This may be a temporary problem after radiation, or it may be a sign that the thyroid gland is beginning to fail. Blood tests in people with compensated hypothyroidism show higher-than-normal TSH levels and normal T3 and T4 levels. Some survivors with compensated hypothyroidism may be treated with thyroid hormone in order to decrease the workload on the thyroid gland.
Occurs when the thyroid gland is too active. Thyroid nodules and cancer are growths that may occur many years after radiation to the thyroid gland. Both usually begin as slow-growing, painless lumps in the neck. Most thyroid growths do not usually cause any symptoms. The following radiation fields have the potential to affect the thyroid gland directly:. People who received radiation that may have affected the pituitary gland in the brain are at risk for central hypothyroidism. The following radiation fields have the potential to affect the pituitary gland:.
Thyroid problems may occur soon after radiation, but generally do not occur until several years later.
If treated promptly, thyroid problems are easily managed. Since thyroid problems may occur many years after cancer treatment, a yearly check-up is recommended for survivors who are at risk of developing thyroid problems. This check-up should include evaluation of growth in children and teens, palpation feeling of the thyroid gland, and a blood test to measure the levels of TSH and T4.
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During periods of rapid growth, healthcare providers may recommend more frequent monitoring of thyroid levels. Female survivors at risk for thyroid problems who are planning to become pregnant should have their thyroid levels checked before attempting pregnancy. It is important to do this before becoming pregnant, because mothers with thyroid disease have a higher chance of having babies with developmental problems.
It is also important to monitor thyroid levels periodically during pregnancy. If problems with thyroid levels are identified, you may be referred to an endocrinologist hormone specialist for continuing treatment. If a lump is detected on the thyroid, you may be referred to a surgeon or other specialist for evaluation and management.
Thyroid eye disease | You and Your Hormones from the Society for Endocrinology
All types of hypothyroidism are treated with daily thyroid pills. Treatment is usually for life. In some cases of compensated hypothyroidism, treatment may be stopped if the thyroid gland begins to work normally. Hyperthyroidism may be treated in several ways. Sometimes medication is given on a temporary basis to prevent thyroid hormone production. Thyroid ablation destroying the hormone-producing cells in the gland by drinking a radioactiveliquid iodine called I may be done.
Surgery to remove the thyroid gland is another treatment. However, one thing they can all agree on is that eating healthier can combat weight gain and lessen some of the symptoms like fatigue and depression, especially in the first six weeks of hormonal treatment when a balance of hormones hasn't been reached yet. Zinc or iron deficiencies can be factors as well.
Thyroid Disorders Diagnosis and Treatment
For instance, the thyroid converts iodine into thyroxin T4 and triiodothyronine T3 so a lack of iodine in your diet can interfere with hormone production. But iodine deficiency is rare in the United States, Jabbour cautioned. Therefore supplementation could actually be dangerous if no true deficiency is present, leading to the exact opposite problem. Too much iodine in your diet is also a concern if you are at risk for hyperthyroidism.
Mario Skugor, MD, an endocrinologist at Cleveland Clinic, advises his patients with Graves' disease to avoid iodine-rich foods because their thyroid is already secreting an excess of T3 and T4. Wittman believes that most people with thyroid disease require nutritional supplementation at least short-term, but that they often can be weaned off them.
About Your Thyroid
Seltzer warned against supplementing on your own. See your physician and get appropriate testing first to make sure it is necessary in the first place. Opinions on exercise also differ. While exercise in general is good for everyone, Seltzer doesn't see it playing an important role in thyroid conditions. Wittman advises her clients to choose exercises that don't tax the adrenal system like gentle yoga, walking or Tai Chi. Jabbour and Skugor say patients with hyperthyroidism need to watch the intensity and duration of their workouts because exercise can exacerbate an already rapid heart rate and other symptoms.
The lack of consensus on holistic approaches is probably making your head spin, right? Do you stick with standard care, choose alternative therapies or opt for an integrative approach? The American Thyroid Association recommends that you work with your physician on the best ways to add complementary or alternative medicine to your treatment, and always keep the lines of communication open even if your physician doesn't approve of these practices. Your health is always the priority, and some alternative therapies that seem safe, could interfere with your treatment. Skip to content.
Can lifestyle changes improve thyroid function?
Hypothyroidism and pregnancy
Inquirer Morning Newsletter. Sign Up Inquirer Morning Newsletter. Adopting a healthy diet. To supplement or not?
Too much or too little of certain nutrients can greatly impact thyroid function. What's the best approach? Tracey Romero trarom traceyromero yahoo. Never Miss a Story. We Recommend. Dangerous mosquito-borne brain disease detected in Pa. Harold Brubaker.