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A Look at Thyroid Disease

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The thyroid gland is a butterfly-shaped gland covering the windpipe just below the Adam's apple in your neck. It is part of the endocrine system, one of the most important systems in the human body. Endocrine glands regulate tissue and organ function, metabolism, and growth and development by secreting thyroid hormones (T4, T3) into the bloodstream. Thyroid hormones regulate cell metabolism (energy production), which affects nearly every organ and cell in the body.

When the thyroid gland produces less hormones than the body needs, the result is hypothyroidism. When more hormones are produced than necessary, the result is hyperthyroidism. Timely detection and proper treatment of these conditions allows patients to lead normal active lives. But, left untreated, serious negative health effects can result.

What Are the Symptoms?

Hypothyroidism

According to the American Thyroid Association (ATA), some symptoms of hypothyroidism may include:

  • Cold intolerance
  • Tiredness
  • Dry skin
  • Forgetfulness
  • Depressed mood
  • Constipation

Hyperthyroidism

Symptoms of hyperthyroidism may include:

  • Nervousness
  • Irritability
  • Increased sweating
  • Tremors in the hand
  • Anxiety
  • Difficulty sleeping
  • Rapid heartbeat
  • Frequent bowel movements

How Is a It Diagnosed?

If you have any of the above symptoms or have risk factors for developing a thyroid disease, talk to your doctor. She can order tests to assess how your thyroid is functioning.

For example, the thyroid stimulating hormone (TSH) test may be done. TSH, a hormone produced by the pituitary gland, triggers the thyroid gland to make more thyroid hormone. The level of TSH in your body provide a good indicator of how your thyroid is working. If you have a higher-than-normal level, this may mean that you have hypothyroidism. Conversely, a lower-than-normal level may indicate hyperthyroidism.

A thyroid antibody test can also be ordered. If your body identifies the thyroid as foreign, antibodies are created to attack it. This attack can lead to damage and an increase in the production of thyroid hormones. Depending on which antibodies are present, your doctor can determine the type of thyroid disease you have.

What Treatments Are Available?

Hypothyroidism

If you are diagnosed with hypothyroidism, normal thyroid levels may be attained by supplementing the body's hormone with a synthetic hormone medicine. This medicine is available in tablets and must be taken daily for life. The dosage prescribed by a doctor is carefully and gradually adjusted until a normal TSH level has been achieved. The TSH test will have to be repeated to make sure that the dosage continues to be appropriate.

Taking too much of this medicine can cause you to have the hyperthyroidism, so it is important that you work closely with your doctor to keep TSH at the right level.

Hyperthyroidism

If you are diagnosed with hyperthyroidism, the treatment is more complex and can include antithyroid drug therapy, beta-blockers medicines, and radioactive iodine treatment. In rare cases, thyroid surgery may be done, which involves removing the thyroid gland.

Remember, if you are experiencing symptoms or have a family history of thyroid disease, do not be afraid to ask your doctor to do a diagnostic test. Timely detection and treatment of a thyroid disorder can greatly enhance your quality of life—for the rest of your life.

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

Copyright © EBSCO Publishing
All rights reserved.

RESOURCES

  • American Association of Clinical Endocrinologists

    http://www.aace.com/

  • American Thyroid Association

    http://www.thyroid.org/

CANADIAN RESOURCES

  • Canadian Public Health

    http://www.phac-aspc.gc.ca/

  • The College of Canadian Family Physicians

    http://www.cfpc.ca/

References

  • American Association of Clinical Endocrinologists website. Available at: http://www.aace.com .

  • Health Library editorial staff and contributors. Hyperthyroidism. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/. Updated September 20, 2010. Accessed May 23, 2003.

  • Hueston WJ. Treatment of hypothyroidism Am Fam Physician. 2001;64:1717-1724.

  • Hyperthyroidism. American Thyroid Association website. Available at: http://www.thyroid.org/patients/patient%5Fbrochures/hyperthyroidism.html#diagnosis. Accessed May 23, 2003.

  • Hyperthyroidism. Mayo Clinic website. Available at: http://www.mayoclinic.com/health/hyperthyroidism/DS00344/DSECTION=treatments-and-drugs. Updated December 4, 2010. Accessed May 23, 2003.

  • Hypothyroidism. American Thyroid Association website. Available at: http://www.thyroid.org/patients/patient%5Fbrochures/hypothyroidism.html#diagnosis. Accessed May 23, 2003.

  • Kohnle D. Thyroid stimulating hormone. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/. Updated December 2, 2010. Accessed May 23, 2003.

  • McCoy K. Thyroid antibody tests. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/. Updated September 20, 2010. Accessed May 23, 2003.

  • Reid JR, Wheeler SF. Hyperthyroidism: diagnosis and treatment. Am Fam Physician. 2005;72:623-630,635-636.

  • Shrier DK, Burman KD. Subclinical hyperthyroidism: controversies in management. Am Fam Physician. 2002;65:431-438

  • Wood LC. Thyroid statistics. The Thyroid Foundation of America, Inc. website. Available at: http://www.tsh.org/media/statistics/print . Accessed May 23, 2003.

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