Hypothyroidism

Thyroid symptoms treatment

Last Updated December 20th, 2021

Overview of hypothyroidism

Endocrinal disorders are very common in all age groups and ethnic groups throughout the world. The most common form of endocrinal disorder is thyroid disorder. According to the recent statistics documented by American Thyroid Association, around 200 million people worldwide are suffering from some form of thyroid disorder.

Hypothyroidism is the most alarming type of thyroid disorder and is affecting about 4.6% of the population above 12 years of age in the United States alone . All of these arise from structural or functional anomalies of the thyroid gland, which is responsible for generation of hormones that regulate metabolism, body temperature and perform other critical functions. Hypothyroidism or thyroid disorder of any form may lead to thyroid cancers when left undiagnosed for a long time. As per recent epidemiological survey by the American Cancer Society, nearly 62,450 new cases of Thyroid Cancer have been documented in the recent years. Thus hypothyroidism needs urgent attention from health organizations worldwide.

Definition of hypothyroidism

hypothyroidismHypothyroidism is the pathological condition in which the thyroid gland produces thyroid hormones (TH) insufficient to fulfill the metabolic requirement of the body.

This results from underactivity of the thyroid gland.

Patients suffering from various autoimmune diseases or undergoing radiation therapies are at greater risks of different thyroid diseases.

It may also result from surgical removal of the thyroid gland in case of malignancies. Mainly two types of thyroid hormones are released by the thyroid gland namely- triiodothyronine (T3) and Thyroxine (T4).

These two hormones assist in diverse functions like metabolism, respiration, brain growth, cardiovascular and neurological functions, body temperature regulation, cholesterol management and muscular activities. Due to a shortage of any of the two thyroid hormones, many of the physiological mechanisms of the body are disrupted. Abnormalities in the production of thyroid stimulating hormone (TSH) precipitate hypothyroidism in most of the cases.

Causes of hypothyroidism

Hypothyroidism is an outcome of abnormally reduced production of the thyroid hormones. This is again precipitated by various factors. The commonly studied causes of the disease are described below-

  • Autoimmune diseases: Under few pathological conditions, the immune system of the body may attack the thyroid gland cells and associated enzymes. The remaining thyroid cells and enzymes are inadequate to produce the required amount of thyroid hormones. This may lead to Hashimoto’s thyroiditis or atrophic thyroiditis.
  • Surgery: In few cancer patients, surgical removal of a part or the entire thyroid gland is carried out in order to prevent the spread of cancerous cells. In such cases, the thyroid gland is incapacitated and cannot produce enough thyroid hormones to meet the body’s requirements.
  • Radiotherapy: Patients of Grave’s disease, Thyroid cancer or Nodular Goitre often receive radioactive iodine treatment (I-131). Again, patients suffering from cancers of head and neck region, Hodgkin’s disease or Lymphoma also undergo radiation therapy. These radiations can cause loss of thyroid gland functions.
  • Congenital defect: Some infants have malformed or partially formed thyroid glands from birth. Thyroid glands may be absent at birth or positioned in the wrong place (ectopic thyroid) in few cases. In some other cases, the thyroid cells or enzymes do not function normally. All of these factors may equally contribute to thyroid diseases.
  • Thyroiditis:In this condition, inflammation of the thyroid gland occurs due to autoimmune diseases or viral infections. This causes a burst of the thyroid hormones into the bloodstream all at once, causing a short period of hyperthyroidism followed by hypothyroidism.
  • Medications: A few over-the-counter drugs like interleukin-2, amiodarone, lithium, interferon alpha can disturb the normal mechanism of thyroid hormone production. People having a familial history of hypothyroidism or autoimmune diseases are predisposed to such conditions.
  • Iodine imbalance: Imbalance of iodine in the body (consumed via regular diet) can cause impaired activities of the thyroid gland and trigger overstimulation of the thyroid gland.
  • Pituitary gland dysfunctions: The pituitary gland regulates the hormone production mechanism of the thyroid gland. Dysfunctions of the pituitary gland may be caused by radiotherapies, malignant tumors or surgeries that may induce hypothyroidism.
  • Existing diseases: Certain pre-existing diseases like amyloidosis (protein deposition), sarcoidosis (granuloma) or hemochromatosis (iron deposition) can disrupt thyroid gland functions and cause hypothyroidism.
  • Heredity

Ancestral history of thyroid diseases or any other endocrinal disorder can increase risks of hypothyroidism in the future generations.

