Hyperthyroidism is an overactive thyroid. The thyroid gland is a butterfly-shaped gland in the front of the neck. It makes hormones that affect many areas of the body. An overactive thyroid makes too much hormone.
Symptoms may show once the thyroid becomes more active. They often come on slowly. Examples include:
Easily overheated and increased sweating
Mood swings, nervousness, restlessness, or irritability
Heart palpitations or rapid or irregular pulse
Shortness of breath
Unexplained weight loss despite an increased appetite
Increase in bowel movements/diarrhea
Changes or lack of menstrual periods
Dry, red eyes
The doctor will ask about symptoms and past health. A physical exam will be done. Thyroid problems may be suspected. A blood tests will show levels of thyroid hormone. It can also show antibodies if the problems are caused by immune issues. A radioactive iodine uptake test may be done. It can show how well the thyroid is working.
Treatment will depend on what is causing the hyperthyroidism. Options include:
Medicine can calm thyroid activity. It may bring hormone levels down to normal. Medicine may need to be adjusted over time.
Smoking can cause problems with some of the medicine. There are a different tools to help
Reduce or Remove Thyroid
The thyroid normally absorbs iodine. A form of iodine with radioactive material
is taken by mouth. The thyroid absorbs the special iodine. The radioactive material damages most of the thyroid cells. This will decrease the amount of hormones made by the thyroid. Hormone replacement medicine may be needed if levels fall too much.
is the removal of all or part of the thyroid. It is an uncommon treatment of hyperthyroidism. It may be done if medical therapy fails.
A type of medicine called beta-blockers may help symptoms. It may help to relieve rapid heart rate and nervousness.
There are no current steps to prevent hyperthyroidism.
Hyperthyroidism. American Thyroid Association website. Available at: http://www.thyroid-info.com/articles/hyperthyroidism-faq.htm. Accessed March 13, 2021.
Hyperthyroidism and Other Causes of Thyrotoxicosis. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/hyperthyroidism-and-other-causes-of-thyrotoxicosis-37. Accessed March 13, 2021.
Hyperthyroidism (Overactive Thyroid). The National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: https://www.niddk.nih.gov/health-information/endocrine-diseases/hyperthyroidism. Accessed March 13, 2021.
Ross DS, Burch HB, Cooper DS, et al. 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis. Thyroid. 2016 Oct;26(10):1343-1421.
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