Sunday Dec 29, 2024
UNDIAGNOSED THYROID
"Thyroid" can get blamed for a lot when we are younger. "It must be my thyroid" "My thyroid is messed up" - but as we get older true thyroid issues can be missed as the symtoms are too often thought to be age related.
HYPERTHYROIDISM
While the younger patient often has multiple symptoms related to the overactive Thyroid, an older person may only have one or two symptoms.
- Heart fluttering
- Chest discomfort
- Out of breath with simple activities
- Tremors
- Depression- withdrawal from usual activities
HYPOTHYROIDISM
- Memory loss and/or a decrease in cognitive functioning – may be the only symptoms.
- Weight gain
- Sleepiness
- Dry skin
- Constipation
- Cold
Hypothyroidism is very common in those over 60 and it steadily increases with age.
Up to 1 in 4 people in nursing homes have undiagnosed thyroid issues.
Undiagnosed not because of some lack of care, but the symptoms become vaguer with age and there are fewer symptoms to see. A younger person may have multiple symptoms, but an older person just one or two, and again, these symptoms can easily be written off as due to age.
For example -
A person gaining weight, always tired, has dry skin, and is constipated.
- If this person is 20 it does seem like something is wrong
- If this person is 60, they might not even seek medical help
WHY CHECK YOUR THYROID?
Compromised thyroid function can show up in many life-altering ways. As we age, the symptoms are more subtle and are often ignored.
If we catch any abnormalities early, we may avoid the health issues associated with high/low Thyroid.
“Subclinical Thyroid” is an early, mild form of hypothyroidism. It is called ‘subclinical” because only the level of TSH is a little above normal.
TSH (thyroid-stimulating hormone – produced by the pituitary gland in the brain) is elevated, but the Thyroid hormones produced by the thyroid gland are In the normal range.
Subclinical hypothyroidism is NOT associated with impaired physical and cognitive function. There is no association with heart disease, cardiovascular disease, or indeed mortality.
- Normal TSH would be 0.5 – 5 mIU/L
- Free T4 normal 0.7 – 1.9 ng/dl
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