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Introduction
Hyperthyroidism
Hyperthyroidism
Hyperthyroidism, also known as overactive thyroid, is when the thyroid, the butterfly-shaped gland in your neck, produces too much of the hormone thyroxine. This can increase your body’s metabolism and lead to certain health conditions such as rapid and unexpected weight loss, as well as an irregular heartbeat.
What is hyperthyroidism?
Chapter 1
What is hyper-thyroidism?
Your thyroid is located in your neck, underneath your Adam’s apple. Its main purpose is to produce the hormone thyroxine, which helps stabilize your metabolism, heart and muscle function, brain development and bone strength. If your body produces too much of the thyroxine hormone, the functions of your body can speed up and cause several health conditions including but not limited to:
- Rapid and unexpected weight loss
- Irregular heartbeat, which in turn could cause blood clots, stroke and heart failure
- Grave's ophthalmopathy, which can cause double vision, pain and sensitivity to light
- Osteoporosis
- Fertility issues in women or pregnancy complications
Hyperthyroidism is a benign, or noncancerous, condition.
Hyperthyroidism can be caused by a variety of factors including:
- Certain autoimmune diseases. Certain autoimmune diseases, including Graves’ disease, which forces your immune system to attack and enlarge the thyroid.
- Having too much iodine. Iodine is necessary to help your body produce thyroid hormone. When you ingest too much iodine, it can cause the thyroid to overproduce hormones.
- Thyroiditis. When the thyroid is inflamed, it can cause the thyroid gland to swell and grow, as well as leak additional thyroxine hormone out of your thyroid glands.
- Thyroid nodules. These growths or masses on your thyroid can cause the thyroid to become overactive
- Pregnancy. During pregnancy, your body produces a hormone called human chorionic gonadotropin, which can cause the thyroid to grow in size and become overactive.
- Overuse of thyroid medication. If you are currently taking medication for hypothyroidism, or an underproduction of thyroid hormones, and take too much of it, you can actually cause hyperthyroidism.
While anyone can be diagnosed with hyperthyroidism, the following factors may increase your risk if you:
- Have Grave’s disease
- Are over the age of 60
- Are female
- Have a family history of thyroid disease
- Have had a thyroid surgery or personal history of thyroid disease
- Have pernicious anemia (where the body is unable to make enough red blood cells due to a lack of vitamin B12)
- Ingest a lot of iodine through medications or foods
- Have been pregnant within the last 6 months
- Are a smoker
- Have type 1 or 2 diabetes
Having a risk factor for hyperthyroidism doesn’t mean that you will get it, but it makes you more likely than someone without the risk factor. Talk to your doctor about your individual risk factors.
Depending on the root cause of hyperthyroidism, symptoms may include:
- Sudden and/or unexplained weight loss
- Increased appetite
- Irregular and/or fast heartbeat
- Excessive sweating, anxiety, or nervousness
- A general feeling of weakness or fatigue
- Oversensitivity to hot temperatures
- Changes in bowel function including diarrhea or increased bowel movements
- Shaking or tremors
- Sleep difficulties
- Sudden mood swings
- Vision changes or eyes bulging
- Changes in the menstrual cycle (periods)
- Swelling in the neck due to a goiter
- Skin texture that feels thin, warm and/or moist
- Brittle hair that falls out easily
The above symptoms can be related to a variety of medical conditions. It is important to talk to your doctor to determine the root cause of your symptoms.
Diagnosis
Chapter 2
Diagnosis
If your healthcare provider is concerned about the possibility of hyperthyroidism, he or she will perform a physical examination and may order some combination of the following tests:
- Blood tests. Your provider may order blood tests to measure your thyroid function. Additionally, the blood tests may also be used to study your antibody levels to determine if your immune system is overactive.
- Imaging tests. Your doctor may order imaging tests – such as an ultrasound – to get a closer look inside your body.
- Thyroid scan. Your doctor will provide you with a safe radioactive iodine to take by mouth roughly six to 24 hours before you have a scan with a handheld device called a gamma probe. The iodine substance will help your provider determine how much your thyroid absorbs during this timeframe, and thereby, will be able to tell if it is overactive.
Treatment options
Chapter 3
Treatment options for hyperthyroidism
The type of treatment you receive will be dependent upon your individual case, and may include one or a combination of the following treatments:
- Medication. Some medications called antithyroid medicines help your thyroid produce less thyroxine. Often, this is a first line treatment option. Other medications called beta blockers may also be recommended to help reduce some of the symptoms of hyperthyroidism, such as tremors and irregular heartbeat for example.
- Lifestyle changes. Your care team may recommend you reduce the amount of iodine and medications you ingest.
- Radioactive iodine treatment. With this treatment option, a dose of radioactive iodine is taken orally, which once in the body, targets the cells in the thyroid. Because the treatment can drastically lower the thyroid hormone production, long-term thyroid hormone replacement medication is typically needed afterwards.
- Surgery. Surgery may include a hemi (or partial) thyroidectomy, which removes a part of the thyroid, or a total thyroidectomy, to remove the full thyroid. Typically, a hormone replacement medication is needed after either procedure.
Coverage varies by insurance carrier and plan. Contact your insurance carrier to learn more about your coverage specifics.
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Meet our expert physician
Head & Neck Surgical Cancer Specialists of SW Florida
Surgical Oncology
4571 Colonial Blvd., Suite 210
Fort Myers, FL 33966
Tel: 239-790-3480
Our provider
Scott Larson, MD, Otolaryngologist at Head & Neck Surgical Cancer Specialists of SW Florida, specializes in the surgical management of benign and malignant tumors of the skin, salivary glands, nose/sinuses, oral cavity, pharynx, larynx, thyroid and parathyroid glands. He is experienced in thyroid surgery.
Why choose GenesisCare?
Why choose GenesisCare
GenesisCare U.S. offers community-based cancer care and other services at convenient locations. The company’s purpose is to redefine the care experience by improving patient outcomes, access and care delivery. With advanced technology and innovative treatment options, skilled physicians and support staff offer comprehensive and coordinated care in radiation oncology, medical oncology, hematology, urology, diagnostics and surgical oncology.