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HypothyroidismHypothyroidism – General InformationThe thyroid is a butterfly-shaped gland that is found below the Adam’s apple, at the base of the individual’s neck. Like all other endocrine glands, the thyroid produces hormones. The products of this particular gland are of high importance in the patient’s health condition as they affect the individual’s metabolic processes. The hormones that are secreted by this gland control how quickly your organism burns down calories, how fast your heart beats, and so on. When the thyroid is no longer able to produce a sufficient amount of hormones severe consequences appear. The medical condition is called under active thyroid disorder or Hypothyroidism. Studies have shown that female patients in their late 50s are more prone to develop this medical condition. Even if this disorder does not cause any unpleasant symptoms in its early stages, if the patient who suffers from Hypothyroidism does not receive the appropriate medical therapy in time he or she can develop severe and unwanted complications that include heart medical conditions, infertility, joint pain, obesity, and so on. Although this medical condition is far more common in elderly female patients, male patients, children and adolescents may also develop it. Fortunately, progress in medical science has been able to discover extremely accurate clinical exams that are able to test the patient’s thyroid functions, thus determining whether the individual is suffering from a thyroid medical condition or not. If an infant who is suffering from this medical condition does not receive an adequate therapy in due time, he or she can suffer from mental and / or physical retardation (this can occur even in the mild clinical cases of Hypothyroidism).Hypothyroidism – SymptomsIt is a known fact that the average symptoms and / or signs that a patient who is suffering from Hypothyroidism may develop vary widely from one clinical case to another. It has been determined that the signs depend on the severity of the disorder as well as on the stage of the medical condition. Patients ought to be aware of the fact that this medical condition tends to have a slow development that can last for several years. In the early stages of the disorder the patient can only notice symptoms such as sluggishness and / or fatigue, which do not alarm the individual, as they are simply thought to be due to getting older. However, patients in the later stages of Hypothyroidism may complain of: depression, menstrual periods that are far heavier than the regular ones, muscle weakness, stiffness or joint pain, muscle stiffness, swelling and / or pain, abnormal weight gain, abnormally high sensitivity to cold, and so on. As Hypothyroidism progresses (if the patient does not receive an adequate therapy), the symptoms become more and more severe. Patients may start to develop goiter (also known as enlarged thyroid) and they complain of increased forgetfulness and a decrease of their mental abilities. Although the advanced stages of this medical condition (called myxedema) have become quite rare, it is a very severe disorder as it triggers life-threatening symptoms. Among the most common signs of myxedema are: low blood pressure, low body temperature, decreased breathing, coma and unresponsiveness.Hypothyroidism – TreatmentIn order to properly diagnose this medical condition, you physician will ask you to undergo a series of blood exams that will measure your hormonal blood levels. Most of these tests measure your TSH levels, although there are other exams that focus on the individual’s blood thyroxine levels. Low thyroxine blood levels and abnormally high TSH blood levels point to the fact that the patient is suffering from Hypothyroidism, as in such clinical cases, the organism’s pituitary gland tends to secrete more TSH in an attempt to stimulate the secretion of the thyroid. Such medical exams (that check the patient’s blood TSH levels) are helpful in the diagnosis of another medical condition that is known as Sub-clinical Hypothyroidism (this disorder does not cause any outward symptoms and / or signs). The standard therapy for patients who present an under active thyroid is based on the daily intake of a synthetic hormone that is similar to the secretion of the thyroid. The most popular medical products that are generally employed in the therapy of patients who are suffering from Hypothyroidism are known to include medicines that contain levothyroxine (Synthroid, Levoxyl, Unithroid, Levothroid, and so on). The proper intake of these drugs is known to generally restore the normal blood hormone levels. Soon after the patient has started his or her therapy for Hypothyroidism, the individual will start benefiting from the treatment’s effects: the feeling of abnormal fatigue will gradually disappear. In some cases, the therapy lowers the individual’s blood cholesterol levels and reverses the process of weight gain. Although the therapy with levothyroxine (and drugs that contain this synthetic hormone) is generally a lifelong one, the patient might have to change his or her initial dose of the hormone (this depends on the way the organism responds to the therapy). This is why each patient who is undergoing a therapy for under active thyroid ought to undergo blood exams each year in order to check his or her TSH blood levels (this will enable the physician make the necessary dosage adjustments). Patients who suffer from other medical disorders (such as coronary artery disease) must be given a lower dose of levothyroxine at the beginning of their therapy. Their dosage will increase in time, depending on the organism’s response to the hormone (in this way, the heart will have time to adjust to the metabolic changes that occur in the organism). If it is used adequately, levothyroxine based medicines should not cause any unpleasant side effects. However, it is very important to ask your physician if you need to take any special precautions during your therapy with this synthetic hormone. For example, each patient ought to know that the intake of other medical products or certain foods might change the organism’s ability to absorb this synthetic hormone. This is why patients who follow a therapy with levothyroxine ought to avoid the intake of iron supplements, aluminum hydroxides (some antacids are known to contain this ingredient), Questran (cholestyramine), and so on. |
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