An in-depth exploration of thyroid disorders

Written in association with: Dr Kaustubh Nisal
Published: | Updated: 14/10/2024
Edited by: Conor Lynch

The thyroid, a small butterfly-shaped gland located in the neck, plays a crucial role in regulating metabolism, growth, and energy production. When the thyroid malfunctions, it can lead to various health issues, the most common being hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid). Both conditions can have significant impacts on overall health and well-being.

Hypothyroidism

Hypothyroidism occurs when the thyroid gland does not produce enough thyroid hormones, leading to a slowing of the body’s metabolism. Common causes include autoimmune diseases like Hashimoto’s thyroiditis, iodine deficiency, or previous thyroid surgery.

 

Symptoms often include fatigue, weight gain, dry skin, hair loss, constipation, and sensitivity to cold. Left untreated, hypothyroidism can cause complications such as heart problems, infertility, and mental health issues like depression.

 

Hyperthyroidism

On the other hand, hyperthyroidism results from an overproduction of thyroid hormones, which accelerates the body’s metabolic processes. Causes may include Graves’ disease (an autoimmune disorder), thyroid nodules, or inflammation of the thyroid.

 

Symptoms include rapid weight loss, anxiety, irritability, increased heart rate, sweating, and difficulty sleeping. Untreated hyperthyroidism can lead to serious conditions such as heart disease, osteoporosis, and eye problems, particularly in Graves’ disease.

 

Diagnosis

Diagnosing thyroid disorders typically involves blood tests to measure levels of thyroid hormones (T3 and T4) and thyroid-stimulating hormone (TSH). Depending on the diagnosis, treatment options vary.

 

For hypothyroidism, lifelong hormone replacement therapy is often required, using synthetic hormones like levothyroxine. Hyperthyroidism can be treated with medications that block thyroid hormone production, radioactive iodine therapy to shrink the gland, or surgery in severe cases.

 

Regular monitoring of thyroid function is essential, as early detection and treatment can significantly improve quality of life. If you experience symptoms of thyroid dysfunction, consulting a healthcare professional for appropriate testing and treatment is key to managing these conditions effectively.

By Dr Kaustubh Nisal
Endocrinology, diabetes & metabolism

Dr Kaustubh Nisal is a highly respected consultant endocrinologist at The Park Hospital. He achieved his primary medical qualifications from University of Pune, India and then went on to do a post graduate degree in internal medicine where he developed a specialist interest in endocrinology and diabetes. Dr Nisal successfully completed specialist training in endocrinology and diabetes in the UK earning his CCT accreditation in both fields as well as in internal medicine.
 
Dr Nisal has focused his research on adrenal endocrinology , diabetestransgender endocrinology, and antenatal care of endocrine conditions. Dr Nisal specialises in all aspects of general and specialist endocrinology, furthermore he has expertise in dealing with complex  Type 1 diabetes and diabetes technologyantenatal diabetes, and thyroid and parathyroid problems, hormone replacement therapy and management of endocrine treatment in transgender individuals.  He also serves as the lead endocrinologist at the Nottingham Centre for transgender health and supports transgender endocrinology care teams in Manchester and the East of England.
 
Dr Nisal firmly believes in a holistic approach to his patients' care. He listens to patient’ concerns and involves them in shared decision making. His expertise and commitment to patient care make him a trusted figure in the field of endocrinology.

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