Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
Tags: Thyroid Disorders | thyroid | disorder | treat

How Should I Treat My Thyroid Disorder?

By    |   Tuesday, 17 September 2013 09:47 AM

Question: I have an enlarged thyroid gland (goiter), edema, swelling, weakness, elevated blood glucose, and thinning hair, but my doctor says my test results — particularly for thyroid — are in range.  What could be causing my symptoms and what medicine should I take?

Dr. Hibberd's answer:
A goiter (enlarged thyroid) can occur as a result of iodine deficiency or autoimmune thyroiditis, as well as in some cases of Graves' disease despite apparently normal test readings. Iodine estimations are simple to calculate from a urine sample. Do not use iodine supplement unless you are confirmed deficient.
It is time to request a referral to an endocrinologist, assuming your doctor is not able to recognize or deal with the symptoms you have. You may have an endocrine disorder and should be evaluated further. Perhaps your thyroid enlargement is actually parathyroid gland (situated each pair above the thyroid gland) enlargement, or perhaps your adrenal glands (above your kidneys) are undergoing changes.
Simple imaging techniques will help sort this out and blood tests, in addition to your routine thyroid tests, should be done, as well. Expect the doctor to check you for any evidence of cortisone overproduction and you should also be aware that increased fat in the neck are is often confused with an enlarging thyroid gland.

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There are a number of causes, and treatments, for thyroid disorders.
Tuesday, 17 September 2013 09:47 AM
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