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  Conditions  
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Hyperthyroidism

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Definition
Hyprethyroidism is a condition in which there is over production of thyroid hormone by the thyroid gland.

In excess, the thyroid hormone both over stimulates metabolism and causes "speeding up" of various body systems and symptoms.
Alternative Names
Overactive Thyroid.
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Causes and risk factors
There may be various causes for hyperthyroidism. Some of the major ones may include:-
  • Grave’s Disease – 70 percent to 80 percent of the time
  • Hyper-functioning Thyroid Nodules – either toxic thyroid adenoma or toxic multinodular goiter
  • Thyroiditis – either subacute thyroiditis or postpartum thyroiditis
  • Medications – anti arrhythmic drug amioderone that is structurally similar to thyroxine can cause under or over functioning of thyroid.
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Signs and symptoms
The signs and symptoms of hyperthyroidism may include:-
  • Sudden unexplained weight loss despite normal appetite and food intake
  • Heart symptoms may be rapid heart rate (tachycardia), irregular heart rate (arrhythmia) or pounding of your heart (palpitations)
  • Anxiety, irritability, nervousness and a fine tremor
  • Increased sensitivity to heat and increased sweating
  • More frequent bowel movements
  • Fatigue, sleeping difficulty and muscle weakness
  • Enlargement of thyroid gland (a condition known as goiter) which looks like an inflammation at the base of the neck is a characteristic sign of hyperthyroidism
  • Grave’s ophthalmopathy may be seen. It is characterized by protruding eyeballs, red or swollen eyes, excessive tearing or discomfort in one or both eyes, increased sensitivity to light, double or blurred vision and reduced eye movement
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Tests and tools
Hyperthyroidism can be diagnosed on the basis of medical history, physical examination and blood tests. The blood tests are done to check the levels of thyroid hormone, thyroxine, thyroid stimulating hormone (TSH) and measurement of specific antibodies like anti-TSH receptor antibodies.

High level of thyroxine and low level (or absence) of TSH indicate hyperthyroidism.
If the condition is diagnosed then either radioactive iodine uptake test or thyroid scan is recommended.
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Treatment
Treatment for hyperthyroidism depends upon the age of the patient, physical condition of the patient and severity of the disease.

Anti-thyroid medications, radio active iodine or surgery are the options for treatment of hyperthyroidism.

Beta blockers may be given to control rapid heart rate, anxiety and sweating till the hyperthyroidism is under control.

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Expectations (Prognosis)
If the condition is diagnosed and treated, the prognosis is good but if it is not treated it can be serious. If hyperthyroidism is due to Grave’s disease it can lead to many complications.
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Complications
Hyperthyroidism can cause heart rhythm disorders like atrial fibrillation or congestive heart failure, brittle bones, red and edematous skin, eye problems and thyrotoxic crisis.
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Calling your health care provider
If there are any symptoms of thyroiditis then it is better to seek medical help and it is important to specifically explain the symptoms and changes occurred.
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Prevention
So far no such methods of prevention of hyperthyroidism have been found out.
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