Thyroid Awareness Month

January is Thyroid Awareness Month, a month that observes the importance of raising awareness of thyroid disorders and how they affect the lives of millions of people around the world.  

The thyroid is a gland located in front of the neck. It is a part of the body’s endocrine system and produces hormones that play an important role in many of the body’s systems, such as cells and tissues, the heart, brain, liver, and kidneys.  

The hormones the thyroid produces include: 

  • Thyroxine (T4)- the primary hormone made and released by the thyroid. It is the hormone that the thyroid makes the most of; however, it doesn’t have much of an effect on the metabolism 
  • Triiodothyronine (T3)- the thyroid makes lesser amounts of this hormone, but it has a much bigger impact on the metabolism than T4 
  • Reverse triiodothyronine- the thyroid makes very small amounts of RT3. This hormone reverses the effects of T3 
  • Calcitonin- this hormone helps regulate the amount of calcium in the blood 

These hormones also affect several bodily functions, including: 

  • Blood pressure 
  • Body temperature 
  • Heart rate 
  • Metabolism 
  • Breathing 
  • Digestion 
  • Brain development 
  • Mental activity 
  • Skin and bone maintenance 
  • Fertility 

Four main conditions affect the thyroid, including: 

  • Hypothyroidism, which is an underactive thyroid gland 
  • Hyperthyroidism, which is an overactive thyroid gland 
  • Goiter, which is an enlarged thyroid gland 
  • Thyroid cancer 

Different thyroid conditions have different symptoms. Symptoms depend on whether the thyroid is under- or over-producing hormones and can often be silent or present symptoms that are overlooked due to their subtlety.  

Symptoms that may signal a thyroid condition include: 

  • Slow or rapid heart rate 
  • Unexplained weight loss or weight gain 
  • Difficulty tolerating the cold or heat 
  • Depression (caused by hypothyroidism) or anxiety (caused by hyperthyroidism) 
  • Irregular menstrual periods 

When a healthcare provider wants to check the health of a person’s thyroid, they perform a blood test that measures the levels of thyroid-stimulating hormone (TSH). They will also check the levels of T4 and T3 in the blood. If the results of these tests come back and are abnormal, the healthcare provider may suggest an imaging test such as a thyroid scan or an ultrasound of the thyroid.  

There are several treatment options for thyroid conditions, depending on what they are and their severity. The three main treatment options for thyroid conditions include: 

  • Medication 
  • Surgery 
  • Radiation therapy and chemotherapy 

Thyroid conditions are common and can affect anyone at any age. However, some people face a higher risk if they: 

  • Have a family history of thyroid disease 
  • Have an autoimmune condition, such as type 1 diabetes, rheumatoid arthritis, or lupus 
  • Take a medication that’s high in iodine 
  • Are older than 60, especially if you’re female 

Fortunately, there is a way for a person to keep their thyroid healthy. This can be done by getting enough iodine in their diet with foods that are fortified with iodine, such as cheese, cow milk, eggs, yogurt, saltwater fish, shellfish, seaweed, soy milk, and soy sauce. 

If you would like to get your thyroid checked or to receive more information about Jamaica Hospital’s endocrinology service, you can make an appointment by calling 718-206-7001. 

                                                                                                                                                                                                                                                                                                             

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Thyroid Awareness Month

January is Thyroid Awareness Month.

Thyroid disease is a medical condition that keeps your thyroid from making the right amount of hormones. The thyroid is a small, butterfly-shaped gland at the front of the neck under your skin. As a part of the body’s endocrine system, it controls many of your body’s important functions by producing and releasing thyroid hormones and controlling the speed of your metabolism.

There are two main types of thyroid disease, hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid). They each have several conditions that can cause them.

Conditions that can cause hypothyroidism include:

  • Hashimoto’s disease – this is a lifelong autoimmune condition that can cause hypothyroidism. It is the most common cause of hypothyroidism in countries with widely available iodized salt and other iodine-enriched foods.
  • Iodine deficiency – the thyroid needs iodine to make the thyroid hormone, so a lack of the mineral in your diet can lead to hypothyroidism. It is the most common cause of hypothyroidism in countries that don’t have iodized salt widely available. It often causes goiters also known as an enlarged thyroid.
  • Congenital hypothyroidism – sometimes, babies are born with a missing or underactive thyroid. “Congenital” means present from birth. About one in every 2,000 to 4,000 babies have congenital hypothyroidism.

