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Medically reviewed by Oghenefejiro Okifo | MD, Harvard Medical School | Henry Ford Hospital - Detroit, MI on July 14th, 2023.
The thyroid gland, located in the front of your neck, plays a crucial role in regulating various bodily functions. When the immune system mistakenly attacks the thyroid, it leads to a condition called autoimmune thyroiditis, also known as Hashimoto's disease. This article will help you understand the causes, symptoms, diagnosis, and treatment options for autoimmune thyroiditis.
The exact cause of autoimmune thyroiditis is not fully understood. However, several factors may contribute to the development of this condition, including:
Genetic predisposition
Viral infections
Environmental factors, such as exposure to radiation
Additionally, certain individuals may be at a higher risk of developing autoimmune thyroiditis, including:
Women
Middle-aged individuals
People with other autoimmune disorders, such as lupus, type 1 diabetes, or rheumatoid arthritis
Those with a family history of autoimmune thyroiditis
In the early stages of autoimmune thyroiditis, you may not experience any symptoms. As the disease progresses, the thyroid gland may become enlarged, leading to a condition called a goiter. A damaged thyroid gland can't produce enough hormones, resulting in hypothyroidism. Common symptoms of hypothyroidism include:
Fatigue
Sensitivity to cold
Puffy face
Constipation
Enlarged tongue
Pale, dry skin and brittle nails
Hair loss
Weight gain
Muscle aches and joint pain
Depression
Memory lapses
Heavy menstrual bleeding
To diagnose autoimmune thyroiditis, your doctor will order blood tests to check your thyroid hormone levels and look for the presence of thyroperoxidase antibodies. In some cases, an ultrasound may be performed to examine your thyroid gland, especially if the blood test results are inconclusive. Regular blood tests can help detect the condition even in the absence of symptoms, particularly if you have a family history of thyroid problems.
The standard treatment for autoimmune thyroiditis is a prescription medication called levothyroxine. This synthetic hormone replaces the hormones that your thyroid gland can no longer produce effectively. Your doctor will monitor your condition and adjust the dosage as needed. It's important to note that you will need to take this medication for the rest of your life.
Certain factors can interfere with the absorption of levothyroxine, including:
High-fiber diets
Soy products
Iron supplements
Cholesterol-lowering medications like cholestyramine
Antacids containing aluminum hydroxide
Ulcer medications like sucralfate
Calcium supplements
Be sure to inform your doctor if you are taking any of these substances, as they may affect your treatment.
For more information on autoimmune thyroiditis and thyroid health, visit the following reputable sources:
If you suspect that you may have autoimmune thyroiditis or are experiencing symptoms of hypothyroidism, consult your healthcare provider for proper diagnosis and treatment. With the right care and management, you can effectively control the symptoms of autoimmune thyroiditis and maintain your overall health and well-being.
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