Complications Hypothyroidism increases the risk for physical and mental problems. Emergency Conditions Myxedema Coma. Myxedema coma is a rare, life-threatening complication of untreated hypothyroidism. Symptoms include a severe drop in body temperature (hypothermia), delirium, reduced lung function, slow heart rate, constipation, urine retention, seizures, stupor, fluid build-up, and finally coma. It is uncommon, but may develop in untreated patients subjected to severe stress, such as infection, surgery, or extreme cold. Certain drugs (such as sedatives, painkillers, narcotics, amiodarone, and lithium) may increase the risk. Emergency treatment is required. Mortality rates are high (30 - 60%) with the highest risks in older patients and those with persistent hypothermia or heart problems. Suppurative Thyroiditis. Suppurative thyroiditis is a life-threatening infection of the thyroid gland. It is very rare, since the thyroid is normally resistant to infection. People with pre-existing thy...
The purpose of treatment is to replace the deficient thyroid hormone. Levothyroxine is the most commonly used medication. The lowest effective dose that leads to normal thyroid function is used. Life-long therapy may be necessary. Medication must be continued even when symptoms disappear.
After replacement therapy has begun, report any symptoms of increased thyroid activity (hyperthyroidism), such as restlessness , rapid weight loss, and sweating.
A high-fiber , low-calorie diet and moderate activity will help relieve constipation and promote weight loss, if weight was gained during the time when thyroid activity was low.
In individuals with accompanying hypoadrenalism (underactive adrenal gland), steroid replacement must be started before thyroid replacement is begun.
In patients who have hypothyroidism caused by a pituitary tumor, surgery may be required. However, surgery may not cure the hypothyroidis...
Full Question :
I have excruciating headaches from morning to night. I also have
hypothyroidism. While I am been treated with T3 at this stage, my TSH is still
not regulated. Last results showed TSH >73 mIU/L. Could this be partly
responsible for the headaches? Fiona.
Simply put -- it's possible. We often find that thyroid levels play a
significant role in headache and Migraine disease. Still, you should mention
this to your doctor and take care not to use either prescription or over-the
counter pain relievers more than two or three days a week to avoid medication
overuse headache .
Good luck, John Claude Krusz and Teri Robert
About Ask the Clinician :
Dr. Krusz is a recognized expert in the fields of headache and
Migraine treatment and pain treatment. Each week, he and Lead Expert Teri
Robert, team up to answer your questions about headaches and Migraines. You can
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