Archives for: March 2008
As with all cancer diagnoses, the earlier thyroid cancer can be diagnosed, the better.
Could it Be Thyroid Cancer? A Review of Common Thyroid Cancer Symptoms
Even as most other types of cancer have declined in recent years, thyroid cancer cases have dramatically increased in number. Between the thirty-year period from 1972 to 2002, diagnoses of thyroid cancer nearly doubled in the United States alone. According to public health data, American doctors diagnose nearly 32,000 cases of thyroid cancer each year. Approximately 1500 deaths from thyroid cancer are recorded annually in the United States.

Scientists are split on the question of why thyroid cancer rates are increasing. Some have contended that factors like pollution or other environmental contaminants may be to blame, while others assert that advances in diagnostic procedures are behind the dramatic increase in thyroid cancer rates. The controversy has sparked a great deal of research interest in recent years.
As with all cancer diagnoses, the earlier thyroid cancer can be diagnosed, the more likely it is that the patient will have a favorable outcome. In order to boost the likelihood that you would be able to beat thyroid cancer, it’s important to familiarize yourself with the common signs and symptoms of the disease. This week, we’ll take a look at some of the most frequently cited early symptoms of thyroid cancer.
Common Signs and Symptoms of Thyroid Cancer
Every case of thyroid cancer proceeds differently, so it can be difficult to predict the way that each individual will experience the first signs of the disease. In many cases, the patient may not notice any early symptoms at all. In other cases, the symptoms of thyroid cancer may begin so gradually that they might be easy to miss.
Individuals with thyroid cancer experience abnormal cell growth in the area of the thyroid gland. In some cases, this cell growth results in small nodules on the surface of the thyroid gland, while in other cases, it can cause large tumors that can deform the gland. That is why the symptoms experienced by the patient often relate to the changes in the shape and size of the thyroid gland that have been caused by abnormal cell growth.
Symptoms that could indicate thyroid cancer include:
- A lump, bump, or unusual shape in your neck, directly beneath the “Adam’s apple” area
- Hoarseness or a change in voice that doesn’t go away
- Trouble swallowing or a persistent feeling that something is stuck in your throat
- Difficulty breathing or a feeling that you can’t catch your breath
- Swollen, tender lymph nodes, particularly in the neck area
- Sudden or ongoing pain in the throat and neck, sometimes radiating as far as your ears
Remember, even if you are experiencing one or more of these symptoms, that’s not a certain sign that you have thyroid cancer. Only a licensed physician is equipped to offer a personalized diagnosis. However, if you are experiencing any of these signs, or if you have begun to notice a general decline in your overall health, it’s crucial that you visit your doctor as soon as possible to determine whether thyroid cancer could be to blame. It is, quite literally, a matter of life or death. The earlier you address your health problems, the better your prognosis will be.
Understanding Thyroid Cancer Risk
Considering the mysterious increase in thyroid cancer that has occurred in recent years, it is important for everyone to be aware of the major symptoms of the disease. However, it is especially important to be vigilant for signs of thyroid cancer if you happen to fall into a high-risk category. People with certain health backgrounds and other factors stand a much greater chance of developing the disease.
Major risk factors for thyroid cancer include:
- Exposure to radiation, especially in early childhood
- Female sex
- A family history of thyroid cancer or other thyroid problems
- Genetic disorders such as Gardner's syndrome, familial adenomatous polyposis, or Cowden’s disease
- A history of pregnancy past the age of 30
- Age: some thyroid cancers tend to strike children and young adults, while others are concentrated in the 50+ age group
- Demographic group: Caucasians are much more likely to develop thyroid cancer than those of other races
If you’re concerned about thyroid cancer, talk to your doctor for an in-depth evaluation of your risk profiled. And please don’t forget to check back each week for more of the thyroid health news you need.
Mental and Emotional Effects of Thyroid Disorders
Unusual Thyroid Symptoms: How Thyroid Disorders Impact the Mind
In recent years, thyroid disorders have begin to receive a great deal of media attention. The mystery behind rising thyroid cancer rates has garnered a lot of press coverage, while the revelation of talk show host’s Oprah Winfrey’s thyroid issues sparked a spike in interest.

