Hypothyroidism

Low urgency
--

It is the decrease or absence in the blood of hormones produced by the thyroid gland. It is more frequent in women and in those over 60 years of age.

There are multiple causes among which are: autoimmune disorders (Hashimoto's disease), thyroid nodules, thyroiditis, surgical removal of the gland, a side effect of some medications, irradiation of the gland and hereditary or congenital hypothyroidism. 

It manifests with fatigue, weight gain, facial swelling, intolerance to cold, joint and muscle pain, constipation, dry skin, fine and dry hair, decreased sweating, heavy or irregular menstrual periods, fertility problems, depression and decreased heart rate. 

Diagnosis is clinical by interrogation, complete physical examination and blood tests, which show low thyroid hormone concentration. 

Treatment is aimed at treating the triggering cause and correcting the hormone deficiency with a daily intake of synthetic thyroid hormone.

Bibliographic references
  1. Douglas S Ross. Diagnosis of and screening for hypothyroidism in nonpregnant adults. UpToDate. Dec 14, 2015.
  2. Douglas S Ross. Treatment of hypothyroidism. UpToDate. Feb 22, 2016.
  3. Aoki Y, Belin RM, Clickner R, et al. Serum TSH and total T4 in the United States population and their association with participant characteristics: National Health and Nutrition Examination Survey (NHANES 1999-2002). Thyroid 2007; 17:1211.
  4. Jonklaas J, Bianco AC, Bauer AJ, et al. Guidelines for the treatment of hypothyroidism: prepared by the american thyroid association task force on thyroid hormone replacement. Thyroid 2014; 24:1670.
  5. J. Larry Jameson, Susan J. Mandel, Anthony P. Weetman. Trastornos de la glándula tiroides. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición. 2289:2293.
  6. M. Foz. Enfermedades del tiroides. Farreras Rozman. Medicina Interna. Volumen 2. 12º edición.2016:2024.
Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Tiredness / fatigue


    Defecates less than three times a week - constipation


    Loss of appetite


    Deterioration of intellectual and/or motor abilities


    Muscle stiffness due to a contraction

Symptoms to watch out for

Difficulty breathing
A feeling of shortness of breath
Difficulty swallowing
Reduction in the level of consciousness

Self-care

Eat a balanced diet: increase consumption of fruits, vegetables, and white meats, and reduce consumption of fatty and fried foods.
Get regular physical activity at least 3 times a week that is appropriate for your age and physical condition.
Maintain a fluid intake of 6 - 8 cups per day.
Consult your physician regarding the prescription of thyroid hormones.
Reduce tobacco consumption.