Highlights What is Hypothyroidism? Hypothyroidism, also called underactive thyroid, is a condition in which the thyroid gland does not produce enough hormone. Hypothyroidism can be caused by the autoimmune disorder Hashimotos thyroiditis, irradiation or surgical removal of the thyroid gland, and medications that reduce thyroid hormone levels. Anyone can develop hypothyroidism, but people who are most at risk include those who are over age 50 and female. However, only a small percentage of people have full-blown (overt) hypothyroidism. Many more have mildly underactive glands (subclinical hypothyroidism). Symptoms Symptoms of hypothyroidism include: Fatigue Difficulty concentrating Feeling cold Headache Muscle and joint aches Weight gain, despite diminished appetite Constipation Dry skin Coarse hair, hair loss Hoarse voice Depression Menstrual irregularities (either heavier-than-normal or lighter-than-normal bleeding) Milky discharge from the breasts (galactorrhea) Diagnosis and Treatment Hypothyroidism ...
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
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Robert, team up to answer your questions about headaches and Migraines. You can
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