As a result of this media coverage, most of the common symptoms of thyroid disorders are now much more widely recognized than they were in the past. According to a number of thyroid health advocacy groups, public awareness of many thyroid disorders – especially hypothyroidism – is at an all-time high.
Today, the lethargy, depression, fogginess, and weight gain that millions of people – especially women – have long suffered in silence are now recognized as stemming from underactive thyroids. New advances in thyroid medication mean that even cases that once would have gone diagnosed and untreated are being addressed.
However, while significant advances have been made in increasing awareness of common thyroid symptoms, there’s just one problem – not every thyroid disorder has the same type of symptoms. While the common signs of hypothyroidism point the way to a large number of cases, some patients experience a different set of symptoms altogether – symptoms that manifest themselves not as physical problems, but as mental and emotional problems.
This week, we’ll take a look at some of the lesser-known symptoms of thyroid disorders that involve mental, emotional, psychological, and cognitive disturbances. Though less common than the physical signs of thyroid disorders, these mental and emotional symptoms are equally, if not more, debilitating to the patients who experience them.
Mental and Emotional Signs of Hypothyroidism
An underactive thyroid gland is behind the common condition known as hypothyroidism. Women are particularly vulnerable to this condition. In the majority of cases, the onset of hypothyroidism is marked by an increase in feelings of fatigue and lethargy, weight gain, a lack of motivation, and depression.
In some cases, hypothyroidism often develops very slowly, and it can be difficult to detect during the early stages. For some patients, emotional and mental changes are the first signs that something may be amiss. However, because of the sometimes-slow development of the disorder, patients may not attribute the mental and emotional changes to a physical disease. Instead, they may assume that these feelings are psychological and situational in nature.
In fact, medical practitioners often have the same difficulty distinguishing between mental and emotional distress that is caused by a patient’s personality, life experiences, and temperament and that which has its origins in a physical illness.
The two often feed off one another, as the experience of having an undiagnosed and untreated illness can spark genuine feelings of hopelessness and despair. Still, inexplicable or substantial changes in your emotional state could have a physical cause, and should be brought to the attention of your doctor.
Common mental and emotional symptoms of hypothyroidism can include:
- A feeling of mental fogginess and slowed thinking
- Loss of motivation and enthusiasm
- Difficulty with short- and long-term memory
- A decline in analytical ability and comprehension
- Hopelessness and depression
- Paranoid thought patterns
- In severe cases, confusion and disorientation
Mental and Emotional Signs of Hyperthyroidism
The condition caused by an overactive thyroid gland is known as hyperthyroidism. The disease is much rarer than hypothyroidism, and typically, its symptoms are easier to detect.
An overactive thyroid gland speeds up many of the body’s normal functions, so patients with hyperthyroidism often experience symptoms such as a racing heart rate, rapid breathing, and restlessness.
The same patterns that underlie the physical signs of hyperthyroidism also cause the disorder’s mental and cognitive symptoms. In essence, hyperthyroid patients often find themselves on an emotional roller coaster that speeds rapidly through different frames of mind. If you or a loved one has observed any of the following symptoms, please bring them to the attention of your doctor as soon as possible.
Common mental and emotional symptoms of hyperthyroidism can include:
- Severe anxiety, stress, and tension
- Rapid mood swings
- Irritability
- Marked impatience
- Hyperactivity and restlessness
- Periods of fluctuating anxiety and depression
Although the mental and emotional symptoms of thyroid disorders can be distressing, the good news is that they tend to disappear quickly when the underlying endocrine imbalance is properly treated. Talk to your physician for a personalized assessment of any unusual emotional symptoms you’ve experienced.
The latest news on thyroid medications
New Breakthroughs and Discoveries in Thyroid Medication
Being diagnosed with a thyroid disorder can be a profoundly life-changing experience. For many newly-diagnosed patients, learning that most thyroid disorders are incurable and require life-long treatment can be daunting and depressing.
But recent advances in thyroid treatments make it possible for most people with thyroid disorders to enjoy full health and quality of life. Today’s sophisticated thyroid medications are precisely calibrated to target even minute variations in thyroid function and compensate for any surpluses or deficiencies in the body’s supplies of thyroid hormones.

