Thyroid disorders affect a small butterfly-shaped gland - the thyroid. This gland is located at the front of the neck under the skin and produces several hormones using iodine. These hormones regulate metabolism, heart rate, blood pressure, body temperature and the body’s reaction to other hormones.

There are different types of thyroid disorders that either affect thyroid function or structure.

  • Hypothyroidism

Also called underactive thyroid disease, hypothyroidism refers to less thyroid hormone production. This can occur because of issues within the thyroid gland, hypothalamus or pituitary gland.

  • Symptoms
  • Fatigue
  • Depression
  • Weight gain
  • Cold Intolerance
  • Fluid retention
  • Slow heart rate
  • Muscle and joint aches
  • Dry skin or dry, thinning hair
  • Fertility problems or heavy or irregular menstrual periods
  • Constipation
  • Diagnosis

The doctor may perform a series of tests, including a physical exam, thyroid blood tests and imaging tests.

  • Treatment

The treatment is based on the patient’s age, symptoms and overall health. Usually, medications are prescribed to improve the level of thyroid hormone & may be taken lifelong.

  • Hyperthyroidism

Also known as overactive thyroid disease, hyperthyroidism is characterised by overproduction of thyroid hormones. It can be caused by excessive iodine consumption,  Graves’ disease (an autoimmune disorder), overactive thyroid nodules or thyroiditis. ( Viral Infection )

  • Symptoms
  • Unexplained weight loss
  • Heat intolerance
  • Frequent bowel movement
  • Irregular or rapid heartbeat
  • Muscle weakness or shaky hands
  • Goiter - an increase in the size of the thyroid
  • Diagnosis

The doctor asks questions related to symptoms and medical history and conducts a physical exam. He may also perform several blood tests and imaging tests for the diagnosis.

  • Treatment

The treatment depends on the cause, severity and age of the patient. The doctor may advise on medicines, radioiodine therapy or surgery. The main goal is to maintain normal thyroid hormone levels.

  • Thyroid nodules

These are fluid-filled or solid lumps that form inside the thyroid. They can be caused by benign tumours, benign cysts, or less commonly by thyroid cancer.

  • Symptoms

Most thyroid nodules don’t cause symptoms. But if the nodules become large, they produce symptoms like:

  • Goiter
  • Hoarse voice
  • Trouble swallowing
  • Difficulty in breathing
  • Pain at the base of the neck

If the nodules overproduce thyroid hormones, the symptoms might be:

  • Nervousness
  • Muscle weakness
  • Sleeping problems
  • Unexplained weight loss
  • Rapid, irregular heartbeat

The doctor usually goes with a physical exam, thyroid function tests, ultrasound, thyroid scan and/or fine-needle aspiration biopsy, in which the doctor takes a sample of nodule cells through a thin needle for testing.

  • Treatment

The treatment depends on the type of thyroid nodule and its cause. If tests show that it is benign, the doctor closely monitors the patient and periodically conducts physical exams and ultrasounds.

If the nodules cause breathing difficulties, trouble swallowing, or affect thyroid hormones, the doctor may advise surgery to remove the nodule. And if the thyroid nodule is cancerous, the patient may require surgery, radiation therapy, radioiodine therapy, chemotherapy and/or hormone therapy.

  • Goiter

Goiter is explained as an enlargement of the thyroid gland. It can occur due to Graves’ disease, inflammation of the thyroid, nodules, thyroid cancer and Hashimoto’s thyroiditis (an autoimmune disorder that leads to hypothyroidism). Some also get this during their pregnancy.

  • Symptoms
  • Coughing
  • Hoarse voice
  • Noticeable swelling in the neck
  • Difficulty swallowing or breathing
  • Dizziness when raising the arm above head
  • Diagnosis

The doctor will check the neck and suggest a few diagnostic tests like ultrasound, thyroid scan, blood tests or biopsy.

  • Treatment

Based on the goiter’s size and condition and symptoms, the doctor will recommend a treatment course. Its treatment may include medication, surgery and radioactive iodine therapy.

  • Thyroid cancer

Abnormal and uncontrolled growth of cells in the thyroid is termed thyroid cancer. This occurs when the cells in the thyroid develop changes in their DNA.

  • Symptoms

Usually, it doesn't produce symptoms initially. But as it grows, the patient may experience:

  • A lump in the neck
  • Hoarseness in voice
  • Difficulty swallowing
  • Pain in throat and neck
  • Swollen lymph nodes in the neck
  • Diagnosis

The doctor may prescribe blood tests, a biopsy, imaging tests or radioiodine scans.

  • Treatment

Its treatment depends on the tumour size and whether the cancer has spread to other body parts. Treatment may include surgery, radiation therapy, radioiodine therapy, chemotherapy and/or hormone therapy.

Also, Read: Vitamin D: Signs That You Need It

with Dr. Parinita Kaur

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