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A 31-year-old female asked:

what are the signs of a child of four years old having a sluggish thyroid. he had blood tests that revealed he had a sluggish thyroid, he is thin and very active, the reason they did the blood work, is that they think he has ocd.

2 doctor answers3 doctors weighed in
Dr. Laura McMullen
Pediatrics 21 years experience
The : The signs and symptoms of "underactive thyroid" or hypothyroidism can vary depending on the levels of the thyroid hormones. At first it may be barely noticeable, but as the levels drop, more symptoms may appear. Common symptoms include fatigue, excessive sleepiness, weight gain, pale, dry skin, poor appetite, cold intolerance, thinning brittle hair and fingernails, constipation, hoarse voice, fullness in the neck, muscle aches or weakness, poor school performance and depression. Hashimoto's thyroiditis is an autoimmune type of hypothyroidisim which is the most common cause of hypothyroidism in children and teens. 5-10% of people with this will have an increase in thyroid hormone before a decrease leading to symptoms such as hyperactivity, nervousness, difficulty sleeping, weight loss/poor growth, diarrhea, fatigue, palpitations, sweating/heat intolerance, and poor school performance. Once diagnosed, patients thyroid hormone levels are followed closely so that the right amount of thyroid replacement hormone can be given in the form a medication. As the medication causes the hormone levels to return to normal, most symptoms disappear. Legal disclaimer: I am providing this general and basic information as a public service and my response to this question does not constitute a doctor-patient relationship. For any additional information, advice, or specific concerns, please speak with your own physician. The information provided is current as of the date of the answer entry.
Dr. Jane Velez
Clinical Psychology 26 years experience
Huh?: "thin and active" does not sound like a sluggish thyroid. Quite the opposite, hyperthyroidism. Also, there is no blood test for obsessive compulsive disorder (ocd). He is too young to diagnose with a psychological disorder, if that is what you mean. Maybe a medical problem, but not what you are indicating.

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Last updated Oct 3, 2016

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