Conditions that can cause hyperthyroidism include:

  • Graves’ disease – this is a chronic autoimmune condition that causes an overactive thyroid. It is the most common cause of hyperthyroidism.
  • Thyroid nodules – these are abnormal lumps on your thyroid gland. If the nodules are hyper-functioning, they can lead to hyperthyroidism.
  • Excessive iodine – when you have too much iodine in your body, your thyroid makes more thyroid hormones than you need. You may develop excessive iodine by taking certain medications.

Some conditions can cause both hypothyroidism and hyperthyroidism at different times, including:

  • Thyroiditis – which is the inflammation of the thyroid gland. It typically causes temporary hyperthyroidism at first and then temporary or chronic hypothyroidism.
  • Postpartum thyroiditis – this is a relatively rare condition that affects some birthing parents after pregnancy. An estimated 5% of people may experience this after giving birth. It typically causes hyperthyroidism first, followed by hypothyroidism. It is usually temporary.

There are a variety of thyroid disease symptoms. Unfortunately, symptoms of a thyroid condition are often similar to the signs of other medical conditions and stages of life, making it difficult to know if the symptoms are related to a thyroid issue or something else.

Symptoms of hypothyroidism include:

  • Slower-than-usual heart rate
  • Fatigue
  • Unexplained weight gain
  • Feeling sensitive to the cold
  • Dry skin and dry coarse hair
  • Depression
  • Heavy menstrual periods

Symptoms of hyperthyroidism include:

  • Faster-than-usual heart rate
  • Difficulty sleeping
  • Unexplained weight loss
  • Feeling sensitive to the heat
  • Clammy or sweaty skin
  • Feeling anxious, irritable, or nervous
  • Irregular menstrual cycles or lack of periods

Many factors can put you at a higher risk of developing a thyroid condition, including:

  • Being assigned female at birth (AFAB). People AFAB are five to eight times more likely to have a thyroid condition than people assigned male at birth (AMAB)
  • Have a family history of thyroid disease
  • Have Turner syndrome
  • Take a medication that is high in iodine
  • Live in a country or area that doesn’t have iodized table salt, which can lead to iodine deficiency
  • Are older than 60 years of age, especially if you are AFAB
  • Have received radiation therapy to your head and/or neck

Having an autoimmune disease also increases your risk, especially if you have:

  • Pernicious anemia
  • Type 1 diabetes
  • Celiac disease
  • Addison’s disease
  • Lupus
  • Rheumatoid arthritis
  • Sjögren’s syndrome

Thyroid disease can be diagnosed using blood and imaging tests after a healthcare provider performs a physical exam.

Treatment for thyroid disease depends on the type of condition and the cause. The goal is to return your thyroid hormone levels to a healthy range. Hyperthyroidism is treated with antithyroid drugs, radioiodine therapy, beta-blockers, and surgery. Hypothyroidism is treated with thyroid replacement therapy.

If you’re experiencing symptoms of any thyroid disease, you can call and make an appointment with Jamaica Hospital Medical Center’s endocrinology service, at 718-206-7001.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What is Hashimoto’s Disease?

A doctor examining a woman's thyroid gland to check for signs of Hashimoto's disease.Hashimoto’s disease is an autoimmune condition that causes your thyroid gland to become enlarged (also known as goiter) and become underactive (also known as hypothyroidism). These symptoms may not appear at first, and in some people they may not develop at all, but they can occur gradually and lead to a variety of other issues, such as fatigue, weight gain, a slowed heart rate, difficulty concentrating, or a low mood.

Approximately 5% of people in the United States experience Hashimoto’s disease. It is one of the most common causes of hypothyroidism worldwide, aside from iodine deficiency. While it can affect people of any age, sex, or ethnic background, it is much more common among people assigned female at birth (AFAB) than people assigned male at birth (AMAB). It is also typically diagnosed between the ages of 30 and 50.

A person develops Hashimoto’s disease when their immune system creates antibodies to attack thyroid tissue. This causes thyroid inflammation and damage due to an accumulation of white blood cells in your thyroid. People with other autoimmune conditions, such as lupus, celiac disease, type 1 diabetes, or rheumatoid arthritis, are more likely to develop Hashimoto’s disease than people who do not experience these conditions.

Your doctor can diagnose Hashimoto’s disease through a physical examination, a review of your medical history, and blood tests. Specific tests that help with this diagnosis include a thyroid-stimulating hormone test (which is typically used to check for hypothyroidism) and an antithyroid antibody test (which looks for certain types of antibodies in your blood to determine whether Hashimoto’s disease is the cause of your hypothyroidism).

