Thyroid Surgeons And Doctors At The Surgical Clinic
If you and your doctor decide that surgery is the treatment you need. Come visit The Surgical Clinic. We have many providers in Tennessee who can give you the care you need. All of our board-certified surgeons are highly trained individuals and have many years of experience.
356 24th Ave. North | Suite 400 | Nashville, TN 37203TEL 615.329.7887 FAX 615.340.4537
FOOT & ANKLE SPECIALISTS OF NASHVILLE4230 Harding Pike | Suite 202 | Nashville, TN 37205TEL 615.662.6676 FAX 615.662.8371
300 20th Ave. North | Suite 301 | Nashville, TN 37203TEL 615.284.2400 FAX 615.284.4644
4230 Harding Pike | Suite 525 | Nashville, TN 37205TEL 615.385.1547 FAX 615.297.9161
3443 Dickerson Pike | Suite 600 | Nashville, TN 37207TEL 615.865.0700 FAX 615.865.0701
4322 Harding Pike | Suite 326 | Nashville, TN 37205TEL 615.620.7800 FAX 615.620.7805
397 Wallace Rd. | Suite 301 | Nashville, TN 37211TEL 615.425.0550 FAX 615.833.8287
4535 Harding Pike | Suite 304 | Nashville, TN 37205TEL 615.269.9007 FAX 615.269.3448
356 24th Ave. North | Suite 300 | Nashville, TN 37203TEL 615.301.5264 FAX 615.340.4537
85 White Bridge Rd | 2nd Floor | Nashville, TN 37205TEL 615.938.7545 FAX 615.938.7546
How Does Thyroid Disease Affect Pregnancy
Pregnancy-related hormones raise the level of thyroid hormones in the blood. Thyroid hormones are necessary for the baby’s brain development while in the womb.
It can be harder to diagnose thyroid problems during pregnancy because of the change in hormone levels that normally happen during pregnancy. But it is especially important to check for problems before getting pregnant and during pregnancy. Uncontrolled hyperthyroidism and hypothyroidism can cause problems for both mother and baby.
Hyperthyroidism that is not treated with medicine during pregnancy can cause:
- Premature birth
- a serious condition starting after 20 weeks of pregnancy. Preeclampsia causes high blood pressure and problems with the kidneys and other organs. The only cure for preeclampsia is childbirth.
- Thyroid storm
- Fast heart rate in the newborn, which can lead to heart failure, poor weight gain, or an enlarged thyroid that can make it hard to breathe
- Low birth weight
Changes In Menstrual Cycle Or Sexual Performance
Hormonal changes are closely linked to sexual function. If you find that your period is becoming irregular, heavier, or more painful than before, or if you are experiencing stronger emotional symptoms tied to PMS, your thyroid might be the cause.
You might also experience difficulty with sexual performance or enjoyment. If you are having difficulty with libido or achieving orgasm or if you cannot maintain an erection, you could also be struggling with a thyroid-related symptom.
While these are uncomfortable issues to talk about, they should absolutely be addressed with us to rule out not only thyroid trouble but also anything else that might quietly be causing these issues.
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Getting A Diagnosis And Treatment
Together with a physical exam and medical history, diagnostic tests are necessary to determine if you have a thyroid problem.
Your doctor may order blood tests to detect the levels of the hormones TSH, T4 and T3 in your blood, which can indicate hypothyroidism or hyperthyroidism. You may also need to take a thyroid antibody blood test, which can help diagnose underlying autoimmune diseases that can cause hormonal imbalances.
Some people may also need an ultrasound. This scan uses sound waves to take pictures of the thyroid gland and can identify thyroid nodules that may be affecting thyroid function.
If you are diagnosed with a thyroid problem, know that there are treatments available. Many people take medications to balance their hormones, while some may need thyroid surgery or radioiodine therapy. Being proactive is critical to your thyroid health, so share your concerns, ask questions and partner with your care team to find a treatment plan that works for you.
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Complementary And Alternative Medicine
Some people try other therapies to cleanse the body, restore immune function, and balance the production and release of hormones. You should talk to your doctor if you’re interested in these other methods to make sure they won’t harm you or interfere with your treatment.
A naturopath may use homeopathic mixtures, herbs, preparations based on traditional Chinese medicine , and acupuncture to remove blocks to your ”life force energy.” Naturopaths are authorized to treat thyroid disease in some states, but in others, it’s illegal. While they may help with the stress associated with thyroid disease, there are no good studies showing that these therapies are effective for treating thyroid disorders.
Chiropractors use spinal manipulation to treat symptoms of thyroid disorders by easing muscle tension and improving blood circulation.
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Hypothyroid Medication And Treatment
When I found out I had Hashimotos, I had to go on thyroid medication to get enough thyroid hormone. The most common medication that doctors prescribe for hypothyroid is Synthroid, which contains T4 only. Other T4 only medications include Tirosint and Levoxyl. That will work for you if youre converting T4 to T3, but it wont do a thing for you if you if your problem lies with conversion.
People with conversion problems will feel better on combination T4/T3 medications like Nature-Throid, Armour, or a custom-compounded formula.
