Diseases

Hypothyroidism: the advice of the specialist doctor

Interview with Professor Jean-Louis Wémeau, Chief of the Endocrinology Department at Lille University Hospital.

What are the complications of hypothyroidism?

If hypothyroidism is spotted and treated properly, there are no symptoms. And this is the case 90% of the time. On the other hand, if one misses the point, the illness worsens, then it gives very painful complications: a general slowing down, a big tiredness, a fall of the hair, muscular, digestive troubles ... even a coma, in certain cases. A hypothermic coma, it could be seen. We get to be so diminished that we forget to breathe! But, this kind of complication is really rare. Other complications of hypothyroidism: pericarditis or inflammation of the heart envelope, or atherosclerosis with arterial hypertension, angina pectoris and possibly myocardial infarction. But, again, with the current means of recognition and treatment of the disease, these complicated forms become rare.

Does the treatment cause complications?

No. If the dosage of hormone treatment is correct, this treatment gives no complication, since it compensates for a lack, with a natural product, since it is the same product as the hormone manufactured by the body. Of course, you have to be careful not to give a dose too sharply, it could reveal heart problems, it makes sense. Overdose can be dangerous. This is what happens when some people take to lose weight, so it can cause heart rhythm disorders, a state of excitement.
You should never take thyroid hormone to lose weight because you lose more muscle and bone than fat tissue. But, in most cases, the right dosage is quickly found by the doctor and there is no side effect.

There are borderline hypothyroid cases, for example, when TSH is elevated, but T4 is normal, and there are no clinical signs. What should be done in these cases?

There is debate on the issue, among the doctors. Should subclinical hypothyroidism be treated or not? This poses many questions to the doctors. If the TSH is above 10, treat it. If it is between 4 and 10, it is discussed: if the woman is pregnant, if she wants a child, if she has a goiter, if she has cholesterol ... Beyond 60, there is not bad reasons that push not to treat. It has been noted that high TSH, with a rather low T4 level, is common among centenarians ...

Want to react, share your experience or ask a question? Go to our FORUMS Hormones and Thyroid or A doctor answers you .

Popular Posts

Category Diseases, Next Article

Vaginal mycosis: the symptoms - Diseases
Diseases

Vaginal mycosis: the symptoms

One time is enough for us to remember. The symptoms of genital mycosis are bothersome and sometimes painful. The vagina and / or the vulva is inflamed and irritated, and we feel it! These symptoms are easy to identify. Vaginal mycosis triggers itching, and a burning sensation when urinating (when peeing) and during sexual intercourse
Read More
Muscle tear: Avoid muscle tears - Diseases
Diseases

Muscle tear: Avoid muscle tears

To avoid muscle tears, you must warm up and practice exercises to strengthen the muscles. When practicing physical activity, you should practice regular stretching and doing an eccentric muscle building job. Physiotherapists specializing in sports are well aware of this type of reinforcement where the muscle is made to work during stretching
Read More
Bladder cancer: the testimony of a patient - Diseases
Diseases

Bladder cancer: the testimony of a patient

The testimony of Arlette, 63, affected by bladder cancer ... How did you discover your cancer? It was during the summer. My GP was on vacation. I started having repetitive urinary tract infections. Like cystitis. In the space of four months, I have collected five! It was hot. At first, I thought it was because I was not drinking enough
Read More
The pelvic fracture - Diseases
Diseases

The pelvic fracture

A more or less violent fall, a sports accident or car ... the causes of the pelvic fracture can be various. Also called pelvic girdle, the pelvis is a set of bones allowing to connect the lower part of the trunk and the lower limbs. In case of lesion at the level of the pelvis, the care depends on the nature of the fracture and the age of the patient
Read More