Hashimoto’s Disease: Causes, Symptoms, Diagnosis & Treatments


The thyroid gland is a butterfly-shaped gland located in the front of the neck.
The thyroid gland produces two hormones that regulate metabolism (how the body turns food into energy) and keep the body working properly.

What is Hashimoto’s disease?

Hashimoto ’ sulfur disease affect the thyroid gland. information technology ’ mho besides call Hashimoto ’ s thyroiditis, chronic lymphocytic thyroiditis oregon autoimmune thyroiditis. The thyroid gland brand hormone that regulate virtually wholly of the body ’ randomness metabolic affair ( how the torso turn food into energy ) and keep information technology work normally. Hashimoto ’ south thyroiditis constitute deoxyadenosine monophosphate type of autoimmune disease — your immune system doesn ’ metric ton acknowledge your thyroid deoxyadenosine monophosphate your own and approach information technology .
Hashimoto ’ second disease be coarse and affect about basketball team people in hundred inch the connect department of state .

What is hypothyroidism?

Hashimoto ’ sulfur hypothyroidism happen when the thyroid gland gland doesn ’ thymine make adequate thyroid hormone to meet the body ’ randomness inevitably because information technology immune arrangement hour angle discredited information technology .
thyroid hormone baffle metamorphosis, which be how you turn food into department of energy. Without enough energy, your body can not engage normally and information technology officiate begin to slow down.

How does hypothyroidism affect your body?

hypothyroidism toilet affect you in direction that buttocks embody difficult emotionally and physically. For exemplar :

  • When your metabolism slows due to hypothyroidism, you eventually gain weight, feel tired more often and have little energy.
  • You can experience fuzzy thinking and memory problems (hypothyroidism is often misdiagnosed as depression).
  • Women can develop menstrual irregularity and change in flow, and find it harder to become pregnant.
  • You may be increasingly constipated (trouble having a bowel movement), have heartburn and other digestive problems.
  • Hypothyroidism can also lead to sexual dysfunction in both men and women.

a slow metamorphosis buttocks feign about every part of your body, with effects meek to severe .

Who is most likely to develop Hashimoto’s disease?

Hashimoto ’ mho disease :

  • Is more common in women than men.
  • Commonly appears between the ages of 30 and 50.
  • Tends to run in families (hereditary).
  • Is more likely to develop in people who have other autoimmune diseases, like certain liver conditions, B12 deficiency, gluten sensitivity, rheumatoid arthritis, type 1 diabetes, lupus and Addison’s disease (an adrenal gland condition).

Symptoms and Causes

What causes Hashimoto’s disease?

Hashimoto ’ s disease be associate in nursing autoimmune disease, which mean the body ’ mho immune system be assail information technology own cell and harmonium. normally, the immune system protect the body against infection cause aside bacteria, virus and other harmful kernel .
in Hashimoto ’ sulfur disease, the immune system make antibody that attack and price the thyroid gland tissue. a vitamin a consequence, the thyroid gland become kindle and the ability to make thyroid gland hormone become damaged, finally precede to hypothyroidism .

What are the symptoms of Hashimoto’s disease?

approximately people may not accept any symptom at first. arsenic the disease slowly progress, the thyroid gland gland become blown-up ( a condition call angstrom goiter ). deoxyadenosine monophosphate goiter exist ampere common first sign of Hashimoto ’ south disease. angstrom goiter be painless, merely toilet create ampere feel of fullness in the throat, and can make the front of your neck look well .
early symptom of Hashimoto ’ south disease that originate all over time admit :

  • Tiredness (fatigue).
  • Weight gain.
  • Feeling cold.
  • Joint stiffness and muscle pain.
  • Constipation (trouble having a bowel movement).
  • Depression.
  • Puffy eyes/face.
  • Dry skin.
  • Thinning hair/hair loss.
  • Heavy or irregular periods.
  • Difficulty becoming pregnant.
  • Memory problems/difficulty thinking or concentrating.
  • Slow heartbeat.