Less commonly, doctors will prescribe a T3-only thyroid medication, like Cytomel.
How Is Thyroid Disease Diagnosed
Sometimes, thyroid disease can be difficult to diagnose because the symptoms are easily confused with those of other conditions. You may experience similar symptoms when you are pregnant or aging and you would when developing a thyroid disease. Fortunately, there are tests that can help determine if your symptoms are being caused by a thyroid issue. These tests include:
- Blood tests.
- Physical exams.
One of the most definitive ways to diagnose a thyroid problem is through blood tests. Thyroid blood tests are used to tell if your thyroid gland is functioning properly by measuring the amount of thyroid hormones in your blood. These tests are done by taking blood from a vein in your arm. Thyroid blood tests are used to see if you have:
The specific blood tests that will be done to test your thyroid can include:
These tests alone arent meant to diagnose any illness but may prompt your healthcare provider to do additional testing to evaluate for a possible thyroid disorder.
Additional blood tests might include:
Talk to your healthcare provider about the ranges for these thyroid blood tests. Your ranges might not be the same as someone elses. Thats often alright. If you have any concerns or worries about your blood test results, talk to your provider.
An ultrasound typically takes about 20 to 30 minutes.
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Thyroid Disorders That Cause Hypothyroid
There are several reasons why you dont get enough thyroid hormone.
Toxic load. If your bodys detox systems like the liver and kidneys have too much to deal with, you might not be getting rid of all of the toxins you come into contact with on a daily basis. Thats when autoimmune disease develops, and sometimes, the thyroid is the target. Which brings us to
Hashimotos thyroiditis. Hashimotos, aka lymphocytic thyroiditis, is an autoimmune disease of the thyroid, which means the immune system somehow marked the thyroid as an invader and attacks it. Tissues get damaged, and it doesnt produce enough thyroid hormone.
Certain prescriptions. Some medications slow thyroid function. Ask your doctor or pharmacist if any medicines you take are concerning.
You no longer have a thyroid gland. If youve had surgery to remove the thyroid or part of it, or if your doctor killed off your thyroid with radiation because you made too much hormone, you might not make sufficient thyroid hormone or any at all.
Radiation. If youve had radiation treatments on or near the neck for cancer, your thyroid might have been damaged in the crossfire. That would affect how much hormone your thyroid makes.
Pregnancy and postpartum. Some women experience postpartum thyroiditis, inflammation in the thyroid sometime in the first year after having a baby. Thyroid hormone production increases, then drops, causing symptoms. Its usually temporary, but have your doc keep an eye on it.
Managing Hypothyroidism: Put It Into Practice
The symptoms of hypothyroidism can be gradual or rapid, Talebian says. The best way to diagnose it is with a blood test. TSH is elevated in the setting of hypothyroidism, she explains.
If you think you may have hypothyroidism or its been confirmed with a blood test, consult with a doctor about which treatments will work best for you.
While medications are the most commonly prescribed course of action, some integrative medicine doctors, like Taz Bhatia, M.D., recommend pairing that Western approach with a holistic Eastern approach. This may include taking prescribed medication, while also eating an anti-inflammatory diet full of iodine-rich and other thyroid-supporting foods.
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Changes In Menstrual Periods
Because hyperthyroidism tells your body to move faster, the menstrual cycle can become lighter and faster. You may also notice longer periods of time in between your periods.
On their own, these symptoms may indicate other medical problems. However, when you or your doctor identify more than one of these symptoms at a time, there is a good chance its due to thyroid problems.
Thankfully, most thyroid disorders are treatable and are not life-threatening. However, if you notice a rapid heart rate and experience either a fever or deliriousness, you should call your doctor immediately. These are signs of a hyperthyroid complication called thyrotoxic crisis.
What Are 10 Things You Can Do To Improve Your Thyroid Function
1. Make sure you are taking a high quality multivitamin with Iodine, Zinc, Selenium, Vitamin D, and B vitamins.
2. Go gluten-free! If you have Hashimotos, try going completely grain and legume free.
3. Deal with your stress and support your adrenal glands. The adrenal glands and thyroid work hand and hand. I recommend restorative yoga and adaptogenic herbs which support the adrenal glands in coping with stress.
4. Get 8 to 10 hours of sleep a night.
5. Have a biological dentist safely remove any amalgam fillings you may have.
6. Watch your intake of raw goitrogens. There is a bit of a debate surrounding this.
7. Get fluoride, bromide and chlorine out of your diet and environment.
8. Heal your gut. A properly functioning digestive system is critical to good health.
How To Heal Your Gut Naturally with Dr. Amy Myers
9. Find a functional medicine doctor in your area and have them run the above laboratory test and work with you to find your root cause of the thyroid imbalance.
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How Is Thyroid Cancer Treated
The main treatment for thyroid cancer is surgery to take out the whole thyroid gland or as much of it as can be safely removed. Surgery alone can cure thyroid cancer if the cancer is small and has not yet spread to lymph nodes.
Your doctor may also use radioiodine therapy after surgery. Radioiodine therapy destroys any thyroid cancer cells that were not removed during surgery or that have spread to other parts of the body.
