Also listed as: Thyroid inflammation
Thyroiditis is an inflammation of the thyroid gland. There are several types of thyroiditis. Most result in three phases: overactive thyroid (hyperthyroidism), underactive thyroid (hypothyroidism), and return to normal. When the thyroid is inflamed, it often releases an excess of thyroid hormone, resulting in hyperthyroidism. As the supply of thyroid hormone is depleted, the body has too little, and hypothyroidism the results. Young to middle-aged women seem most at risk, although some forms of thyroiditis occur in both men and women of all ages. With some forms, hypothyroidism may develop years later even if the thyroiditis has resolved.
Depending on the type of thyroiditis, the thyroid gland can have one of the following characteristics:
You may also have one or more of the following symptoms:
Immune disorders, viruses, and fever disorders can cause thyroiditis. Sometimes thyroiditis develops if you have Graves' disease (an autoimmune disorder that causes hyperthyroidism). In some cases, there is no identifiable cause.
Your health care provider will feel your neck to see what the thyroid gland feels like and may order blood tests to check the levels of thyroid hormones and other factors. You may be given pain medication or something to help you feel more normal.
Natural medicine practitioners often take a different view of laboratory analysis of thyroid function. Many naturally oriented physicians pay particular attention to levels of T3 hormone, the active form of thyroid hormone that is converted in the body from T4, an inactive thyroid hormone. Conventional lab tests usually monitor T4 and thyroid stimulating hormone (TSH) without examining levels of T3. People with hypothyroidism may be treated with T4 to bring their levels of T4 to normal limits. Meanwhile, if you are unable to convert T4 to T3, your tests may be normal but you may still experience the symptoms of hypothyroidism. Talk to your doctor about including T3 lab tests in the treatment of hypothyroidism.
Thyroiditis generally involves three phases: overactive phase, underactive phase, and return to normal. Treatment is individualized to type and phase.
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Depending on the particular type of thyroiditis, a physician may prescribe one or some of the following treatments:
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Rarely, partial thyroid removal may relieve pressure.
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Alternative therapies can help when used along with the medications your health care provider prescribes, but do not replace your conventional medications.
Your health care provider may also recommend specific nutritional supplements for a hyperthyroid or hypothyroid condition.
Herbs are generally a safe way to strengthen and tone the body's systems. As with any therapy, you should work with your health care provider to get your problem diagnosed before starting any treatment. You may use herbs as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, you should make teas with 1 tsp. herb per cup of hot water. Steep covered 5 - 10 minutes for leaf or flowers, and 10 - 20 minutes for roots. Drink 2 - 4 cups per day. You may use tinctures alone or in combination as noted.
Talk to your health care provider before taking herbs for thyroiditis, particularly if you are also taking prescription medication.
For hyperthyroid conditions:
For hypothyroid conditions:
You should carefully monitor any treatment for lowering or raising thyroid function because thyroiditis may switch from hyperthyroidism to hypothyroidism very quickly.
Homeopathy may be useful as a supportive therapy for both "hyper" and "hypo" conditions of the thyroid.
Exercise helps improve thyroid function for both hypothyroidism and hyperthyroidism..
Acupuncture may help correct hormonal imbalances and address underlying deficiencies and excesses involved in thyroiditis.
Therapeutic massage may relieve stress and increase the sense of well-being.
You may need to see your health care provider each year.
If you are pregnant or just had a baby, you may develop Hashimoto's thyroiditis.
Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Boston, Mass: Integrative Medicine Communications; 1998:432.
The Burton Goldberg Group, compilers. Alternative Medicine: The Definitive Guide. Tiburon, Calif: Future Medicine Publishing Inc; 1997.
Ferri FF. Ferri's Clinical Advisor: Instant Diagnosis and Treatment. St. Louis, Mo: Mosby-Year Book;1999.
Hoffman D. The New Holistic Herbal. New York, NY: Barnes & Noble Books; 1995:95.
Messina M, Redmond G. Effects of soy protein and soybean isoflavones on thyroid function in healthy adults and hypothyroid patients: a review of the relevant literature. Thyroid . 2006 Mar;16(3):249-58.
Murray MT, Pizzorno JE. Encyclopedia of Natural Medicine. 2nd ed. Rocklin, Calif: Prima Publishing; 1998:386-390.
Noble J, ed. Textbook of Primary Care Medicine. 2nd ed. St. Louis, Mo: Mosby-Year Book; 1996.
Panda S, Kar A. Changes in thyroid hormone concentrations after administration of ashwagandha root extract to adult male mice. J Pharm Pharmacol . 1998;50:1065-1068.
Roger PP, Servais P. Dumont JE. Regulation of dog thyroid epithelial cell cycle by forskolin, an adenylate cyclase activator. Exp Cell Res . 1990;172:282-92.
Tierney LM Jr, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis and Treatment. Norwalk, Conn: Appleton & Lange; 1994.
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