medicine practitioner because I couldn't gain weight.
After the consultation, the doctor diagnosed me with hyperthyroidism and advised me to avoid cold and spicy foods, stating that I have a cold constitution.
However, I later went to a hospital for a blood test, and the results showed that my thyroid levels are normal.
Why is there a discrepancy? Whose diagnosis should I trust, and what further tests should I consider? Recently, while working at an internet café, I occasionally experience rapid heartbeats (between 80 to 90 beats per minute) for no apparent reason, which makes me feel uncomfortable and causes shortness of breath, but it resolves after about 1 to 2 minutes.
Additionally, I've noticed a decrease in appetite and a change in libido, which feels unusual.
What should I do?
Fenfen, 20~29 year old female. Ask Date: 2005/01/24
Dr. Yan Sumei reply Traditional Chinese Medicine
Hello, 22-year-old female: A heart rate of 80-90 beats per minute and difficulty breathing indicate that there is insufficient oxygen in the body, prompting the heart to beat faster to pump more blood to supply the organs.
When might this situation occur? (1) After menstruation (2) After excessive exertion (3) Hyperthyroidism (4) Heart disease (5) Disrupted circadian rhythm leading to hormonal imbalance.
You may consider consulting a traditional Chinese medicine practitioner for adjustment, or you can self-regulate your schedule and avoid overexertion.
Limit the intake of cold or stimulating substances such as iced drinks, coffee, and tea, and you should see improvement.
Wishing you well.
Reply Date: 2005/01/24
More Info
When it comes to understanding thyroid issues, particularly in the context of Traditional Chinese Medicine (TCM) versus Western medicine, it's essential to recognize that both approaches have their merits and limitations. Your situation presents a classic example of the complexities involved in diagnosing and treating thyroid conditions.
Firstly, it's important to clarify that thyroid function is typically assessed through blood tests measuring levels of Thyroid Stimulating Hormone (TSH), Free T4, and Free T3. If your blood tests indicate normal thyroid function, it suggests that your thyroid gland is operating within the expected range. However, TCM often interprets symptoms and body constitution differently, focusing on the balance of "Yin" and "Yang," as well as the presence of "heat" or "cold" in the body. The TCM practitioner may have identified symptoms that they associate with hyperthyroidism or an imbalance, leading to their recommendations regarding diet and lifestyle.
In your case, the TCM diagnosis of "cold constitution" and the advice to avoid cold and spicy foods may stem from a holistic view of your overall health, rather than strictly thyroid function. TCM practitioners often consider the patient's entire lifestyle, including diet, emotional state, and environmental factors, which can influence health. The symptoms you describe—rapid heartbeat, difficulty breathing, and changes in appetite and libido—could be attributed to various factors, including stress, anxiety, or even environmental influences like secondhand smoke exposure.
Given your symptoms of occasional rapid heartbeat and discomfort, it would be prudent to consult a healthcare professional who specializes in cardiology or internal medicine. They can conduct a thorough evaluation, including an electrocardiogram (ECG) or Holter monitor, to assess your heart's rhythm and rule out any underlying cardiac issues. Additionally, if you are experiencing significant anxiety or stress, a mental health professional could provide support and coping strategies.
As for the dietary recommendations from your TCM practitioner, while they may be beneficial for some individuals, it's essential to ensure that they align with your overall health needs. If you find that avoiding certain foods improves your symptoms, it may be worth continuing those dietary changes. However, if you are unsure about the advice given by either your TCM practitioner or your Western healthcare provider, consider seeking a second opinion or consulting a healthcare professional who is knowledgeable in both fields.
In summary, navigating thyroid issues and the advice from different medical traditions can be challenging. It's crucial to rely on objective medical tests to assess your thyroid function while also considering the holistic approach of TCM. If your symptoms persist or worsen, don't hesitate to seek further medical evaluation to ensure that all potential causes are explored and addressed. Your health is paramount, and a comprehensive approach that considers both Western and Eastern perspectives may provide the best outcomes for your well-being.
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