To understand about hypothyroidism, it is essential to first understand the thyroid gland. Thyroid is an endocrine gland situated in the neck and produces the thyroid hormone. This hormone is then carried through the blood to different cells of the body. It helps the organs to function properly maintain the temperature of the body. The two thyroid hormones are Triiodothyronine (T3) and Thyroxine (T4). They regulate protein, fat, carbohydrates and vitamins in the body along with the metabolism. They are also responsible for the proper differentiation and development of cells.

Hypothyroidism or underactive thyroid or low thyroid
This is a condition where the thyroid gland is underactive and produces a low amount of the thyroid hormone. To help the thyroid gland produce the required amount of T3 and T4 hormones, the pituitary gland will make additional thyroid stimulating hormone called TSH. Due to this additional secretion of TSH, one also develops chance of thyroid gland enlargement and in some cases, it can form a goiter. 

The major cause of the low level of thyroid hormones is considered to be iodine deficiency. Hence the addition of iodine to the common salt has always been considered to be a safe method to prevent goiter. There can be several other causes of hypothyroidism such as weak immune system, radiation, surgery, Hashimoto s disease, hormonal changes etc. It can be caused due to pregnancy and is called postpartum thyroiditis.

Symptoms of Hypothyroidism
Whatever be the cause of hypothyroidism, it can show the following mild symptoms:

Increased sense of fatigue or tiredness
Sudden increase in weight with puffiness on the face
Hoarse voice
Muscle weakness with aches, tenderness and stiffness
Joint pain or stiffness
Increased sensitivity towards cold thus causing dry skin
Constipation due to slow metabolism
Decreased heart rate
Elevated blood cholesterol level
Irregular menstrual periods
Decreased concentration and depression too
However, it is important to understand that you may show no symptoms or show some mild symptoms that can be easily confused with some other condition. Hence, a proper diagnosis is a must to confirm hypothyroidism.

Diagnosis of hypothyroidism
The most common tests to determine if you have hypothyroidism are TSH Testing and T4 Testing. In case the low level of TSH is due to a defect in the pituitary gland, your doctor may request for another test called TRH. Also, Anti-thyroid Microsomal Antibodies Testing or thyroid peroxidase test (TPO) helps in identifying if the thyroid gland is damaged.

Treatment of hypothyroidism
Hormone replacement therapy is the best form of treatment available today. It involves the use of synthetic Levothyroxine (T4) or liothyronine (synthetic T3). Before these synthetic hormones were used for several years, however, prescribing thyroxine tablets is the most common mode of treatment and they are generally given for a really long period of time, although the dosage may vary. It is only in rare cases of severe decompensated hypothyroidism that one requires hospitalization.

Apart from the above treatment options, it is best advised to avoid soy products, sugary processed foods and alcohol to keep a check on hypothyroidism. In case you have a concern or query you can always consult an expert & get answers to your questions!

Hypothyroidism - Signs Your Kid Is Suffering From It!

Do you feel extremely tired many times in a day? Are you experiencing sudden weight gain, chills at night and hair loss? Is your neck a bit bloated up? If you are experiencing any of the mentioned symptoms, it might be that your body regulator- Thyroid- is unbalanced. Quick 3 tests can help you detect any abnormality - TSH, T3 and T4. Women were three times more likely to be affected by thyroid dysfunction than men. 1 in 10 adults in India suffers from hypothyroidism, with 50 per cent being women.

What is the thyroid gland?
The thyroid is a butterfly shaped gland in the front of the neck. It produces hormones that control the speed of your metabolism - the system that helps the body use energy. Thyroid disorders can slow down or rev up your metabolism by disrupting the production of thyroid hormones. When hormone levels become too low or too high, you may experience a wide range of symptoms.

What are the Symptoms?
Thyroid can be of 2 types - Hyper (Overactive) and Hypo (Underactive) Thyroid.
Low and Underactive Thyroid High and Overactive Thyroid
Fatigue Nervousness
Dry Skin & Hair Tremors - Hand Shaking
Brittle Hair Hair loss or thinning hair
Constipation Diarrhea
Low Pulse High Pulse
Weight Gain Weight loss without trying
Intolerance to cold temperature Intolerance to hot temperature
Depression Sweatiness
Swelling in lower part of neck Swelling in lower part of neck

The swelling in the neck is a major and most significant feature. Hence one should always do the Self Neck Test.

Who should be tested?
Women aged 35 and above or those with symptoms/risk factors/family history are the right candidates for screening. It has been estimated that 75% of the people suffering from thyroid are undiagnosed.

Diagnosing thyroid disorders - A simple blood test can provide an answer. TSH (Thyroid Stimulating Hormone) levels determine thyroid hypo and hyper function as it regulates the work of thyroid gland. Rarely an imaging study or biopsy is needed. Two additional tests may be required - T3 and T4.

What happens if Thyroid remains undetected?
As Thyroid disorders are hormonal imbalances, undetection can lead to a number of secondary complications:
Obesity
High Cholesterol and Hypertension
Hair Fall
Heart Disease
Complications in pregnancy

Understanding Thyroid Problems in Women: Did You Get the Test Done?

