You’re never too old to have an underactive thyroid
When a person’s thyroid hormone level gets too low, nearly every system
in the body is affected. An under-active thyroid (hypothyroidism) can set
off a wide range of symptoms that can include fatigue, depression,
weight gain, constipation, and dry skin.
While typical of an under-active thyroid, all
those symptoms could be easily attributed to other medical problems. And
in people over 60, symptoms of hypothyroidism can be more confusing.
Any of the following health issues in a person over 60, alone or in
combination, could mean an underlying thyroid problem.
- Unexplained high cholesterol. High
cholesterol is sometimes the only evidence of an under-active thyroid in
an older person. Because this may be the only symptom, a high
cholesterol level warrants a thyroid evaluation.
- Heart failure. Some of the effects of low
thyroid hormone levels — for example, reduced blood volume, weaker
contractions of the heart muscle, and a slower heart rate — may
contribute to heart failure. (Heart failure describes a condition in
which the heart doesn’t pump blood effectively to the muscles and organs
of the body.) Symptoms of heart failure include breathlessness,
swelling in the ankles, weakness, and fatigue.
- Bowel movement changes. An older person
with hypothyroidism might have constipation because of decreased
movement of stool through the bowels. Less often, an older person will
have frequent bouts of diarrhea, which is more typically a symptom of an
overactive thyroid. Persistent or severe diarrhea in an older person
always warrants a call to the doctor.
- Joint or muscle pain. Vague joint pain is
a classic symptom of hypothyroidism. It sometimes is the only symptom
of hypothyroidism in an older patient, although many experience an
overall muscular aching, particularly in large muscle groups.
- Mental health concerns. As with younger
people, depression is common among older people with an under-active
thyroid. The difference is that in older people, it can be the only
symptom. An older person could also develop other psychiatric symptoms,
including delusions or hallucinations.
- Dementia. Debilitating memory loss —
often, but not always, accompanied by depression or some kind of
psychosis — can also occur as the only symptom of hypothyroidism. If you
or a loved one is being evaluated for dementia, be sure that thyroid
tests are part of the workup.
- Problems with balance. Abnormalities in the cerebellum at the back of the brain that occur with an under-active thyroid may lead to walking problems in older people.
(Courtesy: Harvard Newsletter)
Comments
Post a Comment