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Hyperthyroidism (overactive thyroid)

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Hyperthyroidism happens when the thyroid gland makes too much thyroid hormone. This condition also is called overactive thyroid. Hyperthyroidism speeds up the body’s metabolism. That can cause many symptoms, such as weight loss, hand tremors, and rapid or irregular heartbeat.

Several treatments are available for hyperthyroidism. Anti-thyroid medicines and radioiodine can be used to slow the amount of hormones the thyroid gland makes. Sometimes, hyperthyroidism treatment includes surgery to remove all or part of the thyroid gland. In some cases, depending on what’s causing it, hyperthyroidism may improve without medication or other treatment.

Symptoms

Hyperthyroidism sometimes looks like other health problems. That can make it hard to diagnose. It can cause many symptoms, including:

  • Losing weight without trying.
  • Fast heartbeat, a condition called tachycardia.
  • Irregular heartbeat, also called arrhythmia.
  • Pounding of the heart, sometimes called heart palpitations.
  • Increased hunger.
  • Nervousness, anxiety, and irritability.
  • Tremor, usually a small trembling in the hands and fingers.
  • Sweating.
  • Changes in menstrual cycles.
  • Increased sensitivity to heat.
  • Changes in bowel patterns, especially more-frequent bowel movements.
  • Enlarged thyroid gland, sometimes called a goiter, which may appear as a swelling at the base of the neck.
  • Tiredness.
  • Muscle weakness.
  • Sleep problems.
  • Warm, moist skin.
  • Thinning skin.
  • Fine, brittle hair.

Older adults are more likely to have symptoms that are hard to notice. These symptoms may include an irregular heartbeat, weight loss, depression, and feeling weak or tired during ordinary activities.

When to see a doctor

If you lose weight without trying, or if you notice a rapid heartbeat, unusual sweating, swelling at the base of your neck or other symptoms of hyperthyroidism, make an appointment with your health care provider. Tell your provider about all the symptoms you’ve noticed even if they are minor.

After a diagnosis of hyperthyroidism, most people need regular follow-up visits with their health-care provider to monitor the condition.

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