The body has multiple chemicals called hormones, which regulate many of its functions. Increased or decreased levels of these hormones affect various functions including metabolism, growth and sexual functions. Thyroxin produced by the thyroid (situated in the front of the neck) is one such hormone, which has a significant role to play in metabolism.

Graves  disease is one of the main causes of hyperthyroidism, where there is excessive production of thyroid hormones. Graves  disease is an autoimmune disorder, wherein the body reacts against its own tissues. It is very common in women than men, especially after 20 years of age. Family history also has a strong correlation in developing Graves  disease. The high levels of thyroid hormone increase the rate of metabolism, thereby altering weight, mental energy levels, physical stamina, and also mood.

Thyroid hormone is related to metabolism and more amount of it lead to higher metabolism. This causes the following symptoms.

    Intolerance to heat
    Excessive sweating
    Nervousness and anxiety
    Inability sleep, as the mind is always excited
    Increased appetite (sometimes despite weight loss) due to higher metabolism
    Irregular menstrual cycles
    Palpitations (rapid, loud heartbeat)
    Irregular heartbeats (tachyarrhythmia)
    Fine tremors of the extended arms
    Breast enlargement in men, known as gynecomastia
    Extreme moodiness, causing irritability and anger
    Inability to focus and concentrate
    General fatigue and shortness of breath with any exertion
    Increased frequency of bowel movements

In addition, the eye symptoms are quite diagnostic including:

    Protrusion of the eyes (exophthalmos), giving an impression that they are going to fall out
    Double vision
    Excessive tearing
    Increased irritation in the eyes

Diagnosis: The first symptom would be the presence of an enlarged thyroid gland (front of the neck above the collarbone), and the some of the above symptoms would be present.
In addition, tests to check for thyroid gland functioning including T3 and T4 levels would reveal increased amounts of hormone in the blood stream.
As a confirmatory test, the radioactive iodine uptake test also is done, which will indicate increased uptake by the thyroid gland. This indicates that the gland is functioning at an increased pace and requires additional iodine for the production of thyroid hormones.

Treatment: There are two approaches to it, one to control the symptoms and the other to control the thyroid gland per se.

    Beta blockers are very useful in controlling rapid heart rate and anxiety.
    Prednisone may be used to control eye irritation and swelling
    Antithyroid drugs are used to control the production of thyroid
    Radioactive iodine is given orally to control excessive thyroid production
    In severe cases, thyroid gland may be surgically removed partially or completely

Graves  disease is not life-threatening and once symptoms are controlled, the patient s quality of life improves drastically.

Graves' Disease - Things You Should Know About It

When the thyroid gland is affected, leading to the thyroid disorder of an underactive nature, it is termed as hypothyroidism. The thyroid gland which is found in the lower portion of the neck is critical to the proper functioning of the human body s metabolism. In simple words, the thyroid hormone being released by this gland has to travel throughout the body to help in the use of energy gained from the food consumed and to keep the vital parameters such as the heartbeat in the right condition. When some antibodies attack the thyroid gland, and don t permit it to release adequate amounts of hormones into the system, the hypothyroid condition results.

The Causes for Hypothyroidism
An inflammation caused to the thyroid gland can result in this condition. This is an auto-immune disorder, in the sense that some internal factors can trigger this inflammation. Medically, the inflammation is termed  thyroiditis . There are also other factors that can cause hypothyroidism. These include radiation therapy. If the therapy has been administered near the neck area and the rays have penetrated to the thyroid gland, the inflammation can occur. Even those suffering from hyperthyroidism, the overactive form of thyroid and given radioactive iodine treatment can suffer from this condition due to the damage caused to the gland. Lastly, certain specific medications, if consumed regularly, can cause the condition.

Particular Sections of the Community at Risk
While there is no strict division among the population on vulnerability to be affected by hypothyroidism, research has indicated that women, and that too older women, may be more at risk. Men may be at a lower risk. Besides this, there are other profiles such as race and age which can also have a bearing on the level of risk. Of particular significance is that people who already suffer from autoimmune disorders are more likely to suffer from hypothyroidism than others.

Symptoms and Diagnosis
Many symptoms might not be unique to the hypothyroidism condition and can be misleading. Constipation, depression, hair loss and fatigue are some of them and an experienced medical practitioner will weigh the other factors, including the profiles explained above to reach the proper conclusion. The conventional TSH (thyroid-stimulating hormone) and T-4 (thyroxine) blood tests will be advised by the physician and the results should provide a reasonable confirmation of the condition. If doubts still persist an ultrasound or scan can also be ordered.

Hypothyroidism Treatment
As mentioned, for the body s metabolism to function normally, it is essential that the thyroid gland releases the thyroid hormone in sufficient quantities. Treatment of hypothyroidism is therefore very essential. The most frequently followed treatment is to prescribe regular intake of the synthetic thyroid hormone called T4. It is usually available in the form of a pill and has to be taken daily. The physician will know the concentration and dosage to be advised. Periodically testing your blood is necessary to monitor the levels.

