Thyroid disorders Archive

Hypothyroidism occurs when the thyroid gland falls short in producing hormones that regulate functions such as metabolism, heart rate, and digestion. Symptoms include weight gain, fatigue, menstrual irregularities, forgetfulness, dry skin and hair, and feeling cold.

An enlarged thyroid, called a goiter, or nodules on the gland are quite common, especially in women. Doctors pat down the neck during physical exams to help detect these conditions. Treatment depends on whether a lesion is cancerous or causing severe symptoms. Some goiters or nodules are simply monitored over time.

Several conditions can cause people to feel cold when others are warm. These include low body weight, skipping meals, feeling fatigued, and having a thyroid condition or a low red blood cell count (anemia).

Compared to men, women may be over-treated for a certain type of thyroid cancer that is usually not dangerous.

Many women are reporting symptoms they believe are associated with their breast implants. Sometimes called breast implant illness, this combination of vague symptoms—such as hair loss, fatigue, anxiety, and depression—is also associated with a number of other conditions, including menopause, thyroid problems, and autoimmune conditions. Researchers are now working with patient advocacy groups to better understand the problem. Experts recommend that women understand the potential risks and benefits of breast implants before having the surgical procedure.

Watch for an irregular heartbeat and cardiovascular disease.

Thyroid disorders are often overlooked as potential causes of heart problems, but there is a well-established link.
Image: AlexRaths/Thinkstock

The thyroid is a butterfly-shaped gland in your neck. It produces hormones—thyroxine (T4) and triiodothyronine (T3)—that tell your cells if they need to speed up or slow down. But if the thyroid gland is overactive or underactive, the result is a number of consequences and symptoms, sometimes involving the heart. "The connection to the heart is well established, but thyroid problems are often overlooked as the cause," says Dr. Giuseppe Barbesino, an endocrinologist at Harvard-affiliated Massachusetts General Hospital.

Ask the doctor

Q. Recently, I felt very agitated and out of control, crying and angry about things I could ordinarily handle with ease. I was starting fights with my husband and others over relatively insignificant issues. I had been taking synthetic thyroid hormone for several decades and had very low levels of thyroid-stimulating hormone in my blood. I've stopped taking the hormone and feel better, but I feel bad about the way I snapped at my friends and family. Could thyroid hormone have been to blame for my behavior?

A. It could very well have been responsible. Low thyroid-stimulating hormone (TSH) levels mean that thyroid hormone levels are increasing. Anxiety, agitation, and restlessness are all signs of hyperthyroidism—an overactive thyroid gland or, in your case, too much thyroid hormone medication. You can let your husband and friends know that your irritability was probably caused by too high a dose of your prescription and not a permanent change in your disposition.