Hyperthyroidism

at Concierge Endocrinology of New Jersey

Overview

Hyperthyroidism, or overactive thyroid, happens when your thyroid gland makes more thyroid hormones than your body needs. Your thyroid is a small, butterfly-shaped gland in the front of your neck that makes hormones controlling the way the body uses energy.

These hormones affect nearly every organ in your body and control many of your body's most important functions, including breathing, heart rate, weight, digestion, and moods. If not treated, hyperthyroidism can cause serious problems with your heart, bones, muscles, menstrual cycle, and fertility.

The most common cause of hyperthyroidism is Graves' disease, an autoimmune disorder. Other causes include thyroid nodules, thyroiditis, consuming too much iodine, or taking too much thyroid medicine.

Signs & Symptoms

Nervousness or irritability
Fatigue and muscle weakness
Trouble tolerating heat
Trouble sleeping
Tremor, usually in the hands
Rapid and irregular heartbeat
Frequent bowel movements or diarrhea
Unexplained weight loss
Mood swings
Goiter — an enlarged thyroid that may cause neck swelling
In older adults: loss of appetite or social withdrawal (may be mistaken for depression)

Causes & Risk Factors

Graves' disease — the most common cause (autoimmune)
Thyroid nodules that become overactive
Thyroiditis — inflammation of the thyroid
Consuming too much iodine from medicines or supplements
Taking too much thyroid medicine
Being female
Being older than age 60
Recent pregnancy or delivery (within past 6 months)
Previous thyroid surgery or thyroid problems
Family history of thyroid disease
Having pernicious anemia, type 1 diabetes, or primary adrenal insufficiency

Diagnosis

To diagnose hyperthyroidism, a health care provider will take a medical history and perform a physical exam. They will also likely order thyroid tests.

Blood tests check the levels of Thyroid Stimulating Hormone (TSH), T3, and T4, as well as thyroid antibody tests. Imaging tests may also be used, such as a thyroid scan, ultrasound, or a radioactive iodine uptake test which measures how much iodine the thyroid takes up from the blood.

Treatment Options

Antithyroid medicines that cause your thyroid to make less thyroid hormone
Beta-blocker medicines to reduce symptoms such as tremors and rapid heartbeat
Radioiodine therapy — slowly destroys the cells of the thyroid gland that produce thyroid hormone
Surgery to remove part or most of the thyroid gland (in rare cases)
Avoiding excess iodine in foods, supplements, and medicines
Regular monitoring of thyroid hormone levels

Important Facts

If untreated, hyperthyroidism can cause serious health problems including irregular heartbeat, blood clots, stroke, and heart failure.

It can cause Graves' ophthalmopathy (eye disease), thinning bones and osteoporosis, and fertility problems.

Adults over age 60 may have different symptoms that can be mistaken for depression or dementia.

Effective treatments are available — early diagnosis is key to preventing complications.

Medical information adapted from MedlinePlus — U.S. National Library of Medicine. Always consult with your physician for personalized medical advice.

Expert Hyperthyroidism Care

Schedule a consultation with our board-certified endocrinologists.