What are the main warning signs? 

thyroid malfunctionHypothyroidism is marked by a significant slow-down of the normal mechanisms of the body. The visible symptoms are elaborated below-

  • Increased cold sensitivity
  • Extreme fatigue
  • Dried up skin with constant itching
  • Forgetfulness and depression
  • Mental instability and frequent mood swings
  • Irritability
  • Dry hair and brittle nails (due degeneration of keratin cells)
  • Cognitive disabilities
  • Swollen face
  • Bowel incontinence
  • Muscle weakness
  • Abnormal weight gain (due to fluid accumulation)
  • Heavy and irregular menstrual bleeding
  • Miscarriage
  • Reduced heart rate
  • Joint pain
  • Elevated blood pressure and cholesterol level
  • Impaired growth in children
  • Unusual hoarseness of voice

Types of hypothyroidism

Based on the production of thyroid hormones, hypothyroidism can be broadly classified into two categories-

Type 1: In this case, the thyroid gland produces insufficient hormones due to abnormal functioning of TSH hormone.

Type 2: In this condition, the thyroid gland produces required quantities of hormones which cannot be effectively utilized by the body due to some pre-existing diseases.

Another classification of hypothyroidism is discussed below-

Subacute hypothyroidism: It is characterized by inflammation and pain of the thyroid gland due to bacterial or viral infections.

Postpartum hypothyroidism: It is observed after childbirth, though the exact etiology is unknown.

Silent hypothyroidism: It is characterized by an enlarged thyroid gland and is usually not painful. It may develop into permanent hypothyroidism in future.

What are diagnostic tests necessary? 

The following diagnostic tests are recommended by endocrinologists-

  • Blood tests ( T3, T4 and TSH tests)
  • Thyroid antibody test
  • Ultrasound of thyroid gland
  • Radioiodine scan
  • Thyroid fine needle biopsy

Treatment

thyroid symptomsA chronic lack of iodine in the diet or presence of an autoimmune disease might be responsible for the onset of this condition.

The most widespread and effective treatment methodology includes taking hormonal replacement drugs such as synthetic form of T4.

These are in the form of pills, taken daily by the patient, the dosage of which is adjusted according to the needs of each individual patient.

Doctors believe that following a thyroid-healthy diet can prove to be quite beneficial in improving thyroid function. In extreme cases, surgical removal of thyroid might be required.

Hypothyroid patients should prefer a diet rich in organic fruits and vegetables such as grapefruits, lemons, oranges. Vegetable juices, sprouts, beef liver and kidney are great for keeping your thyroid in check naturally. Include more mushrooms, garlic, onions, and iodine-rich foods such as seafood, eggs, shellfish, and yogurt. While there are no specific preventive measures against hypothyroidism, not smoking and protection from harmful radiations might help in keeping your thyroid gland happy.

The global statistics presented by World Health Organization show that out of 27 million people suffering from thyroid disorders worldwide, the maximum percentage have hypothyroidism. Doctors are recommending healthy lifestyle and dietary habits to prevent possibilities of hypothyroidism or any kind of thyroid problems in future.

 

Dos and Don'ts

Dos
  • Hypothyroidism is often a life-long condition. Have your medications on-time and keep getting your thyroid-levels checked regularly.
  • Consume foods which are healthy for your thyroid such as liver, crab, shellfish, almonds, sesame, anti-oxidant rich fruits, and plenty of vegetables.
Don'ts
  •  Consume tobacco and alcohol, as they suppress the working of the thyroid gland.
  • skip on macronutrients (carbohydrates, proteins, fats).A low-carb and non-fat diet might be counter-productive to the healthy functioning of your thyroid gland.
  • Consume foods that contain trans-fats.
  • Adjust your thyroid medication dosage by yourself. Always refer to the doctor before starting any medication routine.

 

 

 

