Finding the Best Thyroid Specialists in Kaohsiung for Hyperthyroidism - Family Medicine

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Can the doctor tell me where to find a good physician for hyperthyroidism in Kaohsiung?


Hello Doctor: When I visited a hospital in Kaohsiung, I felt that the medication prescribed had many side effects.
At first, when I started taking the medication, I experienced an increased heart rate.
After finishing the medication for the increased heart rate, I was only taking the medication for hyperthyroidism, which caused me to have frequent muscle cramps.
I am really troubled.
Could you recommend a doctor in Kaohsiung with good experience? Also, is there only one type of medication for hyperthyroidism? (The small green pill)

Mimi, 20~29 year old female. Ask Date: 2009/02/23

Dr. Cai Ruiyuan reply Family Medicine


Hello, Mimi: Regarding hyperthyroidism, doctors typically prescribe medications that inhibit the secretion of thyroid hormones as well as medications that suppress heart rate and sympathetic nervous system activity, so it should not cause an increase in your heart rate.
Additionally, muscle cramps can still occur while thyroid function has not yet returned to normal.
I'm not very familiar with the medical resources in Kaohsiung, but hyperthyroidism is a fairly common condition.
Family medicine physicians and endocrinologists (also known as metabolic specialists) should be quite capable in managing this condition.
If you are still experiencing difficulties, I recommend visiting the endocrinology department (or metabolic department) at a medical center in the Kaohsiung area for treatment.
Lastly, I hope you recover soon.

Reply Date: 2009/02/23

More Info


When seeking the best thyroid specialists in Kaohsiung for hyperthyroidism, it’s essential to consider a few factors, including the physician's experience, the treatment options they provide, and their approach to managing side effects. Hyperthyroidism, characterized by an overproduction of thyroid hormones, can lead to symptoms such as rapid heartbeat, anxiety, weight loss, and muscle weakness. The management of this condition often involves medication, radioactive iodine therapy, or surgery, depending on the severity and underlying cause.

In Kaohsiung, there are several reputable hospitals and clinics where you can find experienced endocrinologists who specialize in thyroid disorders. Some well-known hospitals include Kaohsiung Medical University Hospital, Chang Gung Memorial Hospital, and E-Da Hospital. These institutions typically have endocrinology departments with specialists who are well-versed in managing hyperthyroidism and its associated complications.

Regarding the medications for hyperthyroidism, there are indeed several options available beyond just one type of pill. The most common medications used to treat hyperthyroidism include:
1. Methimazole (Tapazole): This is the most frequently prescribed antithyroid medication. It works by inhibiting the production of thyroid hormones. It is generally well-tolerated, but some patients may experience side effects such as rash, itching, or, in rare cases, liver problems.

2. Propylthiouracil (PTU): This medication is another antithyroid drug that can be used, especially in pregnant women or those who cannot tolerate methimazole. It also inhibits thyroid hormone production but may have a higher risk of liver toxicity.

3. Beta-blockers: While not a direct treatment for hyperthyroidism, beta-blockers like propranolol can help manage symptoms such as rapid heart rate, anxiety, and tremors. They are often used in conjunction with antithyroid medications to provide symptomatic relief.

4. Radioactive iodine: This treatment involves taking a radioactive form of iodine, which selectively destroys overactive thyroid cells. It is a common and effective long-term treatment for hyperthyroidism.

5. Surgery: In some cases, particularly when there is a large goiter or suspicion of cancer, surgical removal of part or all of the thyroid gland may be necessary.

If you are experiencing significant side effects from your current medication, it is crucial to discuss this with your healthcare provider. They may adjust your dosage, switch you to a different medication, or explore other treatment options. It’s also important to have regular follow-ups to monitor your thyroid hormone levels and adjust treatment as necessary.

In conclusion, finding the right thyroid specialist in Kaohsiung involves researching qualified endocrinologists and considering your specific needs and experiences with medication. Don’t hesitate to seek a second opinion if you feel your current treatment isn’t effective or is causing too many side effects. Your health and comfort are paramount, and there are multiple avenues to explore for managing hyperthyroidism effectively.

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