$Unique_ID{BRK00977} $Pretitle{} $Title{A List of Symptoms for Hypothyroidism} $Subject{thyroid hypothyroidism diagnosis Endocrine Glands Metabolism gland thyroid deficiency primary autoimmune disease Hashimoto's Thyroiditis inflammation surgery radiation therapy skin coarse dry scaly Hair loss forgetful facial swelling puffiness pulse slower constipation myxedema coma} $Volume{C-22} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. A List of Symptoms for Hypothyroidism ------------------------------------------------------------------------------ QUESTION: You recently did a nice summary of symptoms and so forth on hyperthyroidism. Could you please do the same for hypothyroidism? I could use a list of symptoms and some general history on the subject. Thank you. ------------------------------------------------------------------------------ ANSWER: I suppose for completeness sake it is only fair that we deal with the other side of thyroid activity, the reactions to thyroid deficiency or too little thyroid hormone (hypothyroidism). The most common form of this disease, also known as primary hypothyroidism, is probably an autoimmune disease, and frequently follows an episode of Hashimoto's Thyroiditis, which is an inflammation of the thyroid also thought to be caused by autoimmune factors. The disease leaves the thyroid gland shrunken and scarred with little ability to function normally. The second most common cause of thyroid deficiency follows therapy for hyperthyroidism. When an overactive thyroid is treated with by surgery or radiation therapy, the result may be a bit more than desired, and with production of thyroid hormone lowered below normal levels. The symptoms and signs of low thyroid activity may begin gradually and are often unnoticed in the early stages. The skin becomes coarse and dry, scaly and thick. Hair loss is noticed as the hair is affected in a manner similar to the skin, and it too becomes coarse and dry. Patients become forgetful, with gradual changes in their personality as the intellect becomes impaired. Their facial expression becomes dull, enhanced by the swelling and puffiness that commonly occurs around the eyes. While body temperature is reduced, women may notice an increase in their menstrual flow. The pulse is generally slower than normal, and reflexes are altered. Many patients complain of constipation, which may become quite severe. The condition is frequently referred to as myxedema, and a condition known as myxedema coma, while rare in warm climates, can occur in the colder regions. A variety of laboratory tests are available to help make an accurate diagnosis and to evaluate the causes for the diminished thyroid function. Once the diagnosis has been made, the treatment consists of replacing thyroid hormone, often using synthetic preparations in sufficient quantities to assure normal function. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.