Conversation: The conversation between human and AI assistant.
[|Human|] I have been having problems with landing in emergency periodically with rapid heart rate and my blood pressure sky rocketing. Have periodically cool spells and feel tired. Wondered if it could be my thyroid causing me problems . I have been on thyroid medication since I was 21 years of age. Now am 81. I take 50 miligrams of metoprolol twice daily, plus 25 miligrams of aldactone once daily.
[|AI|]  Thyroid issue can cause the symptoms you described, the increase in heart rate and BP can be when thyroid function is increased, while cool spells and tiredness due to decreased thyroid function, however both cannot occur together.  Its is wise to do free t3/free t4 along with TSH to exactly titrate your thyroid medication.  Also, at 81 simultaneous essential hypertension is very common which may result in your blood shooting up, this needs to be ad Chat Doctor.