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Psyllium Husk: More than just an effective natural laxative Psyllium husk, or isabgol, is a popular natural laxative . But did you in addition to regulating bowels,…
Miracle extract from the root of maca: 10 ways it can help you! Maca root has been used for years in herbal medicine. Today scientific research is unearthing fresh evidence in…
Lauric Acid: 8 health benefits you can derive from coconuts Appropriate use of saturated fats containing lauric acid can provide you numerous health benefits. This is the main…
kshar sutra
Kshar sutra treatment for piles, fissures and fistula Read to know the benefits and side effects of kshar sutra to treat anal piles, fissures, and fistula…
Cordyceps: How the Caterpillar fungus works as a proven cancer-shield Strange as it may sound, but cordyceps or "caterpillar fungus", a fungus variety native to the Himalayas may…
GGt test
GGT – Gamma-Glutamyl Transferase Test GGT or gammaglutamyl transferase test is a liver function test that is used to detect the extent of…
green poop causes
Green poop : What are the reasons and how can you correct it Ever sneak a peek down the toilet only to shockingly find green poop? Why does our poop turn…
hYdroxycut pills
Hydroxycut: How safe are these so-called weight loss supplements? Hydroxycut is a blend of several different ingredients formulated to promote weight loss; powered by a key weight…
superfoods quinoa probiotics
10 fantastic Superfoods you need to include in your diet from today! What exactly are superfoods and how do they battle diseases? From losing weight to looking ravishing- these superfoods…
thyroid_scan
Thyroid Scan Thyroid scan is a diagnostic procedure that aims to view the thyroid gland and detect any growths or…
creatinine
Creatinine Test The level of creatinine in the blood is a significant indicator of the health of your kidneys. This…
Pelvic_ultrasound
Pelvic Ultrasound Pelvic ultrasound is a process where sound waves are used to create image of your pelvic region organs…
Mood swings
The real reasons for your mood swings and how to overcome them Are you prone to heated moods frequently? Do you also feel bouts of depressive feeling creeping up on…
Find all the instant ways to get rid of blackheads Blackheads - Not only are they aesthetically unappealing but if left untreated these can cause bacterial overgrowth on…
Did you know drinking alkaline water could be the healthier choice for you? Ever wondered how safe is your drinking water in terms of pH? Recent studies have revealed that Alkaline…
Ultrasound
Abdominal Ultrasound An abdominal ultrasound is used to visualize the organs inside your abdominal cavity including the liver, spleen, gall…
Crossfit with rope
CrossFit: Now get the perfectly sculpted body with this explosive gym routine CrossFit is a fitness regimen that makes use of high-intensity exercises in a shorter period to achieve muscle…
Is it possible to achieve full body detox with Master Cleanse? Master cleanse is a diet consisting of a lemonade based beverage, a salt water drink and a herbal…
Optavia diet
The features of an Optavia diet The Optavia diet endorses pre-packaged meals and snacks called "fuelings" that are tasty, low in calorie, and incorporates…
Tart Cherry: The healthiest excuse for taking that second serving of pie Tart cherry has been traditionally used in delectable desserts such as pies. Recent studies have revealed that its…
Hot cups for detox? Read all about the ancient technique of cupping Did you know inverted hot cups on your back can squeeze out and eject toxins from your body?…
carbamazepine
Carbamazepine / Tegretol test The carbamazepine is a drug that is used to treat epilepsy and the carbamazepine test is performed to…
Bromelain: 11 reasons why you should start adding pineapple to your pizza! If you didn't love pineapples already, here are some of the top health benefits that bromelain can bring…
Electric toothbrush vs manual toothbrush: Who wins the dental war? Manual brushes are ideal for kids as it is important to start slowly unlike the electric brushes which…
Chlorella: Therapeutic powers of the billion-year-old algae now within your reach Chlorella - A billion year old nutrient-rich algae that can potentially ward off cancers and high cholesterol; the…
How to correctly perform nasal irrigation using a Neti Pot? Neti pot has been a part of Ayurveda since centuries. This ancient tool is extremely effective in treating…
leptospira Igm test
Leptospira-IgM Test A Leptospira-IgM test is a blood test which is carried out to detect anti-Leptospira IgM antibody. Leptospirosis is…
Coffee Enema: Turn your favorite morning beverage into a powerful colon cleanser The wonders of coffee are not just limited to waking you up every morning. You can now use…
Helicobacter pylori IGA
Helicobacter Pylori – IgA Test The H.pylori IgA test is a blood test used to identify the level of IgA antigen in the…
Milk Thistle skin
Milk Thistle: Find possible cures for fatal diseases in these purple blooms Milk thistle is well-known for treating liver conditions. However, did you know that it comes with a plethora…
sleep deprivation
Don’t let your sleep deficit grow into memory loss or heart attack Why is sleep important for us? How could sleep deprivation harm you? We bet you didn't know about…
piles fissure fistula
Allopathy vs homeopathy vs ayurveda treatment for piles, fissures, and fistula Read to know the best form of treatment among allopathy, homeopathy,or ayurveda for piles, fissures, and fistula
myelogram
Myelography Myelography is an important diagnostic tool that is used to investigate and identify abnormalities in the spine and…
cytomegalovirus igm test
Cytomegalo Virus (CMV) – IgM Test The CMV antibodies include both IgM and IgG antibodies which are the immune system's response to a CMV…
glucose-tolerance
Oral Glucose Tolerance Test – GTT Glucose tolerance test (or Oral GTT) is used to detect the onset of diabetes or prediabetes conditions. It…
The right way to prepare Alfalfa sprouts at home Alfalfa or lusan ghas is not just a nutritious animal fodder. This flavonoid-rich herb has some amazing health…
woman with abdominal pain holding ovulation calendar
Ovulation – facts to know about ovulation Learn how and when ovulation occurs, demystify common misconceptions, identify symptoms, methods of detection and right period for…

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