Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.

Hypothyroidism and Dizziness

Tuesday, 27 September 2011 07:50 AM

Question: I have been diagnosed with hypothyroidism, and I am concerned about some of my symptoms. Sometimes, after I exercise, I notice I am very hot and dizzy, and feel that my body has a hard time "coming down." Is this normal with hypothyroid patients?

Dr. Hibberd's Answer:
The thyroid is the "boiler" for our metabolism. Without adequate thyroid, normal cellular function is impaired and may result in fluid accumulation, blurred vision, diabetes, lipid disorder, low heart rates, fainting, and eventual heart failure if left unaddressed.

It is very important to further evaluate exercise-induced dizziness. Hypothyroidism is associated with other metabolic disorders such as diabetes and adrenal insufficiency, so evaluation under physician guidance is important.

Always hydrate yourself before and during your run. Wear loose-fitting clothing that allows for adequate cooling when running.

It sounds like time for re-evaluation by your primary care physician, and probably an evaluation for other causes of dizziness and nearly fainting. Expect an EKG, lab work, and possibly an exercise stress test evaluation under cardiology supervision if no obvious cause is clear on your initial evaluation.

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