How Do You Know If You Have A Thyroid Problem?
Take Dr. Donnica's Decisionnaire ™. Check off all the points that apply to you on the list of symptoms below and take this list with you when you consult your physician. If you have fatigue, plus two or more of these symptoms, or a family history of thyroid problems, see your physician sooner rather than later and ask if you should be tested. Your symptomatic and long-term treatment will be much more successful if started early. If you have any one of the symptoms indicated by an asterisk, call your doctor today. There are many causes for these symptoms other than thyroid disease, but in any case, they need prompt medical attention.
Hypothyroidism:
| ___ | Fatigue |
| ___ | Mood swings |
| ___ | Unexplained weight gain |
| ___ | Decreased appetite |
| ___ | Menstrual irregularities |
| ___ | Infertility |
| ___ | Forgetfulness |
| ___ | Dry coarse hair & skin |
| ___ | Hoarse voice |
| ___ | Cold intolerance |
| ___ | *Difficulty swallowing |
| ___ | Lack of energy |
| ___ | Muscle cramps/stiffness |
| ___ | Constipation |
| ___ | Hair loss |
| ___ | *Depression |
Hyperthyroidism:
| ___ | Irritability/nervousness |
| ___ | Muscle weakness/tremors |
| ___ | Unexplained weight loss |
| ___ | Increased appetite |
| ___ | Menstrual irregularities |
| ___ | Mood swings |
| ___ | Sleep disturbances/insomnia |
| ___ | *Enlarged thyroid (goiter) |
| ___ | Heat intolerance |
| ___ | *Palpitations |
| ___ | *Difficulty swallowing |
| ___ | *Visual changes |
| ___ | *Protruding eyes |
| ___ | Increased bowel movements |
| ___ | *Shortness of breath |
| ___ | Infertility |
| ___ | *Chest pain |
A characteristic sign of hyperthyroidism (especially Graves' disease) is "exopthalmos". This is a swelling of the tissues behind the eyes, which produces a characteristic protruding or bulging of the eyes. If you have this, see your doctor immediately. Hyperthyroid patients are also at increased risk for osteoporosis, or thinning of the bones, which in turn increases one's risk of fractures.
If hypothyroidism remains untreated, a cluster of symptoms called "myxedema" may appear. This includes a dull, expressionless face; thin hair; puffiness around the eyes; enlarged tongue; and thick skin that feels cool and doughy
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Created: 9/22/2000 - Donnica Moore, M.D.
If you have fatigue, plus two or more of these symptoms, or a family history of thyroid problems, see your physician sooner rather than later and ask if you should be tested. 
