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Doctor insights on: Hashimoto's Thyroiditis

See details: You cannot avoid it. It is an autoimmune condition of the thyroid gland that usually causes an underactivity of the gland (hypothyroidism). It is often associated with other autoimmune diseases such as ra. ...Read more

Autoimmune: For reasons we don't fully understand, the body makes antibodies against the thyroid. This causes a very low grade inflammation which over time can disrupt thyroid function. ...Read more

Likely: There is generally thought to be a genetic hereditary component to Hashimoto's thyroiditis. However, there are likely other causes to include a hormonal component, exposure to radiation, and iodine intake. ...Read more

Autoimmune disease: Hashimoto thyroiditis is an autoimmune disease which affects the thyroid gland and can cause either hypo- or hypethyroidism. ...Read more

Kindly rephrase: Your question, thanks

Explanation: So far no reliable scientific facts to connect Hashimoto thyroiditis with gluten - gluten intolerance or sensitivity. Something that may be confusing you that both condition have autoimmune component in their development. But NO relations between them. ...Read more

Most PCPs and endo: Most internists and endocrinologists are familiar with the disorder. It is an autoimmune disorder that often leads to an under active thyroid. It is the most common cause of low thyroid hormone levels. There is no treatment for hashimotos per se, but the thyroid hormone levels can be kept normal with medication. ...Read more

Meds.: It depends on the actual function of the thyroid gland. If you are euthyroid than no treatment is needed, if you are hypothyroid than you will be treated with thyroid hormones and if you are hyperthyroid than you will be treated with anti-thyroid drugs. ...Read more

Not really: The most common symptoms of hashimotos are hypothyroid symptoms. These are fatigue, cold intolerance, weight gain, hair loss, constipation, depression, puffy skin...As long as you are on the right thyroid replacement dose (levothyroxine or synthroid) and you don't forget your pills then the symptoms should not be an issue. ...Read more

Big thyroid: From your description, it appears that the underlying problem is Hashimotos, and you have already had ultrasound and biopsy of nodules. Therefore, no suspicion of cancer. You should be on adequate thyroxine to keep TSH normal. In time, your thyroid will probably shrink some. The only reason for surgery is if the gland is so big that it interferes with breathing/swallowing. ...Read more

Hashimoto's nodule: Hashimotos thyroiditis involves inflammation of the thyroid. Often there can be patches of inflammation, and inflammation then leads to scarring (fibrosis). This scarring creates the appearance of nodules. The likelihood of cancer in these nodules is very low, and frequently these "nodules" do not require biopsy. ...Read more

No: There is no cure for hashimotos, but the consequence (under active thyroid) is manageable. ...Read more

FNA biopsy: Hi. It sounds like the nodule needs a fine needle aspiration (FNA) biopsy to make sure it's not cancer. I recommend you talk with your doctor about that. Good luck! ...Read more

Mechanism: The thyroid has 2 months of thyroid hormones stored inside it. When it gets inflamed (thyroidtis), it can't hold on to the thyroid hormones and the hormones leak out into the blood stream. That's why you have high level at the beginning. Once all the hormone is leaked out, there is no hormones left and the body has to make the hormone again which is why you become low. ...Read more

Yes: The initial stages of hashimoto's is an over active thyroid which over stimulates the heart leading to atrial fibrillation. ...Read more

Recheck: It is customary to recheck your thyroid levels within 2 to 4 weeks of starting treatment to guide you. Starting with a low dose and working upwards is the proper treatment but symptoms may not improve until you reach therapeutic doses which often are higher than 50mcg. ...Read more

Ask Rheumatologist: An occasional patient or two have reported exacerbation of autoimmune disease symptoms weeks/months following collagen injection. Difficult to state definitively but patients suffering from these conditions should proceed only after discussing with their rheumatologists and getting their ok. ...Read more

In a way: Lupus and Hashimoto's thyroiditis are both autoimmune diseases. Often the presence of one autoimmune disease makes a second one more likely to occur. These two conditions are treated separately. ...Read more

Unlikely: I am not sure what you mean by mess with the results, but hashimoto's is the most common cause for hypothyroidism in the us. It will not affect test results, other than thyroid levels (low thyroid). Fna can show some abnormalities, such as lymphocytes, hurthle cells, sometimes some atypia, but most of the time, one can tell malignancy when present. ...Read more

Can be a long time: The association with hashimoto's thyroiditis is generally just thought to be that people who make antibodies to one thing inappropriately (thyroid) are more likely to make antibodies to other things inappropriately (mast cell receptors which can be a cause for urticaria). Most chronic urticarias last 2 weeks to 2 months, but 10-20% can last more than 2 years. ...Read more

Not if they function: If the adenomas are "cold" or do not function, then they are likely to be malignant. They do not show up on radionuclide scan because they do not function. Otherwise they are unlikely to be malignant. However, since you have many of them, you likely need and should get further workup, like aspiration biopsy, etc., along with treatment for your hashimoto's. ...Read more

YES: A Board Certified ENDOCRINOLOGIST should evaluate you once year (if all is "going well")!


Hope this helps!

Dr Z ...Read more

Exercise: Exercise regularly (both aerobic and strength) will help you burn off fat. Of course one must control the diet intake especially re to carb. If your thyroid replacement dose is appropriate, your weight gain has nothing to do with the thyroid. It is also not just how "healthy" but how much you ear compared to the energy expended. ...Read more

Recommendation: Not knowing how you feel or your current symptoms, from the labs above, you are mildly hyperthyroid. Currently you are taking approximately 78 mcg/day of levothyroxine (550 mcg/7 days). A reasonable change would be to just take 75 mcg/day. This way, you don't have to take two different doses or cut the pills. This is again based solely on labs. Your doc who knows you best should evaluate you. ...Read more

Autoimmune diseases: Both myasthenia gravis and hashimoto's thyroiditis are autoimmune diseases, and they often occur together. Your doctor should check out your thyroid tests (tsh, ft4) and treat with levothyroxine if you are hypothyroid. Other autoimmune diseases are more common also. These include adrenal failure (addison's), premature ovarian failure, and others. ...Read more

Biopsy: If you have hashimoto's thyroiditis, then your thyroglobulin antibodies are elevated making it harder to use thyroglobulin to monitor for thyroid cancer recurrent. With a new growth, you will need a biopsy to make sure the cancer is not coming back. At this point, you should have an endocrinologist, a surgeon and possibly a radiation oncologist on your team. Good luck. ...Read more

If the FNA: Is definitively "negative" not just inconclusive, many endocrinologists would just observe and follow-up at a later date w/repeat lab, exam and ultrasound. There are other factors as well, and best discussed with your endocrinologist. ...Read more

Okay: This is usually easy to manage by thyroid replacement as required. A heads-up -- maybe 1% of hashimoto's folks get a vasculitis that can involve the brain and mimic multiple sclerosis; it's treatable but it needs to be suspected before the call can be made. Complications of hashimoto's are rare; you can read about them on your own, get seen fast if the goiter grows fast. ...Read more

Auto ImmuneCondition: Hashimoto Thyroiditis is an auto immune condition of Thyroid Gland. Your immine sustem attacks your thyroid gland with antibody mediated immune response. It was first described by HakaruHashimoto.
It is seven time more common in women
It is diagnosed by detecting elevated levels of anti thyroidPeroxidaseAntibodies, It causes Hypothyroidism and is treated with Thyroid Hormones like levothyroxine&other ...Read more

No.: Treated not cured. Very easy to treat. This is an autoimmune disease of unknown cause. Body makes antibodies against the thyroid and kills it. Must generally take replacement hormone for life. ...Read more