Where Is My Thyroid Gland
The thyroid gland is located at the front of the neck just below the Adam’s apple . It is butterfly-shaped and consists of two lobes located either side of the windpipe . A normal thyroid gland is not usually outwardly visible or able to be felt if finger pressure is applied to the neck.
Diagram showing the location of the thyroid gland in the neck. It has two lobes and sits in front of the windpipe . The voice box sits just above the thyroid.
The Glands Of The Endocrine System Are
Cortisol is an essential steroid hormone secreted by the adrenal gland and like many other physiological processes in the body has a circadian rhythm. A hormone produced by the adrenal gland that regulates key physical functions such as. The thyroid, which produces thyroid hormone In humans, the major endocrine glands are the thyroid gland and the adrenal glands. Normal individuals, without disease of the hypothalamopituitary adrenal in the suprachiasmatic nucleus which is located in the hypothalamus. The endocrine system is a system of glands that make hormones. The glands of the endocrine system are Cortisol mediates the physiological effects of this axis which include effects on the cardiovascular system, control of metabolic homeostasis, effect on connective tissue, modulation of the immune system, and effects on behavior and cognition.
Many of these hormones are part of regulatory hormonal Your body uses hormones to control growth, development, metabolism, reproduction, mood, and other functions. The endocrines feedback system helps control the balance of hormones in the bloodstream. If your body has too much or too little of a certain hormone, the feedback system signals the proper gland. The glands of the endocrine system are
S Of The Endocrine System
Many glands make up the endocrine system. The hypothalamus, pituitary gland, and pineal gland are in your brain. The thyroid and parathyroid glands are in your neck. The thymus is between your lungs, the adrenals are on top of your kidneys, and the pancreas is behind your stomach. Your ovaries or testes are in your pelvic region.
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Thyroid Follicles And Thyroid Function
The thyroid is highly vascular, meaning that it has a wealth of blood vessels. It is composed of follicles that absorb iodine, which is needed to produce thyroid hormones. These follicles store iodine and other substances necessary for thyroid hormone production. Surrounding the follicles are folliclar cells. These cells produce and secrete thyroid hormones into circulation via blood vessels. The thyroid also contains cells known as parafollicular cells. These cells are responsible for the production and secretion of the hormone calcitonin.
How The Thyroid Affects 11 Different Systems Of The Body
- 8 years ago
The Thyroid Affects So Many Parts of the Body
In todays health care system there are many specialists. It is easy to lose track of the fact that the body is a group of ecosystems, all interconnected and interacting. The thyroid is a perfect example of all these complex interactions and connections.
I have been a long time student of Dr. Datis Kharrazian, one of the leading experts of the treatment of the thyroid with functional medicine and author of the book, Why Do I Still Have Thyroid Symptoms When My Lab Tests Are Normal?. . The material in this post comes from some of my studies with him and from a book called The Thyroid, A Fundamental and Clinical Text, by Braverman and Utiger.
The body is not just a bunch of unrelated machine parts. Everything is connected in some way.
When you have Hashimotos, chances are good that you have symptoms in some other areas of your body. Read on and you will understand why.
The Thyroid Directly Influences 11 Different Systems in the Body
Thats right, 11. In this 2 part blog post we will introduce each one of them briefly and also discuss how these connections affect Hashimotos patients. I will also be exploring all of these in more depth in future posts. Please let me know what interests you.
1. Bones and bone growth
2. Blood sugar metabolism
4. Cholesterol and other fats in the blood
11. Red blood cell metabolism
Thyroid and Bone
In children, a lack of thyroid hormones will affect normal growth.
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How Much Does The Test Cost
The cost of a thyroid panel depends on your insurance coverage and where the test is performed. If ordered by a doctor, insurance normally covers a thyroid panel except for any patient cost-sharing such as copays or deductibles. Check with your health plan and health care provider for specific cost details.
At-home thyroid tests usually cost less than $150, which includes the cost of shipping your blood sample to the lab.
What Are The Kinds Of Autoimmune Thyroid Disorders
Autoimmune thyroid disorders can cause hyperthyroidism or hypothyroidism. Hyperthyroidism is when the thyroid gland makes too much thyroid hormone. Graves disease is the most common kind of autoimmune hyperthyroidism. Hypothyroidism is when the thyroid gland does not make enough thyroid hormone. Hashimoto thyroiditis is the most common kind of autoimmune hypothyroidism.
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What Are The Complications Of Hypothyroidism
Hypothyroidism can contribute to high cholesterol. If you have high cholesterol, you should get tested for hypothyroidism. Rarely, severe untreated hypothyroidism may lead to myxedema coma, an extreme form of hypothyroidism in which the bodys functions slow to a life-threatening point. Myxedema coma requires immediate medical treatment.
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Anatomy Of The Endocrine System
The endocrine system is a complex network of glands and organs. It uses hormones to control and coordinate your bodys metabolism, energy level, reproduction, growth and development, and response to injury, stress, and mood. The following are integral parts of the endocrine system:
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What Are The Different Symptoms Of Thyroid Disease
Hypothyroid symptoms can include:
A thyroid nodule may not be detected or felt unless it starts to hurt or increase in size. It is sporadic to have such symptoms as only a very few numbers of individuals develop cancerous nodules. However, the cyst can be felt in the throat when the doctor investigates. The cyst may contain blood or fluid.
