Hypothyroidism May Cause Depression
Hypothyroidism is a condition in which the body lacks sufficient thyroid hormone. Since the main purpose of thyroid hormone is to “run the body’s metabolism”, it is understandable that people with this condition will have symptoms associated with a slow metabolism. Over five million Americans have this common medical condition
There are two fairly common causes of hypothyroidism:- The first is a result of previous (or currently ongoing) inflammation of the thyroid gland which leaves a large percentage of the cells of the thyroid damaged (or dead) and incapable of producing sufficient hormone. The most common cause of thyroid gland failure is called autoimmune thyroiditis (also called Hashimoto’s thyroiditis), a form of thyroid inflammation caused by the patient’s own immune system. The second major cause is the broad category of “medical treatments”. As noted on a number of our other pages, the treatment of many thyroid conditions warrants surgical removal of a portion or all of the thyroid gland. If the total mass of thyroid producing cells left within the body are not enough to meet the needs of the body, the patient will develop hypothyroidism. Remember, this is often the goal of the surgery as seen in surgery for thyroid cancer.
Occasionally, (often?) the result of radioactive iodine treatment will be that too many cells are damaged so the patient often becomes hypothyroid a year or two later. This is O.K. and usually greatly preferred over the original problem. There are several other rare causes of hypothyroidism, one of them being a completely “normal” thyroid gland which is not making enough hormone because of a problem in the pituitary gland. If the pituitary does not produce enough Thyroid Stimulating Hormone (TSH) then the thyroid simply does not have the “signal” to make hormone, so it doesn’t..
Symptoms of hypothyroidism:-
- Fatigue
- Weakness
- Weight gain or increased difficulty losing weight
- Coarse, dry hair
- Dry, rough pale skin
- Hair loss
- Cold intolerance (can’t tolerate the cold like those around you)
- Muscle cramps and frequent muscle aches
- Constipation
- Depression
- Irritability
- Memory loss
- Abnormal menstrual cycles
- Decreased libido
Each individual patient will have any number of these symptoms which will vary with the severity of the thyroid hormone deficiency and the length of time the body has been deprived of the proper amount of hormone. Some patients will have one of these symptoms as their main complaint, while another will not have that problem at all and will be suffering from a different symptom. Most will have a combination of a number of these symptoms. Occasionally, some patients with hypothyroidism have no symptoms at all, or they are just so subtle that they go unnoticed. Note: Although this may sound obvious, if you have these symptoms, you need to discuss them with your doctor and probably seek the skills of an endocrinologist. If you have already been diagnosed and treated for hypothyroidism and you continue to have any or all of these symptoms, you need to discuss it with your physician. Although treatment of hypothyroidism can be quite easy in some individuals, others will have a difficult time finding the right type and amount of replacement thyroid hormone.
How long will the effects last?
Usually hypothyroidism improves within a week after hormone therapy is begun. All symptoms go away within a few weeks. In most cases, however, you must continue this treatment for the rest of your life.
Mild hypothyroidism may cause no symptoms. If the disease progresses, however, it can become disabling over a long time if it is not treated. Untreated hypothyroidism may cause the following problems:
- enlargement of the heart and heart failure (rare)
- slowing of mental processes
- loss of consciousness.
If not treated, long-lasting thyroiditis can cause goiter, a swelling of the thyroid gland. This swelling may cause a big bulge in the neck.
How can I take care ?
Many people with hypothyroidism, especially older adults, don’t seek medical treatment because they don’t know they have a problem. They may accept their symptoms of fatigue, muscle weakness, dry skin, depression, feeling cold, and constipation as signs of aging. If you notice some of the symptoms of hypothyroidism, see your health care provider.
When you have hypothyroidism, be sure to:-
- Follow your provider’s instructions for taking your medicine.
- Get your thyroid hormone level checked when your provider suggests.
- Keep your follow-up appointments
What can be done to help prevent hypothyroidism?
Except in the case when it is caused by a lack of iodine in the diet, hypothyroidism cannot be prevented. However, treatment is simple and inexpensive