Hashimoto’s disease cannot be cured, but in cases where it causes hypothyroidism, it can often be managed through medication. The standard treatment is levothyroxine, which supplements the hormone thyroxine (T4) and ensures that your body has enough of it to function normally. While you would need to take this medication for the rest of your life, it is effective at managing the symptoms of this condition for most people.

If you are experiencing symptoms of Hashimoto’s disease and require a diagnosis or treatment, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 670-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Does Your Child Have a Growth Disorder?

When is a lack of growth a cause for concern? All children grow at different rates. The same boy that is the smallest in his class in elementary school might be the tallest at his high school graduation. In most cases lack of height can be attributed to genetic factors or in other instances it could just be that the child is a “late bloomer.”

After years of collecting statistics on childhood development experts have developed a standard growth chart. Pediatricians use this chart as a guideline to monitor the growth of their patients against other children of the same age during a child’s annual well visit.  Children are ranked by percentile (from 1 to 100). If a child is ranked either below the 3rd or above the 97th, a doctor will usually want to investigate potential reasons as to why.

While in most cases there is no need for concern, for some children, a lack of growth could be caused by a growth disorder. The most common reason for a growth disorder is related to the pituitary gland, which is located at the base of the brain. One of the main functions of this gland is to release growth hormones to your body. When the pituitary gland doesn’t make enough growth hormone,  it causes a condition known hypopituitarism, which can slow down a  child’s rate of growth. Special tests can determine if a child isn’t producing enough growth hormone. If not, daily injections of growth hormone can often help them grow at a more conventional rate.

Another gland that produces hormones important for growth is the thyroid. Your thyroid makes a hormone called thyroxine. If it makes too little, the condition is called hypothyroidism. Having too little thyroxine cause a child to grow more slowly. Doctors can do a simple blood test for hypothyroidism. If it’s needed, pills can be prescribed to compensate for the lack of this hormone.

Thankfully, many growth disorders can be successfully treated today. The best advice is to make sure your child sees their pediatrician for their annual visit so any issue can be immediately identified. If you do not have a pediatrician, you can make an appointment to see one inJamaica Hospital’s Ambulatory Care Center.

For more information, or to make an appointment, please call 718-206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Information About Thyroid Disease

The thyroid gland serves many functions. It regulates our rate of metabolism, growth and development, and our body temperature. So when it isn’t working properly it can have a major impact on our health.

ThinkstockPhotos-505568323According to the American Association of Clinical Endocrinologists (AACE), thyroid disease is a more common disorder than diabetes or heart disease. It affects as many as 30 million Americans, more than half of whom remain undiagnosed. To raise awareness about the thyroid gland and symptoms of thyroid disease, January has been designated Thyroid Awareness Month.

The thyroid is a small, butterfly-shaped gland located in the base of the neck.. Although small in size, the gland plays a large role by producing thyroid hormone which influences the function of many of the body’s most important organs, including the heart, brain, liver, kidneys and skin. When the thyroid gland is not producing the right amount of hormone (either too much or too little), problems can start to arise.

Hypothyroidism occurs when the thyroid does not produce enough hormones. This can result in a range of symptoms that include unexplained fatigue, weight gain, depression, forgetfulness, feeling cold, hair loss, or low sex drive. Hyperthyroidism, on the other hand, is a condition when the body produces an abundance of thyroid hormones. Symptoms of hyperthyroidism include rapid heart rate, heat intolerance and unexplained weight loss and anxiety. For both hypothyroidism and hyperthyroidism, medication can be prescribed to regulate hormone levels.

A more serious concern involving the thyroid gland is thyroid cancer, which can develop independent of the above thyroid disease. According to the AACE, about 60,000 cases of thyroid cancer are diagnosed annually in the U.S. In most cases, thyroid cancer has a good prognosis and high survival rates—especially when diagnosed in its early stages.

Through attention raised by Thyroid Awareness Month, more and more primary care physicians are screening for thyroid disease, which has greatly helped those who would have otherwise had their condition go undiagnosed.

Jamaica Hospital is proud to help raise awareness for thyroid disease and encourages everyone experiencing symptoms to ask their doctor to do an evaluation. If you do not have a doctor, call Jamaica Hospital’s Ambulatory Care Center to make an appointment at 718-206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.