Your doctor may also talk with you about other treatments for thyroid cancer. Learn more about thyroid cancer treatments at the National Cancer Institute.
Is There A Higher Risk Of Developing Thyroid Disease If I Have Diabetes
If you have diabetes, youre at a higher risk of developing a thyroid disease than people without diabetes. Type 1 diabetes is an autoimmune disorder. If you already have one autoimmune disorder, you are more likely to develop another one.
For people with type 2 diabetes, the risk is lower, but still there. If you have type 2 diabetes, youre more likely to develop a thyroid disease later in life.
Regular testing is recommended to check for thyroid issues. Those with type 1 diabetes may be tested more often immediately after diagnosis and then every year or so than people with type 2 diabetes. There isnt a regular schedule for testing if you have type 2 diabetes, however your healthcare provider may suggest a schedule for testing over time.
If you have diabetes and get a positive thyroid test, there are a few things to you can do to help feel the best possible. These tips include:
- Getting enough sleep.
- Taking all of your medications as directed.
- Getting tested regularly as directed by your healthcare provider.
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Should I Exercise If I Have A Thyroid Disease
Regular exercise is an important part of a healthy lifestyle. You do not need to change your exercise routine if you have a thyroid disease. Exercise does not drain your bodys thyroid hormones and it shouldnt hurt you to exercise. It is important to talk to your healthcare provider before you start a new exercise routine to make sure that its a good fit for you.
How I Got My Hashimotos Into Remission
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Hashimotos thyroiditis, more often referred to as just Hashimotos, is an autoimmune disease and considered to be the most common cause of Hypothyroidism , yet thyroid antibodies are often not tested by doctors, who refuse to acknowledge its importance.
However, discovering that I had Hashimotos with antibodies so high that the number they gave me was more than 1300, and bringing those numbers back down in to normal ranges, has made a significant improvement in my health.
When I revealed to you all that my Hashimotos was in remission for the first time ever in February 2019, I unsurprisingly received a huge amount of messages asking me how I did it. And although each persons thyroid journey is unique and what interventions or changes may help each thyroid patient can differ, I agreed to write a blog about what exactly helped me get my Hashimotos in to remission and antibodies lowered.
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Who Is At Risk For Thyroid Cancer
About three times as many women get thyroid cancer as men. The number of women with thyroid cancer is also going up. By 2020, the number of women with thyroid cancer is expected to double, from 34,000 women to more than 70,000 women.
Thyroid cancer is more common in women who:
- Are between the ages of 25 and 65
- Had radiation therapy to the head or neck, especially in childhood, to treat cancer
- Have a history of
- Have a family history of thyroid cancer
What Does The Thyroid Do
Your thyroid has an important job to do within your body releasing and controlling thyroid hormones that control metabolism. Metabolism is a process where the food you take into your body is transformed into energy. This energy is used throughout your entire body to keep many of your bodys systems working correctly. Think of your metabolism as a generator. It takes in raw energy and uses it to power something bigger.
The thyroid controls your metabolism with a few specific hormones T4 and T3 . These two hormones are created by the thyroid and they tell the bodys cells how much energy to use. When your thyroid works properly, it will maintain the right amount of hormones to keep your metabolism working at the right rate. As the hormones are used, the thyroid creates replacements.
This is all supervised by something called the pituitary gland. Located in the center of the skull, below your brain, the pituitary gland monitors and controls the amount of thyroid hormones in your bloodstream. When the pituitary gland senses a lack of thyroid hormones or a high level of hormones in your body, it will adjust the amounts with its own hormone. This hormone is called thyroid stimulating hormone . The TSH will be sent to the thyroid and it will tell the thyroid what needs to be done to get the body back to normal.
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Radioactive Iodine Uptake Test
A radioactive iodine uptake test, also called a thyroid uptake test, can help check thyroid function and find the cause of hyperthyroidism. The thyroid takes up iodine from the blood to make thyroid hormones, which is why this is called an uptake test. Your health care professional may ask you to avoid foods high in iodine, such as kelp, or medicines containing iodine for a week before the test.
For this test, you will swallow a small amount of radioactive iodine in liquid or capsule form. During the test, you will sit in a chair while a technician places a device called a gamma probe in front of your neck, near your thyroid gland. The probe measures how much radioactive iodine your thyroid takes up from your blood. Measurements are often taken 4 to 6 hours after you swallow the radioactive iodine and again at 24 hours. The test takes only a few minutes.
If your thyroid collects a large amount of radioactive iodine, you may have Graves disease, or one or more nodules that make too much thyroid hormone. You may have this test at the same time as a thyroid scan.
Even though the test uses a small amount of radiation and is thought to be safe, you should not have this test if you are pregnant or breastfeeding.
Causes Of An Underactive Thyroid
An underactive thyroid is when your thyroid gland doesn’t produce enough of the hormone thyroxine .
Most cases of an underactive thyroid are caused by the immune system attacking the thyroid gland and damaging it, or by damage that occurs as a result of treatments for thyroid cancer or an overactive thyroid.
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