Hyperthyroidism: causes, symptoms and treatment options

Hyperthyroidism: causes, symptoms and treatment options
November 9, 2012 7:19 AM

The thyroid gland is one of the most important endocrine glands and a producer of hormones cruicial for proper function of human body. The main hormones produced by the thyroid gland are triiodothyronine (T3), tetraiodothyronine (T4 or thyroxine) and calcitonin, which has a certain role in calcium level adjustment in the human body. Hyperthyroidism is caused by over production of some or all thyroid hormones.

Causes of hyperthyroidism

Hyperthyroidism is most frequently caused by autoimmune infection, goitre (thyroid gland swelling), some thyroid gland tumors or in case of administration of high doses of thyroid gland hormones for therapeutic reasons.


The main symptoms of the overactive thyroid gland include goitre, excessive sweating, hot skin, loss of hair, nail splitting (onychoschizia), tiredness, higher or lower appetite, loss of weight, diarrhea, finger or body shaking, insomnia (sleeplessness), double vision, exophthalmos (eye bulging – mainly a symptom of Graves-Basedow’s disease) and neuropsychic symptoms such as restlessness, lack of concentration, frequent mood changes, fear, nervosity or fast speaking.


The most dangerous complications of an overactive thyroid gland are cardiovascular complications because a severe hyperthyroidism may have a negative impact on hearbeat frequency and may even result in a heart attack.

Tests and examinations

Your doctor will have to perform some tests and examination for proper diagnosis of hyperthyroidism. First of all he or she will probably ask you whether you or some of your family members or relatives have ever suffered from an overactive thyroid. The doctor will also ask you whether you suffer from an autoimmune disease, such as Diabetes or Celiac Disease or whether you have ever undergone a radiotherapy treatment of the neck or chest.

After that the doctor will palpate the thyroid to check its shape and size. Your blood will be drawn to check the hormone levels. Finally your thyroid sonography will be performed, including biopsy, if necessary.


The treatment options depend on the cause of the disease. If the condition was caused by an infection, the treatment focuses just on symptoms as the problem is only temporary and as soon as the infection wears off the proper thyroid function is restored.

If the condition is caused by Graves-Basedow’s disease your doctor will usually give you a prescription for thyreostatic drugs. If your doctor finds it necessary you might also be given some heart rate lowering drugs (beta blockers). If everything goes well your thyroid function may be restored to normal within 2 or 3 months. However you will probably have to take the drugs for additional 12 to 18 months.

If the condition cannot be treated using drugs, it will be necessary to remove the thyroid (thyroidectomy). This is a surgery, which deals with the over active thyroid problem but you will be administered the hormones for the rest of your life.

A less invasive option to thyroidectomy is radioactive iodine therapy. The patient is administered a radioactive iodine, which is absorbed by overactive thyroid cells. These cells are then killed by radioactivity. However this treatment option is unavailable to pregnant (expecting) women.

Thinks to avoid

Try to avoid stress. Get some rest and use various relaxation techniques. Do not drink alcohol, black coffee. Avoid sunbathing. If you suffer from excessive sweating wear cotton wool clothes, which do not irritate your skin. Do not eat food containing iodine. If you suffer from vision or eye problems, wear sun glasses and use appropriate eye drops. Follow your doctor’s recommendations as successful recovery depends – to a great extent – on your co-operation with thedoctor.

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Written by: Michal Vilímovský (EN)
Education: Medical student, 3rd Faculty of Medicine, Charles University, Prague, Czech Republic
Published: November 9, 2012 7:19 AM
Next scheduled update: November 9, 2014 7:19 AM
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