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Saturday, September 4, 2010

Hypothyroidism Symptoms & Treatments

July 21, 2010 Filed under Health A-Z, Thyroid

Hypothyroidism:

Hypothyroidism is a condition in which the body lacks sufficient thyroid hormone. Since the main purpose of thyroid hormone is to “run the body’s metabolism,” it is understandable that people with this condition will have symptoms associated with a slow metabolism. The estimates vary, but approximately 10 million Americans have this common medical condition. In fact, as many as 10% of women may have some degree of thyroid hormone deficiency. Hypothyroidism is more common than you would believe, and millions of people are currently hypothyroid and don’t know it.

Causes of Hypothyroidism:

  • There are two fairly common causes of hypothyroidism. The first is a result of previous (or currently ongoing) inflammation of the thyroid gland, which leaves a large percentage of the cells of the thyroid damaged (or dead) and incapable of producing sufficient hormone. The most common cause of thyroid gland failure is called autoimmune thyroiditis (also called Hashimoto’s thyroiditis), a form of thyroid inflammation caused by the patient’s own immune system.
  • The second major cause is the broad category of “medical treatments.” The treatment of many thyroid conditions warrants surgical removal of a portion or all of the thyroid gland. If the total mass of thyroid producing cells left within the body are not enough to meet the needs of the body, the patient will develop hypothyroidism. Remember, this is often the goal of the surgery for thyroid cancer.
  • There are several other rare causes of hypothyroidism, one of them being a completely “normal” thyroid gland that is not making enough hormone because of a problem in the pituitary gland. If the pituitary does not produce enough thyroid stimulating hormone (TSH) then the thyroid simply does not have the “signal” to make hormone. So it doesn’t.

Symptoms of Hypothyroidism:

  • Fatigue
  • Weakness
  • Weight gain or increased difficulty losing weight
  • Coarse, dry hair
  • Dry, rough pale skin
  • Hair loss
  • Cold intolerance (you can’t tolerate cold temperatures like those around you)
  • Muscle cramps and frequent muscle aches
  • Constipation
  • Depression
  • Irritability
  • Memory loss
  • Abnormal menstrual cycles
  • Decreased libido

Hypothyroidism Treatment:

Because the body is expecting a certain amount of thyroid hormone the pituitary will make additional thyroid stimulating hormone (TSH) in an attempt to entice the thyroid to produce more hormone. This constant bombardment with high levels of TSH may cause the thyroid gland to become enlarged and form a goiter (termed a “compensatory goiter”).
Left untreated, the symptoms of hypothyroidism will usually progress. Rarely, complications can result in severe life-threatening depression, heart failure, or coma.

Hypothyroidism can often be diagnosed with a simple blood test. In some persons, however, it’s not so simple and more detailed tests are needed. Most importantly, a good relationship with a good endocrinologist will almost surely be needed.

Hypothyroidism is completely treatable in many patients simply by taking a small pill once a day. However, this is a simplified statement, and it’s not always so easy. There are several types of thyroid hormone preparations and one type of medicine will not be the best therapy for all patients. Many factors will go into the treatment of hypothyroidism and it is different for everybody.

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