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.

The Facts About Tendonitis

Tendonitis is an inflammation or irritation of the thick cord (tendon) that attaches you bone to muscle.

This condition occurs when an area is repeatedly injured by impact. There are various activities that can cause tendonitis.  Some of the more common causes include:

  • Gardening
  • Manual Labor
  • Golfing and Tennis
  • Skiing
  • Throwing

Often times, the injury is due to a lack of conditioning, such as stretching, before exercise or playing sports.

Some other reasons for Tendonitis may be medical.  It can be brought on by the strain of rheumatoid arthritis, gout, psoriatic arthritis and thyroid disorders.

Tendonitis usually occurs anywhere in the body where a tendon connects to a muscle such as the shoulder, hip, knee, elbow, Achilles tendon or at the base of the thumb.

The good news is, you can prevent tendonitis from happening.  If you are starting an exercise regimen, you should gradually build up to a comfortable level.  This will help your body strength grow with your exercise level.

If you are experiencing pain in your tendons or joints and would like to make an appointment to see a doctor at Jamaica Hospital Medical Center, please call 718-206-7001 for an appointment.

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.