Treatment of hyperthyroidism drugs, iodine, and dry itchy patches on skin spreading surgery as treatments for hyperthyroid problems. – part 4 treatment options for hyperthyroidism

Two common drugs in this category are methimazole and propylthiouracil dry itchy patches on skin spreading (PTU), both of which actually interfere with the thyroid gland’s ability to make its hormones. The illustration shows that some hormone is made, but the thyroid becomes much less efficient. When taken faithfully, these drugs are usually very effective in controlling hyperthyroidism within dry itchy patches on skin spreading a few weeks.

Anti-thyroid drugs can have side effects such as rash, itching, or fever, but these are uncommon. Very rarely, patients treated with these medications can develop liver inflammation or dry itchy patches on skin spreading a deficiency of white blood cells therefore, patients taking antithyroid drugs should be aware that they must dry itchy patches on skin spreading stop their medication and call their doctor promptly if they dry itchy patches on skin spreading develop yellowing of the skin, a high fever, or severe sore throat. The main shortcoming of antithyroid drugs is that the underlying dry itchy patches on skin spreading hyperthyroidism often comes back after they are discontinued. For this reason, many patients with hyperthyroidism are advised to consider a treatment dry itchy patches on skin spreading that permanently prevents the thyroid gland from producing too much dry itchy patches on skin spreading thyroid hormone. Radioactive iodine treatment

By giving a radioactive form of iodine, the thyroid cells which absorb it will be damaged or dry itchy patches on skin spreading killed. Because iodine is not absorbed by any other cells in dry itchy patches on skin spreading the body, there is very little radiation exposure (or side effects) for the rest of the body. Radioiodine can be taken by mouth without the need to dry itchy patches on skin spreading be hospitalized. This form of therapy often takes one to two months dry itchy patches on skin spreading before the thyroid has been killed, but the radioactivity medicine is completely gone from the body dry itchy patches on skin spreading within a few days. The majority of patients are cured with a single dose dry itchy patches on skin spreading of radioactive iodine.

The only common side effect of radioactive iodine treatment is dry itchy patches on skin spreading underactivity of the thyroid gland. The problem here is that the amount of radioactive iodine dry itchy patches on skin spreading given kills too many of the thyroid cells so that dry itchy patches on skin spreading the remaining thyroid does not produce enough hormone, a condition called hypothyroidism. There is no evidence that radioactive iodine treatment of hyperthyroidism dry itchy patches on skin spreading causes cancer of the thyroid gland or other parts of dry itchy patches on skin spreading the body, or that it interferes with a woman’s chances of becoming pregnant and delivering a healthy baby dry itchy patches on skin spreading in the future. It is also important to realize that there are different dry itchy patches on skin spreading types of radioactive iodine (isotopes). The type used for thyroid scans (iodine scans) as shown in the picture below give up a much dry itchy patches on skin spreading milder type of radioactivity which does not kill thyroid cells. Surgical removal of the gland or nodule

Another permanent cure for hyperthyroidism is to surgically remove all dry itchy patches on skin spreading or part. Surgery is not used as frequently as the other treatments dry itchy patches on skin spreading for this disease. The biggest reason for this is that the most common dry itchy patches on skin spreading forms of hyperthyroidism are a result of overproduction from the dry itchy patches on skin spreading entire gland ( graves’ disease) and the methods described above work quite well in the dry itchy patches on skin spreading vast majority of cases.

One such case is illustrated here where a patient has dry itchy patches on skin spreading hyperthyroidism due to a hot nodule in the lower aspect dry itchy patches on skin spreading of the right thyroid lobe. Depending on the location of the nodule, the surgeon can remove the lower portion of the lobe dry itchy patches on skin spreading as illustrated on the left, or he/she may need to remove the entire lobe which contains dry itchy patches on skin spreading the hot nodule as shown in the second picture. This should provide a long term cure.

Concerns about long hospitalizations following thyroid surgery have been all dry itchy patches on skin spreading but alleviated over the past few years since many surgeons dry itchy patches on skin spreading are now sending their patients home the morning following surgery dry itchy patches on skin spreading (23 hour stay). This, of course, depends on the underlying health of the patient and their dry itchy patches on skin spreading age, among other factors. Some are even treating partial thyroidectomy as an out-patient procedure where healthy patients can be sent home a dry itchy patches on skin spreading few hours after the surgery. Although most surgeons require that the patient be put to dry itchy patches on skin spreading sleep for operations on the thyroid gland, a some are even removing one side of the gland dry itchy patches on skin spreading under local anesthesia with the aid of IV sedation. These smaller operations tend to be associated with fewer complaints.

A potential down side of the surgical approach is that dry itchy patches on skin spreading there is a small risk of injury to structures near dry itchy patches on skin spreading the thyroid gland in the neck including the nerve to dry itchy patches on skin spreading the voice box (the recurrent laryngeal nerve). The incidence of this is about 1%. Like radioactive iodine treatment, surgery often results in hypothyroidism. This fact is obvious when the entire gland is removed, but it may occur following a lobectomy as well.

Whenever hypothyroidism occurs after treatment of an overactive thyroid gland, it can be easily diagnosed and effectively treated with levothyroxine. Levothyroxine fully replaces thyroid hormones deficiency and, when used in the correct dose , can be safely taken for the remainder of a patient’s life without side effects or complications. Just one small pill per day.

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