Understanding Thyroiditis

A Comprehensive Guide to Thyroid Inflammation

Endocrinology

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Last updated: Mar 24, 2025

What is Thyroiditis?

Thyroiditis is inflammation of the thyroid gland, a butterfly-shaped organ located in the front of your neck that produces hormones regulating metabolism, growth, and body temperature.

Types of Thyroiditis

  • Hashimoto's Thyroiditis

    • Most common form
    • Autoimmune condition
    • Gradually damages thyroid tissue
  • Subacute Thyroiditis

    • Often follows viral infection
    • Causes neck pain and tenderness
    • Usually temporary
  • Silent Thyroiditis

    • No pain or discomfort
    • Common after pregnancy
    • Generally resolves on its own

Common Symptoms

Initial Phase (Thyrotoxicosis)

  • Rapid heartbeat
  • Anxiety
  • Weight loss
  • Tremors
  • Heat intolerance

Later Phase (Hypothyroidism)

  • Fatigue
  • Weight gain
  • Depression
  • Cold sensitivity
  • Dry skin

Diagnosis

  • Blood tests (TSH, T3, T4)
  • Thyroid antibody tests
  • Radioactive iodine uptake scan
  • Physical examination

Treatment Options

  1. Monitoring

    • Regular thyroid function tests
    • Symptom tracking
  2. Medications

    • Beta-blockers for hyperthyroid symptoms
    • Thyroid hormone replacement
    • Anti-inflammatory drugs
  3. Lifestyle Management

    • Stress reduction
    • Balanced diet
    • Regular exercise

When to Seek Medical Care

  • Persistent neck pain or swelling
  • Unusual fatigue or weakness
  • Unexplained weight changes
  • Heart palpitations

Long-term Outlook

Prognosis varies by type:

  • Hashimoto's requires lifelong management
  • Subacute typically resolves in 12-18 months
  • Silent usually temporary

Prevention

  • Regular medical check-ups
  • Balanced iodine intake
  • Stress management
  • Healthy lifestyle habits

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