Inflammation Of The Thyroid Gland - Can It Be Safely Controlled & Treated?

Thyroid disorders are associated with the thyroid gland. A thyroid gland is a butterfly-shaped gland situated right at the base of one s neck. The role of the thyroid gland is to carry out numerous metabolic processes within the body. The brain regulates the functioning of the thyroid gland through a feedback mechanism. There are a number of disorders, both severe and trivial, which could affect the thyroid gland.

Main symptoms of thyroid disorders:

Weight loss and weight gain

Changes in heart rate (arrhythmia)

Hair loss

Frequent mood swings

Swollen neck

Sudden bouts of moderate to high fever

Other symptoms include:

Numbness or a tingling sensation in the hands

Constipation

Abnormalities or irregularities in menstruation

Brittle nails and dry skin

Blurred vision

Weakened muscle tone and frequent tremors in the body

Treatment Options:

Intake of thyroid hormone pills may prove beneficial. Once you start with the treatment, you may notice significant improvement within the first two or three weeks. Generally, once affected by thyroid disorders, one might have to be on these medications his/her entire life. Over time, this treatment procedure should result in lowering of the cholesterol levels, increased energy; but in certain cases, might throw up side effects in the form of sudden and unexplained weight loss.

Anti-thyroid medications help reduce and regulate the secretion of the thyroid hormone, thus treating certain thyroid disorders (such as hyperthyroidism).

Beta blockers are drugs help in reducing high blood pressure, heart palpitations and controlling heart rate.

In severe cases, such as enlargement of the thyroid gland, surgery is advised by the doctor, in which the thyroid gland is removed. Tumors or thyroid nodules are also treated by this surgical process.

In cases of thyroid cancer, besides the surgical procedure, radioactive iodine therapy (radioiodine) is recommended. This therapy helps destroy the thyroid gland and other thyroid (malignant) cells which may be taking up iodine. However, the side effects of this technique are minimal. This procedure helps to destroy those tissues which may not have been removed by the surgery. If the thyroid cancer has spread to the lymph nodes or to other parts within the body, this particular mode of treatment can be very effective.

Types of Thyroid Disorders:

Hypothyroidism: This is a condition characterized by an underactive thyroid gland. In this case, sufficient thyroid hormone is not secreted in the body.

Hyperthyroidism: This is characterized by an overactive thyroid gland, that results in overproduction of the thyroid hormone.

Thyroid cancer: It is a type of cancer of the thyroid gland.

Goiter: This is a disorder wherein the thyroid gland gets abnormally enlarged.

Thyroid nodules: This is marked by swelling of the thyroid gland.

Thyroid Disorders - Signs & Symptoms To Watch Out For!

The thyroid hormones, namely T3, T4 and TSH (Thyroid Stimulating Hormone) play a pivotal role in various metabolic processes in the body. Any imbalance in the level of these hormones can interfere with the normal body functions. While an elevated level of the thyroid hormones gives rise to Hyperthyroidism, a reduced level of the same thyroid hormones can lead to a condition medically termed as Hypothyroidism. A proper diagnosis and treatment can bring about a significant improvement. However, there are some common mistakes that many people with thyroid problems often make.

Choose your diet with care: The health benefits of a balanced and nutritious diet are known to all. However, a food considered healthy may not be an ideal choice for a thyroid patient. Time and again, broccoli and kale have been recommended for its nutritive value. However, these vegetables may not be a good choice for thyroid health. Known to contain goitrogens, they may interfere with the production of the thyroid hormones. Gluten, a protein present in wheat, rye, and barley, though healthy should be avoided, especially in the case of Hypothyroidism.
Obesity may not be the trigger: While it is a healthy practice to maintain a healthy body weight, it is unfair to blame the extra kilos for every single disease that you suffer from. Many people believe that losing weight is the best way to deal with thyroid problems. However, the fact is quite different from what you believe. Thyroid problems can be an outcome of various triggers where losing weight may provide negligible or no assistance to reverse or improve the condition. In fact, rapid weight loss may give rise to some complications which may aggravate the condition further.
Thyroid glands are not always at fault: Many people associate thyroid problems with some abnormalities or improper functioning of the thyroid glands. There is no denying the fact that problems in the thyroid glands often trigger thyroid disorders. However, this is not the only cause. A host of other factors such as stress, medical conditions, certain medications and unhealthy lifestyle habits may be equally responsible for the thyroid problems. In some cases, the body may fail to utilize the thyroid hormones produced by the thyroid glands. In another condition, the thyroid hormone produced is unable to enter the cell (triggered by a problem in the cell receptor). It is important to identify the root cause of the problem rather than generalizing.
People with hypothyroidism do not need to gulp down tons of iodine. Always use the amount recommended by the doctor. Increased intake of iodine supplements (way above the recommended quantity) may result in unnecessary health complications such as Wolff-Chaikoff effect.
Many health organizations or individuals may promise instant relief and cure. They may lure you with some irresistible offers. However, it will be foolish on your part to fall for such claims. Always seek the help of experienced and genuine health professionals.

Thyroid - 5 Common Mistakes That Most People Do!

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