There’s just one catch – because even small changes in thyroid function can cause major health problems, patients with thyroid disorders have to adhere very closely to their prescribed regimen of medication. Not only do you have to follow your doctor’s dosage and schedule instructions to the letter, but you also have to be on the lookout for other problems, such as potential reactions with other medications and short- and long-term supply issues.
Thyroid Medication and the Patients' Responsibility
Being a model thyroid patient also entails staying on top of new and emerging treatments for thyroid disorders. By keeping in close contact with your physician, you will increase the two-way communication which will help you to learn more about new treatment plans. This week, we’ll take a look at a few recent studies and reports that have offered up the latest news on thyroid medications.

Generic Version of Popular Hypothyroidism Medication Now Widely Available
Some patients who have been prescribed the popular hypothyroidism drug Synthroid have complained about the high costs involved with an ongoing, permanent drug regimen. The leading thyroid drug, manufactured by pharmaceutical Abbott Laboratories, can be costly, particularly for patients without medical insurance.
Although up-and-coming pharmaceutical manufacturer Mylan received FDA approval for its generic version of Synthroid in 2004, the company has encountered resistance in making the generic drug available to consumers. In addition to standard procedural delays, many state-level court cases had to be filed before the drug was admitted to approved drug lists across the country.
However, with news of a recent approval in state court in Florida, it appears that the tide may be turning for Mylan’s generic formulation. Only a few pending cases are left to be decided, and company representatives are confident that consumers across the United States will soon have full access to the drug.
Frequently-Prescribed Antibiotic May Interfere with Thyroid Medication
Among short-term drug regimens, antibiotics rank among the most frequently prescribed medications, and among antibiotics, the drug ciprofloxacin is many physicians’ first choice in the treatment of common ailments such as urinary tract infections and sexually transmitted diseases.
However, according to a recent bulletin published in the British Medical Journal, ciprofloxacin – which is commonly sold under the names Cipro, Ciproxin, Ciflox, and Ciprobay – may interfere with the thyroid-regulating action of levothyroxine, the most popular pharmaceutical treatment for hypothyroidism.
The study described the experience of one young woman with hypothyroidism who was prescribed the antibiotic ciprofloxacin. Within a period of a month, her thyroid hormone levels began fluctuating significantly, and her longstanding dosage of levothyroxine appeared to be inadequate to control her TSH levels.
Although the scientists who published the study did not offer a definitive conclusion, they hypothesized that something in the interaction between levothyroxine and ciprofloxacin may limit the body’s ability to absorb the levothyroxine properly. This, in turn, limits the ability of the drug to regulate thyroid hormone levels as intended. Patients with hypothyroidism should alert their physicians to the possibility of a negative drug interaction when being prescribed antibiotics, or any other type of medication.
Current Medication Protocol for Post-Op Thyroid Treatment Redundant, Study Shows
For some patients with thyroid cancer or advanced-stage thyroid disorders, surgical removal of the thyroid gland represents the best chance for restored health. However, because the thyroid gland plays such an important role in regulating the endocrine system and the body’s production and distribution of hormones, patients whose thyroid glands have been removed have to take thyroid hormone replacement drugs to compensate for the removed gland.

The longstanding protocol for patients whose thyroids have been removed is a combination of T3 and T4 hormones. Doctors surmised that because the thyroid gland is responsible for producing both of these hormones, patients without a thyroid gland would need to have both hormones artificially replaced.
However, the results of a recent study conducted by researchers at the Johns Hopkins University’s thyroid clinic found that even after thyroid gland removal, T3 levels often seem to regulate themselves without artificial replacement. In all but a few of the patients studied, post-surgery T3 levels remained stable. In only a few cases was a combination therapy that combined both T3 and T4 hormone replacement truly necessary.
If you’re concerned about finding the right thyroid medication regimen and sticking to it, consult with your doctor for the best insight into your unique health situation. Please check back each week for more of the breaking thyroid news you need!
Note: The contents of this blog are for informational purposes only and are not intended to be construed as medical advice or as a substitute for professional care. This site should not be used in place of professional medical advice. The author is not a physician. For medical emergencies, call 911!
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