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Thyroid disorders explained

continued from page 5

Diagnosing thyroid disorders
To make the diagnosis in cases of thyroid disorder, your doctor will first ask about symptoms and then examine you, paying particular attention to your neck. He or she will probably perform one or more investigations, some of which will involve a referral to a hospital specialist.

Blood tests
In cases of hypo- and hyperthyroidism there is an abnormal level of thyroid hormone circulating in the blood. Diagnosis of these conditions largely depends on a series of blood tests to measure levels of:

  • Thyroid hormone. The thyroid gland actually consists of two hormones: thyroxine, known as T4, and triiodothyronine, known as T3. Both these hormones will probably be measured.
  • Thyroid-stimulating hormone (TSH). To get an even clearer picture, the laboratory will probably also test blood for TSH levels. TSH is produced by the pituitary gland in the brain as a signal for the thyroid to produce more or less thyroid hormone. The pituitary gland is like a sensor on a thermostat; if it senses that there is not enough thyroid hormone in your blood, it releases TSH to tell your thyroid to produce more. Likewise, if your pituitary senses there is too much thyroid hormone in the blood already, it will decrease its production of TSH.
  • Antibodies to thyroid tissue. These may be raised if there is autoimmune disease such as Hashimoto's thyroiditis.
  • If hypothyroidism is suspected based on the presence of several symptoms, a diagnosis can be confirmed if your thyroid hormone (T3 and T4) levels are low to normal and your TSH is high. Antithyroid antibodies may suggest Hashimoto's thyroiditis as the cause.

    If hyperthyroidism is suspected based on the presence of several symptoms, a diagnosis can be confirmed if your thyroid hormone (T3 and T4) levels are high and your TSH is low. To determine if Graves' disease is the cause, your doctor can check your blood for thyroid stimulating antibodies or give you a radioactive iodine uptake test.



     
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