Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors.
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Hey Dr. Rutherford here today. So today the topic and we get most of these topics by the way from requests. So if you have any requests, keep it coming, makes it easier on me to try to figure out what to talk about.
So this one today is Hashimoto’s and chest pain. And again, I refer to these questions relative to what I experienced in practice, cause I’ve been in practice long enough that I think I’ve seen most of the trends and what occurs in my patient population.
Which is auto immunity, which is Hashimoto’s, chronic fatigue, different types of neuropathies, gut problems, food stuff, that type of thing. So, chest pain. So, the most common reason present comes in here with chest pain from Hashimoto’s is usually, it’s a combination or a division between stress and Hashimoto’s inflammatory attacks.
So let me explain that. So, I’m gonna take this to an extreme, I have a group of patients. I literally, I have talked to a few hundred patients who have ended up in the hospital, their heart pounding out of their chest.
This is not exactly the question. But their heart pounding out of their chest and they go to the hospital and they get the EKG and they get all the Echo grams and they get everything taken, all the studies taken.
And they get their bloods taken, and then they’re told right! Everything’s normal. Go home, you need some electrolytes you’re just distressed. So to a certain degree, there’s truth to that.
But that person, that person who shows up in the hospital is usually kind of more of a more extreme example of what this question is asking. So, I get a lot of people come in and say, “My chest is tight.
” Normally that tightness in the chest. And again, these people have usually already been checked. They were well, their heart’s fine and everything. Usually it’s stress. Usually it’s stress.
Now, most of the people I see, it’s very rare that I see a person that comes in here. Isn’t in some sort of a chronic stress cycle. Stress is one of the triggers and exacerbators of Hashimoto’s immune inflammatory attacks.
So it’s not surprising that that’s part of their picture. And then that tightness is normally from the stress component. And so, now you can then add to it that if one of those triggers, if the person has a blood sugar drop, or if the person has some sort of a food sensitivity or any of these triggers, some sort of a chronic infection that’s been activated, let’s say it’s a low level, and it starts exacerbating.
And either starts damaging thyroid tissue, which starts vomiting out T3 and T for that the T3 and T four thyroid hormones. That on a low level can create a tightness in the chest. As you move up the scale, then it can actually cause a little bit of a chest pain.
As you move up the scale, then you’ll usually gonna start experiencing maybe your heart palpitating a little bit. But by observation, that doesn’t happen. That doesn’t happen in the, I wouldn’t say rare, but this semi-annual patient that comes in here, who’s not in some sort of a chronic stress response.
Those folks generally are just gonna get heart Palpitations are not gonna get that. They’re not gonna get that chest tightness. They’re not gonna get that chest pain and understand your ribs, the sternum, you have these ribs that are attached to your spine, they come all the way around.
They attach to your cartilage actually. And then that has to start. If you start getting a lot of T3, if you start getting like a hyper attack, but maybe it’s at a low level, it’s going to increase the physiological activity of every single aspect of your body, including the muscle.
So if those muscles start to tighten up, they’re gonna put a barrier on to put a push on those ribs or a tight, the ribs, the muscles are gonna shorten. There’s gonna be less movement in here.
You’re not gonna be able to breathe as much and you’re gonna get some tightness in that chest. So, it’s good that people go and get it checked out. Once they get it checked out, and it’s not some sort of a pathology in their heart, it’s just something to know It’s part of your whole clinical picture.
It’s not something to get more worried about then, your fatigue or your diarrhea or anything like that. It’s just part of the whole clinical picture. So, that’s Hashimoto’s and chest pain.