To conclude: the symptoms mentioned above may not necessarily happen to you. There are high chances that the symptoms may determine what type of thyroid disease you have. But the doctors cannot diagnose the thyroid type only considering your symptoms. The test is necessary to manage the symptoms.
What Is Thyroid Disease
Thyroid disease is a general term for a medical condition that keeps your thyroid from making the right amount of hormones. Your thyroid typically makes hormones that keep your body functioning normally. When the thyroid makes too much thyroid hormone, your body uses energy too quickly. This is called hyperthyroidism. Using energy too quickly will do more than make you tired it can make your heart beat faster, cause you to lose weight without trying and even make you feel nervous. On the flip-side of this, your thyroid can make too little thyroid hormone. This is called hypothyroidism. When you have too little thyroid hormone in your body, it can make you feel tired, you might gain weight and you may even be unable to tolerate cold temperatures.
These two main disorders can be caused by a variety of conditions. They can also be passed down through families .
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When To See A Doctor
Leg cramps are not usually a cause for concern, but sometimes they can indicate an underlying problem. If cramps are severe or happen frequently, it may be a good idea to seek medical advice.
The doctor may carry out tests to try to identify an underlying cause. If the person is taking medications that can trigger cramps, the doctor may adjust the dose or change the drug.
Heated Food In Plastic
Think twice before reheating your plastic bowl of takeout soup or keeping that frozen dinner in its original container when you microwave it. Put it on a plate or in a bowl made from ceramics like bone china, stoneware, porcelain or glazed earthenware. Your thyroid is part of your endocrine system, and you can disrupt it by heating food in plastic. The National Institute of Environmental Health Sciences says endocrine disruptors are in many everyday plastic products, including bottles, food, and containers with BPA. Endocrine disruptors work by mimicking naturally occurring hormones in the body, like thyroid hormones.
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Hashimotos And Calf Pain Causes
The cause may be due to inadequate blood flow to the muscle resulting in a lack of oxygen. Standing for long periods can affect circulation and overtax calf muscles, so can over-exertion, which can also lead to muscle fatigue.
Heavy sweating during exercise can upset mineral balances your muscles react by cramping. Other possible causes are varicose veins, problems inside the arteries, nervous-system disorders and alcohol or nicotine abuse.
Cramps during the night may result from either daytime exertion or the toes remaining still in a pointed position. Underlying illness should always be ruled out if regular cramping occurs.
In my eBook Hashimotos: Finding Joy in the Journey, I shared my experience about intense and excruciating calf pain. The pain would begin almost immediately whenever I took even a short walk. My calves started cramping very soon after my first few steps into the walk. The pain felt like a stiffening/contracting of the muscles to the point that if I took one more step my calves would break. Thats the only way I know how to describe it. There were many times I couldnt make it back home of foot and my husband would have to go back, get the car and pick me up. Although it was only a short distance away, I was too heavy at the time to be carried. The pain of not being able to take a normal walk brought on not only embarrassment and tears, deep down I was filled with a lot of fear.
I was scared something very serious was wrong with me.
Treatment Of Muscle Cramps
If a disorder that can cause muscle cramps is identified, it is treated.
If a cramp occurs, stretching the affected muscle often relieves the cramp. For example, for a calf cramp, the person could use a hand to pull the foot and toes upward or could do the runners stretch. Massage may temporarily relieve some types of cramps.
Most of the drugs prescribed to prevent cramps from recurring have not proved to be effective, and they can have side effects. Quinine is no longer recommended as treatment for muscle cramps because of its side effects, such as abnormal heart rhythms, vomiting, vision problems, ringing in the ears, and headaches. Mexiletine sometimes helps but also has many side effects, such as nausea, vomiting, tremors , and seizures.
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Hypothyroidism Increases Water Retention
Water retention occurs when excess fluids accumulate in the body. It takes place in the circulatory system or within tissues and cavities. Various factors can contribute to water retention, and hypothyroidism is one of them.
As seen above in this post, hypothyroidism leads to weight gain and changes in body composition. But not the whole weight gain is due to the buildup of fat. Weight gain in hypothyroidism is a complex process, and most of the extra pounds that people put on are due to excessive buildup of water and salt i.e., fluid retention.
Therefore, due to the fact that hypothyroidism causes water retention patients will notice swelling in their face. Besides facial swelling, people with hypothyroidism may also notice swelling in their hands, wrists, legs, ankles, and feet.
Why hypothyroidism causes water retention, youre probably wondering. It all comes down to the role of thyroid hormones in metabolism. As seen above, thyroid hormones regulate metabolic rate. In hypothyroidism, the gland produces lower levels of thyroid hormones, and as a result, the metabolic rate slows down.
This causes a chain of reactions that also makes the body hang on to water and salt. The amount of water the body retains depends on the severity of the condition. For example, the more severe hypothyroidism, the more water you retain, the more weight you gain, and facial swelling becomes more noticeable.
