Hyperthyroidism: Key Questions and Concerns Addressed

Hyperthyroidism issues?

Hello, I have had benign thyroid nodules for many years, and my thyroid function is normal.
This year, I underwent surgery for a breast cyst, and afterwards, I was diagnosed with hyperthyroidism, which is autoimmune in nature.
The doctor mentioned that I may have had this condition before, but my body managed to regulate it, possibly due to taking traditional Chinese medicine for several years.
I have a few questions:
1.
Can hyperthyroidism cause the nodules to enlarge? If hyperthyroidism is controlled, will the nodules shrink?
2.
Does hyperthyroidism cause thyroid enlargement? If hyperthyroidism is controlled, will the enlargement disappear?
3.
Is hyperthyroidism related to the surgery or menopause?
4.
I have mild asthma, low immunity, and am prone to colds.
Can I take hyperthyroid medication when I have a cold?
5.
Given my low immunity, will taking hyperthyroid medication increase the risk of leukopenia as a side effect?
6.
Can I receive vaccinations during hyperthyroidism treatment, such as the flu vaccine?
7.
If I experience an allergic reaction to hyperthyroid medication, can I stop the Western medicine and switch to traditional Chinese medicine for treatment?
8.
Does hyperthyroidism lead to the development of more breast cysts or uterine fibroids?
9.
When I measure my heart rate in the morning or before bed, it is around 70-80 bpm, but after eating, it rises to 85-90 bpm, and after cycling to the clinic, it is 95-100 bpm.
Should I be concerned about heart rate issues? However, I have asthma and cannot take medications for palpitations.

I apologize for the numerous questions, and I appreciate your response.

Huang, 40~49 year old female. Ask Date: 2021/04/10

Dr. Yuan Tianmin reply Breast and Thyroid

After receiving treatment for hyperthyroidism, you will be able to determine whether your thyroid nodules are related to the hyperthyroidism.
As for the asthma issue, it can still be managed.
Treating hyperthyroidism involves selecting certain medications, including those to control palpitations.
You should be able to find solutions for these issues by consulting a specialist.

Reply Date: 2021/04/10

More Info

Understanding hyperthyroidism is crucial, especially when it comes to managing its symptoms and implications on overall health. Hyperthyroidism, characterized by an overactive thyroid gland producing excess thyroid hormones, can lead to various health issues, including the enlargement of thyroid nodules and other systemic effects. Let’s address your questions one by one.

1. Can hyperthyroidism cause nodules to enlarge? Will they shrink if hyperthyroidism is controlled?
Yes, hyperthyroidism can lead to the enlargement of thyroid nodules. The excess thyroid hormones can stimulate the growth of these nodules. Once hyperthyroidism is effectively managed, it is possible for the nodules to decrease in size, although this is not guaranteed for all nodules. Regular monitoring through ultrasound can help assess any changes in size.

2. Does hyperthyroidism cause thyroid enlargement? Will it disappear with treatment?
Hyperthyroidism often results in thyroid enlargement, known as goiter. When hyperthyroidism is controlled, the thyroid gland may reduce in size, but complete resolution may not occur in all cases. Continuous follow-up with your healthcare provider is essential to monitor the size of the thyroid gland and adjust treatment as necessary.

3. Is hyperthyroidism related to surgery or menopause?
While there is no direct link between surgery (like your breast cyst removal) and the onset of hyperthyroidism, stress from surgery can potentially trigger autoimmune responses in susceptible individuals. Menopause can also influence thyroid function due to hormonal changes, but it is not a direct cause of hyperthyroidism.

4. Can I take hyperthyroid medication when I have a cold?
Generally, it is safe to continue taking hyperthyroid medications during a cold. However, it is essential to consult your healthcare provider, especially if you are experiencing significant symptoms or if you need to take additional medications for your cold.

5. Will taking hyperthyroid medication with a weakened immune system lead to low white blood cell counts?
While hyperthyroid medications can have side effects, including potential impacts on blood cell counts, the risk of developing leukopenia (low white blood cell count) varies among individuals. Regular blood tests are crucial to monitor your blood counts during treatment.

6. Can I get vaccinated during hyperthyroid treatment?
Yes, you can receive vaccines, including the flu vaccine, while undergoing treatment for hyperthyroidism. Vaccination is generally recommended to help prevent infections, especially if you have a weakened immune system.

7. If I have an allergy to hyperthyroid medication, can I switch to traditional Chinese medicine?
If you experience an allergic reaction to your hyperthyroid medication, it is crucial to consult your healthcare provider before making any changes. While some individuals may choose to explore alternative treatments, it is essential to ensure that any new treatment is safe and effective for managing hyperthyroidism.

8. Can hyperthyroidism lead to more breast cysts or uterine fibroids?
There is no direct evidence linking hyperthyroidism to the development of breast cysts or uterine fibroids. However, hormonal imbalances can influence the growth of these conditions. Regular monitoring and discussions with your healthcare provider can help manage these concerns.

9. Is my heart rate normal?
A resting heart rate of 70-80 beats per minute is generally considered normal. However, an increase to 85-100 beats per minute after eating or during physical activity is also typical. If you experience palpitations or other concerning symptoms, it is essential to discuss these with your healthcare provider, especially given your asthma condition.

In summary, managing hyperthyroidism involves a comprehensive approach that includes regular monitoring, medication adherence, and lifestyle adjustments. It is essential to maintain open communication with your healthcare provider to address any concerns and ensure optimal management of your condition.

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