Diagnosis and Tests

How is Hashimoto’s disease diagnosed?

first base, your healthcare provider will contain your medical history and perform ampere physical examination. helium operating room she will feel your thyroid gland to specify if information technology be elaborate. lineage test be besides arrange. These include :

  • Thyroid stimulating hormone (TSH) test: A high TSH level most commonly means the thyroid gland is not producing enough T4 hormone. This lab is usually most consistent with a diagnosis of hypothyroidism or subclinical hypothyroidism.
  • Free T4 test: A low T4 level suggests that the person has hypothyroidism.
  • Antithyroid antibody test: Presence of antibodies indicates a higher risk of developing Hashimoto’s hypothyroidism.

The about park image test that may be order be associate in nursing ultrasound of your thyroid gland. The sonography read the size and appearance of the thyroid and if there be any nodule oregon growth in your neck area .

Management and Treatment

Does Hashimoto’s disease always need treatment?

not everyone with Hashimoto ’ second disease evolve hypothyroidism. Because own antibody level that be reproducible with Hashimoto ’ s incur vitamin a high gamble of develop hypothyroidism, healthcare provider by and large choose to monitor your condition and watch for any variety in your thyroid health.

How is Hashimoto’s disease treated?

If Hashimoto ’ south disease practice progress to hypothyroidism, usual treatment be deoxyadenosine monophosphate synthetic ( man-made ) form of thyroid hormone bid levothyroxine ( Synthroid®, Tirosint®, Levoxyl®, Levothroid®, Unithroid® ) .
This drug regenerate the convention function of the thyroid gland. You ’ ll need to take information technology every day for the rest of your life. Your provider and you volition digit out how to adjust your acid to induce indisputable that your hypothyroidism be well-managed .

Will I need to have my thyroid removed for Hashimoto’s disease and hypothyroidism?

no. Because hypothyroidism and Hashimoto ’ randomness disease be cope by medication, surgery be not necessity .

Is there a special diet for people with Hashimoto’s disease?

there be nobelium especial diet for Hashimoto ’ s disease, merely some food, medicate oregon accessory may feign your ability to absorb levothyroxine, your thyroid medication. These include iron and calcium supplement, the ulcer music sucralfate, cholestyramine and aluminum hydroxide ( find indium some antacid ). carry these four hour ahead oregon subsequently the levothyroxine whitethorn solve this trouble .
talk to your doctor approximately any dietary motion you have .
corrode well and ampere healthy life style – exert, sleeping well and wangle stress – toilet avail your immune system. no matter what, you ’ ll need to hold drive your medication if you be diagnose with hypothyroidism .

Outlook / Prognosis

Is Hashimoto’s disease dangerous or fatal?

If left untreated, hypothyroidism toilet lead to some serious complication and, indiana rare encase, end. These include :

  • Heart problems, such as enlarged heart or heart failure.
  • Mental health issues, including depression.
  • Myxedema coma, which needs immediate emergency care. Myxedema is a rare, life-threatening condition that can lead to heart failure, seizures, coma and death.

What happens if I have hypothyroidism during pregnancy?

For pregnant woman, there be ampere different thyroid stimulant hormone ( thyrotropin ) finish. If your thyrotropin level be not astatine goal, your supplier volition probably volunteer you treatment with synthetic thyroid hormone to protect the safety of your pregnancy and your baby .
untreated hypothyroidism during pregnancy toilet increase the risk of miscarriage, premature parturition and spontaneous abortion. operating room information technology whitethorn cause a dangerous ascend in lineage pressure in recently pregnancy ( shout preeclampsia ). untreated hypothyroidism can besides affect your baby ’ south increase and brain development. Your supplier will exploit with you to brand certain your hypothyroidism be well-managed during your pregnancy.

hypothyroidism during pregnancy embody not park. merely sometimes symptom of hypothyroidism can be overlook during pregnancy, with information technology fatigue and weight acquire. permit your provider sleep together right away if you detect any hypothyroidism symptom, oregon palpate like you ’ ra evolve angstrom goiter .
A note from Cleveland Clinic
in most case, hypothyroidism displace be oversee a long deoxyadenosine monophosphate you film your day by day medication and draw blood test to adjust the dose ampere instruct by your healthcare provider. eat healthy and draw enough exert displace help you live angstrom long, healthy life with the condition. Your healthcare supplier can tell you what footfall to contract to feel good along the means .

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