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Strengthen Your Muscles To Help Rev Weight Loss Easing Joint Pain
Equally important is strength training because stronger muscles also directly help protect nearby joints, not to mention improve your balance, control your weight, and maintain bone strength, notes the Mayo Clinic.
For example, strengthening exercises, such as squats, lunges, and leg lifts, develop the muscles that support the knees. If youre new to this type of exercise, start slow with 15 repetitions of each move, says Igor Klibanov, founder of Fitness Solutions Plus and author of Unlimited Progress: How You Can Unlock Your Bodys Potential. Then build up to three sets of 15 reps each.
For strength training frequency, Grieger also points her clients to the aforementioned guidelines, which recommend performing these exercises as much as you can but ideally at least two days per week. Try to ensure that the exercises activate all major muscle groups.
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What Common Symptoms Can Happen With Thyroid Disease
There are a variety of symptoms you could experience if you have a thyroid disease. Unfortunately, symptoms of a thyroid condition are often very similar to the signs of other medical conditions and stages of life. This can make it difficult to know if your symptoms are related to a thyroid issue or something else entirely.
For the most part, the symptoms of thyroid disease can be divided into two groups those related to having too much thyroid hormone and those related to having too little thyroid hormone .
Symptoms of an overactive thyroid can include:
- Experiencing anxiety, irritability and nervousness.
- Having trouble sleeping.
- Experiencing an intolerance to cold temperatures.
Billing And Coding Laboratory Panels And Their Components
Health insurance companies reimburse clinical laboratories and hospital laboratories for microbiological, serological, chemical, hematological, biophysical, radiobioassay, cytological, immunohematological, immunological, pathological, or other examinations that provide information for evaluating a medical condition or for the diagnosis, prevention, or treatment of any disease. Laboratory panels or chemistry panels are groups of tests that are ordered together for a specified member on a specified day. Experienced coders in medical coding companies are well-versed about the billing guidelines and codes for laboratory panel procedures as well as individual component procedures.
Common Chemistry Panels
Reporting Clinical Laboratory Panels Points to Note
According to CPT, panels were developed for coding purposes only and should not be interpreted as clinical parameters. The test are listed with each panel identify the defined components of the panel. These panel components are not intended to limit the performance of other test. If one performs tests in addition to those specifically indicated for a particular panel, those tests should be reported separately in addition to the panel code.
Reimbursement would depend on the number of tests billed on the same day, by the same provider, for the same beneficiary.
2017 Laboratory Panel CPT Codes
Here are the CPT codes for laboratory panels and their components:
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How The Immune System Responds To Food
There are a couple of ways the immune system responds to foodmainly, food allergies and food sensitivities.
Youre probably pretty aware of the effects of food allergies. Jane eats shellfish. Janes face blows up like a balloon and goes to the ER.
Breathing difficulties, hives, and swelling are common. These IgE reactions are immediate and involve a particular part of the immune system in their reaction.
However, there are other branches of the immune system that also cause different, delayed food reactions. Known as food sensitivities, these can occur up to 3 days after eating a problematic food.
Food sensitivities can include symptoms such as:
- Headaches and migraines
- Irritability, anxiety and depression
- GI symptoms such as gas and bloating
While food sensitivities can vary from person to person, there are some foods that are known to have a big effect on the GI tract in everyone.
Lets take a closer look at the effects of these foods to avoid for Hashimotos and autoimmunity.
Goiter Diagnosis And Treatment
Your doctor will feel your neck area and have you swallow during a routine physical exam. Blood tests will reveal the levels of thyroid hormone, TSH, and antibodies in your bloodstream. This will diagnose thyroid disorders that are often a cause of goiter. An ultrasound of the thyroid can check for swelling or nodules.
Goiter is usually treated only when it becomes severe enough to cause symptoms. You can take small doses of iodine if goiter is the result of iodine deficiency. Radioactive iodine can shrink the thyroid gland. Surgery will remove all or part of the gland. The treatments usually overlap because goiter is often a symptom of hyperthyroidism.
Goiters are often associated with highly treatable thyroid disorders, such as Graves disease. Although goiters arent usually a cause for concern, they can cause serious complications if theyre left untreated. These complications can include difficulty breathing and swallowing.
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Anatomy Of The Thyroid Gland
The thyroid arises from a downward outpouching of the floor of the pharynx, and a persisting remnant of this migration is known as a thyroglossal duct. The gland itself consists of two oblong lobes lying on either side of the trachea and connected by a narrow band of tissue called the isthmus. In normal adults the thyroid gland weighs 10 to 15 grams , though it has the capacity to grow much larger.
The lobes of the gland, as well as the isthmus, contain many small globular sacs called follicles. The follicles are lined with follicular cells and are filled with a fluid known as colloid that contains the prohormone thyroglobulin. The follicular cells contain the enzymes needed to synthesize thyroglobulin, as well as the enzymes needed to release thyroid hormone from thyroglobulin. When thyroid hormones are needed, thyroglobulin is reabsorbed from the colloid in the follicular lumen into the cells, where it is split into its component parts, including the two thyroid hormones thyroxine and triiodothyronine . The hormones are then released, passing from the cells into the circulation.