the Link Between Thyroid Issues and Persistent Dizziness - Internal Medicine

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Persistent dizziness and the thyroid?


Hello Doctor: In recent months, I have been experiencing persistent dizziness (similar to the feeling after drinking alcohol), and sometimes my face feels a bit numb.
A few weeks ago, I visited a doctor for a cold, and they mentioned that my thyroid is slightly enlarged and advised me to get it checked.
Is there a connection between an enlarged thyroid and my dizziness and facial numbness? Additionally, my previous blood donation report indicated that my uric acid levels are slightly elevated (close to the normal range threshold).
Could this be related to my dizziness? If I need to visit a major hospital, should I first see a family medicine doctor, a neurologist, or an endocrinologist?

Wei Er, 20~29 year old female. Ask Date: 2011/04/03

Dr. Yang Hongzhi reply Internal Medicine


Hello: High uric acid levels and thyroid enlargement are not expected to be directly related to dizziness and facial numbness.
If there is indeed thyroid enlargement, you may visit the endocrinology clinic for evaluation.
If the dizziness and facial numbness persist, consider consulting a neurology clinic.

Reply Date: 2011/04/03

More Info


Understanding the connection between thyroid issues and symptoms like persistent dizziness and facial numbness is crucial for proper diagnosis and treatment. Thyroid disorders can indeed manifest with a variety of symptoms, including those affecting the nervous system, such as dizziness and tingling sensations.

When the thyroid gland is enlarged, a condition known as goiter, it can sometimes exert pressure on surrounding structures in the neck, including nerves and blood vessels. This pressure can lead to symptoms like dizziness or a sensation of lightheadedness. Additionally, thyroid dysfunction—whether it be hypothyroidism (underactive thyroid) or hyperthyroidism (overactive thyroid)—can significantly impact the body's metabolism and overall energy levels, potentially contributing to feelings of dizziness.
In your case, the persistent dizziness you are experiencing could be related to your thyroid condition. It is essential to have your thyroid function tested, which typically includes measuring levels of Thyroid Stimulating Hormone (TSH), Free T4, and possibly Free T3. These tests will help determine if your thyroid is functioning properly or if there is an underlying disorder that needs to be addressed.

Regarding the facial numbness you mentioned, this could be a separate issue or related to the thyroid condition. Numbness in the face can sometimes be associated with neurological issues, such as migraines or other nerve-related conditions. It is also important to consider other potential causes, such as anxiety or stress, which can lead to hyperventilation and subsequent dizziness and tingling sensations.

As for the elevated uric acid levels noted in your blood donation report, while high uric acid itself is not typically associated with dizziness, it can indicate conditions like gout or kidney issues. If there is an underlying kidney problem, it could potentially contribute to systemic symptoms, including dizziness. However, this is less common.

When deciding which specialist to consult, it would be prudent to start with a visit to a primary care physician or a family medicine doctor. They can perform an initial evaluation, including a physical examination and necessary blood tests. If thyroid dysfunction is confirmed, they may refer you to an endocrinologist (a specialist in hormone-related disorders) for further management. If your symptoms suggest a neurological issue, they might refer you to a neurologist.

In summary, there is a potential link between your thyroid condition and the symptoms of dizziness and facial numbness you are experiencing. It is essential to have a comprehensive evaluation to determine the underlying cause and appropriate treatment. Starting with a family medicine doctor is a good approach, as they can guide you through the necessary steps and referrals based on your specific situation. Regular monitoring of your thyroid function and addressing any other health concerns, such as elevated uric acid levels, will be vital in managing your overall health.

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