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From Fatigue to Palpitations: A Comprehensive Guide to Thyroid Diagnosis and Treatment
مقاله تخصصی

From Fatigue to Palpitations: A Comprehensive Guide to Thyroid Diagnosis and Treatment

3 weeks ago
344 بازدید
Dr. Leila Imani

Dr. Leila Imani

Tehran

Cardiologist

Comprehensive guide to diagnosis and treatment of thyroid

Comprehensive guide to diagnosis and treatment of thyroid


The thyroid gland, this little butterfly at the end of the throat, is the commander-in-chief of your body's metabolism. Imagine a conductor suddenly losing the rhythm; All the musicians (parts of the body) get confused. The thyroid has exactly the same role. When this gland is out of balance, your life can take two completely different but equally challenging paths: either you slow down and cool down like a stalled car (underwork) or you run too fast like an exploding engine (overwork).

In this analytical and practical article, we go beyond simple textbook definitions. We'll tell you why you shouldn't hide your symptoms behind "fatigue from too much work" or "daily stress" and how to regain your quality of life by visiting an endocrinology and metabolism specialist doctor.

Part 1: deep understanding of the thyroid mechanism (why the thyroid goes out of regulation) Is it possible?)

The thyroid produces important hormones called Free T3 (triiodothyronine) and Free T4 (thyroxine). These hormones are released into the bloodstream and tell cells how much energy to use. The control of this system is the responsibility of the pituitary gland in the brain, which, by releasing the TSH hormone, commands the thyroid to work. 1. Hypothyroidism: When the body hibernates, the thyroid gland does not produce enough hormones. The result? Your metabolism drops drastically. You feel cold all the time, your skin is dry and it feels like a heavy weight is tied to your legs. The most common cause in the world is Hashimoto's autoimmune disease, in which the immune system mistakenly attacks the thyroid tissue. class="ua711f412516d327dbe8af1e931b6a0e6">

You may also be interested in this article... Comprehensive guide to diagnosis and treatment of hypothyroidism

2. Hyperthyroidism: When the body is on the fast track of the previous state, the thyroid is overactive. Your heart rate increases, you get shaky hands and you sweat even when you are resting. Graves' disease is the most common cause of this.

Comprehensive Guide to Diagnosis and Treatment of Thyroid
Comprehensive guide to diagnosis and treatment of thyroid>

Part two: warning signs (when should we be worried?)

Many patients go to the white gastroenterology clinic or specialist offices when the disease has progressed. But early recognition of the symptoms is the key to successful treatment.

Specific symptoms of hypothyroidism:

  • Mood and brain changes: depression, forgetfulness and "brain fog".
  • Appearance changes: eyebrow loss (especially the outer part), facial puffiness and severe skin dryness.
  • Digestive problems: Chronic constipation (due to slowing down of bowel movements).
  • Female changes: heavy and irregular periods.

Specific symptoms of hyperthyroidism:

  • Eye changes: bulging eyes or glare (in Graves' disease).
  • Heat intolerance: you always feel hot while Others are comfortable.
  • Digestive changes: increased frequency of bowel movements or diarrhea.
  • Sudden weight loss: despite a large appetite, you lose weight.

Comprehensive comparison table: hypothyroidism vs hyperthyroidism

Here is a detailed chart to better understand the differences between the two. Status is provided to help you categorize your symptoms.

Energy level
HypothyroidismHyperthyroidism
Extreme fatigue and sleepinessInsomnia and nervous hyperactivity
weight changesabrupt weight reduction
HeartbeatBradycardia." (Tachycardia). A lot
Digestive conditionChronic constipationDiarrhea or frequent urination
mooddepression and lethargyanxiety, irritability and Fear

Part Three: Scientific and Practical Solutions for Living With Thyroid Disorder Thyroid

If you have been diagnosed with thyroid, don't worry. With proper management under the supervision of a doctor specializing in endocrinology and metabolism, you can live a long and quality life.

1. Nutritional management (beyond iodized salt consumption) for hypothyroidism: Selenium (found in walnuts and Brazil nuts) and zinc (zinc) can help transform the treatment of thyroid problems. Also, be careful with cruciferous vegetables (like raw cabbage); These contain goitrogens, which in large amounts may disrupt the absorption of iodine. For repletion: it is recommended to reduce the consumption of excess iodine (such as seaweed or some multivitamin supplements containing high iodine) under the supervision of a doctor.

2. The importance of medication timing. Many hypothyroid patients say: "I take medication but I still don't feel well." A common mistake is in the way of consumption. Levothyroxine tablets should be taken on an empty stomach, at least 30 to 60 minutes before breakfast and only with water. Its interaction with coffee, calcium or iron can reduce the absorption of the drug to zero. 3. Conscious exercise: In hyperthyroidism, avoid heavy exercise until the level of hormones is normalized, because it puts extra pressure on the heart. In underwork, strength exercises are vital to improve metabolism and prevent weight gain. Why should you take action today?

Untreated thyroid complications are no joke. Severe hypothyroidism can lead to myxedema (an emergency and life-threatening condition), and untreated hyperthyroidism can cause thyroid storm or severe osteoporosis. If you have unusual digestive symptoms, visiting specialized centers such as White Gastroenterology Clinic can help make a differential diagnosis.
Sometimes intestinal problems are caused by the thyroid, and sometimes, on the contrary, the thyroid is affected by the health of the intestine (intestinal-thyroid axis). A doctor specializing in endocrine and metabolism will draw your treatment plan by examining detailed tests (TSH, Free T4, Anti-TPO) and, if necessary, ultrasound.

deep understanding of thyroid mechanism
Deep understanding of thyroid mechanism

Part V: FAQ

  1. Does an underactive thyroid cause obesity? Will it be permanent?
    no It is true that hypoactivity slows down the metabolism, but by adjusting the dosage of the medicine by the doctor and following a proper diet, your weight will return to normal.
  2. Is pregnancy dangerous with a thyroid problem?
    If you are under the supervision of a doctor, no. But not treating thyroid during pregnancy can affect the IQ of the fetus. Be sure to take a pregnancy test before trying to get pregnant.
  3. Can hair loss caused by thyroid be treated?
    yes Hair loss usually stops a few months after starting treatment and balancing hormones, and hair starts to grow again.
  4. What is the difference between a thyroid nodule and hypofunction?
    Nodules are lumps in thyroid tissue. Having a nodule does not necessarily mean dysfunction (hypofunction or hyperfunction), but it requires an ultrasound examination and sometimes sampling.
  5. Which doctor should we see to check the thyroid?
    The best option is to see a doctor specializing in endocrinology and metabolism in order to receive the most accurate treatment protocol.

final word for thyroid diagnosis and treatment

Your life is in your own hands. Thyroid symptoms are silent thieves of the quality of life. They slowly take away your energy, happiness and fitness. Don't let this little butterfly disturb the flight of your life. Take the first step to regain your health today by visiting a reputable center or doctor specializing in endocrinology and metabolism.

Source of inspiration and scientific data: Mayo Clinic Staff – Thyroid Disorders Overview 2025

How many stars would you give this article? White

Glands and Metabolism

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