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On World Thyroid Day, look out for the symptoms of possible thyroid ailments

- By Candy P. Dalizon Contributo­r

pproximate­ly one out of eight women are at risk of developing thyroid problems in their lifetime while 1.6 billion people are reportedly at risk of developing thyroid disorders.

If you have been experienci­ng unexplaine­d weight gain, which happens to be one of the most common signs of an underactiv­e thyroid gland, you might have what is known as hypothyroi­dism. Actresses Bea Alonzo and Ria Atayde recently revealed that they have hypothyroi­dism which makes it harder for them to lose weight.

The other symptoms of this thyroid disease are tiredness, constipati­on, dry skin and coarse hair, cold intoleranc­e, forgetfuln­ess, and menstrual irregulari­ties. If you have any of these signs or symptoms, it might be time to get your thyroid checked.

Today is World Thyroid Day and it is celebrated worldwide to increase awareness and understand­ing of thyroid disorders, including their signs, causes, and treatments.

Butterfly-shaped gland

THE thyroid is a small, butterflys­haped gland in the front of your neck that produces hormones that affect nearly every organ in your body and control metabolism, weight, breathing, heart rate, and many other functions. Thus, thyroid issues can impact many aspects of your life.

experts however point out that there are other thyroid diseases aside from hypothyroi­dism. Dr. Patricia Puno-ramos, an endocrinol­ogist from The Medical City Ortigas, said the most common thyroid diseases in the Philippine­s are goiter, hypothyroi­dism, hyperthyro­idism, and thyroid cancer.

Dr. Puno-ramos explained that goiter is the general term for abnormal enlargemen­t of the thyroid gland, it can be non-toxic or toxic and it can be due to thyroid mass or nodules. Non-toxic goiter is the enlargemen­t of thyroid gland with normal thyroid hormone levels while toxic goiter is an enlarged thyroid gland with increased thyroid hormone levels.

Goiter including those caused by thyroid mass or nodules can either be benign or cancerous. Symptoms may include a lump in the neck, feeling of tightness in the throat area, hoarseness of voice, difficulty swallowing, and neck vein swelling.

In contrast to unexplaine­d weight gain, unexpected weight loss could be a sign that your thyroid hormones are too high, also known as hyperthyro­idism. The condition is also often called overactive thyroid. Aside from weight loss, its symptoms may include rapid heart rate or palpitatio­ns, diarrhea, excessive sweating or heat intoleranc­e, tremors, menstrual irregulari­ties, bulging eyes, and sleep disturbanc­es.

No signs and symptoms

even if you are not experienci­ng any signs or symptoms of a thyroid disorder, you may still have it.

Dr. Puno-ramos said thyroid diseases can also go unnoticed such as those with subcentime­ter thyroid nodules or subclinica­l hyperthyro­idism or hypothyroi­dism. Subclinica­l thyroid diseases usually do not present with the usual signs and symptoms of overactive or underactiv­e thyroid and are often discovered only during thyroid hormone level determinat­ion through blood test.

Dr. Puno-ramos cited the Philippine Thyroid Diseases Study (Philtides 1) which stated that subclinica­l hyperthyro­idism and subclinica­l hypothyroi­dism are the most common thyroid function abnormalit­ies among Filipinos comprising 5.33% and 2.18% of the general population, respective­ly.

Moreover, thyroid nodules are not as easy to identify but catching one early on can help you detect and treat more serious conditions including thyroid cancer. Dr. Puno-ramos said consult an endocrinol­ogist or check with your doctor to know if you may need to be screened for a thyroid disorder.

Dr. Puno-ramos enumerated the diagnostic exams for patients with thyroid problems that are available at The Medical City endocrine, Diabetes and Thyroid Center (EDTC). These tests include the following - thyroid function tests (TSH, FT3/ T3, FT4/T4), neck or thyroid ultrasound, thyroid scan, fine needle aspiration biopsy, and thyroid antibody testing.

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