Hyperthyroidism or false hyperthyroidism?

Although it is nearly winter and the weather is getting colder and colder, Xiao Wang has always felt quite hot in the past month, sweating incessantly on his palms and body. Climbing the sixth floor, you can hear your heart plopping and beating incessantly, and your palpitation is severe. Moreover, the work is not satisfactory either. I quarreled with my colleagues at the slightest thing. What’s wrong with me?

Make full use of Internet resources

In order to understand what happened to him, Xiao Wang began to search the Internet for the answer.

There are many resources on the Internet, However, there are also many false information. Xiao Wang chose Clove Doctor, a subsidiary of Clove Garden, the largest medical Internet website in China, for inquiry (//dxy. Com). Clove Doctor is mainly aimed at understanding, even if he has not studied medicine, like Xiao Wang. He not only provides reliable functions of popular science of diseases, drug consultation and hospital inquiry, but also does not need to be cheated by false medical advertisements.

After Dr. Clove entered [fear of heat] in the search box, the article recommended to Xiao Wang was related to hyperthyroidism. Looking for an article, the more I looked at it, the more I felt like my own situation. Then I searched the next [hyperthyroidism] and understood the disease pertinently.

Doctor Clove described many of the symptoms of hyperthyroidism and his own situation on the right number, but he said [did he really have hyperthyroidism? ]

The end of online consultation is limited, and self-consultation autonomy needs to be considered twice.

Considering that Dr. Clove and professional doctors answer questions from time to time, Xiao Wang tried again. Fortunately, the doctor happened to be online.

Dr. Clove suggested that she go to the hospital for diagnosis as soon as possible. Although the existing manifestations are very similar to the symptoms of hyperthyroidism, the diagnosis can only be made after combining the results of thyroid function and other examinations.

I wanted to buy some medicine to eat myself, but I immediately gave up the idea.

After the consultation, Xiao Wang felt that he could not wait for a day and immediately came to the hospital.

After the doctor asked and examined Xiao Wang, he asked Xiao Wang not to worry and relax. Although there are symptoms of hyperthyroidism now, some examinations are still needed to make sure whether he really suffers from hyperthyroidism.

Is there any hyperthyroidism or [fake]?

After further examination, the doctor told her [you don’t have hyperthyroidism.]

Looking at Xiao Wang’s puzzled appearance, the doctor continued:

According to your blood drawing results, although the level of thyroid hormone conforms to the characteristics of hyperthyroidism (T3 and T4 increase and TSH decrease), the result of iodine absorption rate does not conform.

[True] The iodine absorption rate of hyperthyroidism will increase, while Xiao Wang’s iodine absorption rate will decrease.

Therefore, your hyperthyroidism is not [true] hyperthyroidism, but [false] hyperthyroidism, which is also called [painless thyroiditis] in medicine.

When suffering from painless thyroiditis, thyroid hormones will run out of the thyroid gland uncontrollably, resulting in an increase in the level of thyroid hormones in the body, resulting in symptoms of hyperthyroidism, such as fear of heat, hyperhidrosis, palpitation, impatience, etc.

The treatment for it is also very simple. As painless thyroiditis can heal itself, most of them can be reviewed and observed regularly, or symptomatic treatment can be given when the symptoms are serious, such as propranolol (propranolol) can be given when palpitation is obvious.

Anyway, I will be fine, so I don’t need a reexamination, do I?

As soon as the words were spoken, the doctor rejected them.

The doctor told him:

Regular reexamination is necessary. Some patients with painless thyroiditis may relapse in the future and need timely control when the symptoms are serious. Others may become lifelong hypothyroidism, requiring thyroid hormone supplementation.

Therefore, after the illness is cured, one should not be careless and need regular reexamination. Generally, it is reviewed once every six months to a year or so.

If there are suspicious symptoms, such as hyperthyroidism symptoms such as fear of heat, hyperhidrosis, palpitation and impatience, or suspected hypothyroidism symptoms such as fear of cold, fatigue, lethargy and hypomnesis, you also need to see a doctor in advance.

Advice of Dr. Clove

After returning home, Xiao Wang informed Dr. Clove of the doctor’s diagnosis. Thank you very much for sharing her experience with us.

At the same time, Dr. Clove should also emphasize several points in the same way:

Online inquiry can only be used as a means to understand this symptom and disease, and cannot be used as a basis for diagnosis, let alone self-diagnosis and autonomy based on online knowledge.

Like Xiao Wang, such typical [hyperthyroidism] symptoms are finally diagnosed as [false hyperthyroidism], which is also quite a few cases. Moreover, the same is hyperthyroidism, and different people have different treatment plans, which cannot be treated according to the gourd and gourd ladle!