Do I Have Hyperthyroidism? Symptoms and What to Do Next - Family Medicine

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Do I have hyperthyroidism?


Recently, I've been eating a bit more than usual, feeling hot, and sweating easily.
My eyes are not bulging, and my neck is not swollen.
I've been having slightly more bowel movements than usual, but my urination is normal.
I'm concerned that I might have hyperthyroidism.
Last Sunday, after eating a pack of 10 pieces of seaweed, I had trouble sleeping for three consecutive nights on Monday, Tuesday, and Wednesday.
By the way, my pulse rate is 72 beats per minute.
Am I experiencing any issues? How should I get checked? Which doctor should I see? I'm hesitant to tell my parents.
Will I need a blood test?

Mu Yang Zuo Nan Hai, 10~19 year old female. Ask Date: 2016/06/23

Dr. Liao Yaopan reply Family Medicine


Hello, please have your parents accompany you and consult your family physician for an evaluation.
Based on the condition observed during the in-person consultation, necessary tests or treatments can be arranged.
Changhua Hospital cares about you.

Reply Date: 2016/06/23

More Info


Hyperthyroidism, or overactive thyroid, is a condition where the thyroid gland produces excessive amounts of thyroid hormones, leading to a variety of symptoms. Based on the symptoms you've described—eating more than usual, feeling hot, excessive sweating, increased bowel movements, and difficulty sleeping—there is a possibility that you could be experiencing hyperthyroidism. However, it is important to note that these symptoms can also be caused by other factors, so a thorough evaluation is necessary.


Symptoms of Hyperthyroidism
Common symptoms of hyperthyroidism include:
1. Increased Appetite: As you mentioned, eating more than usual can be a symptom, as the body’s metabolism speeds up.

2. Heat Intolerance: Feeling excessively warm and sweating more than usual are classic signs.

3. Increased Bowel Movements: Hyperthyroidism can lead to more frequent bowel movements or diarrhea.

4. Sleep Disturbances: Difficulty sleeping can occur due to increased energy levels and anxiety.

5. Rapid Heart Rate: A pulse rate over 100 beats per minute is common in hyperthyroidism, but your pulse of 72 beats per minute is within the normal range.

6. Nervousness or Anxiety: Many individuals experience heightened anxiety or nervousness.


What to Do Next
1. Consult a Healthcare Provider: The first step is to consult a healthcare professional, preferably an endocrinologist, who specializes in hormonal disorders. They can provide a comprehensive evaluation of your symptoms.

2. Blood Tests: A blood test is essential to check your thyroid hormone levels. The tests typically include:
- TSH (Thyroid-Stimulating Hormone): This hormone is produced by the pituitary gland and regulates thyroid function. In hyperthyroidism, TSH levels are usually low.

- Free T4 and Free T3: These are the active thyroid hormones. Elevated levels indicate hyperthyroidism.

3. Thyroid Scan: In some cases, a thyroid scan may be performed to visualize the thyroid gland and assess its activity.

4. Discuss Your Concerns: If you are worried about discussing your symptoms with your parents, consider expressing your concerns about your health and the need for a check-up. It’s important to prioritize your well-being.

5. Lifestyle Adjustments: While waiting for your appointment, consider making some lifestyle changes that may help alleviate symptoms:
- Diet: Maintain a balanced diet and avoid excessive caffeine and stimulants, which can exacerbate anxiety and sleep issues.

- Sleep Hygiene: Establish a regular sleep routine to help improve your sleep quality.

- Stress Management: Engage in relaxation techniques such as deep breathing, meditation, or yoga to help manage anxiety.


Conclusion
While your symptoms could suggest hyperthyroidism, only a healthcare professional can provide a definitive diagnosis through appropriate testing. It’s crucial to seek medical advice to rule out hyperthyroidism or any other underlying conditions. Early diagnosis and treatment can significantly improve your quality of life and overall health. Remember, taking the first step to consult a doctor is important for your health, and it’s okay to seek help when you need it.

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