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• Goiter: A general term for thyroid swelling. Goiters can be harmless, or can represent iodine deficiency or a condition associated with thyroid inflammation called Hashimoto’s thyroiditis.

What Causes Them?

Goiters can occur when the thyroid gland produces either too much thyroid hormone ( hyperthyroidism) or not enough ( hypothyroidism). Much more rarely, the problem may arise when the pituitary gland stimulates thyroid growth to boost production of the hormone. Enlargement could also occur with normal production of thyroid hormone, such as a nontoxic multinodular gland.

Another type of thyroid growth, called a sporadic goiter, can form if your diet includes too many goiter-promoting foods, such as soybeans, rutabagas, cabbage, peaches, peanuts and spinach, meat grown with added hormones and chemcial feeds to speed growth. These foods can suppress the manufacture of thyroid hormone by interfering with your thyroid's ability to process iodide. Historically the most common cause used to be due to a lack of iodide in the diet, however in the 1920s iodized salt was introduced in the United States now making this a rare cause of goiters.

• Thyroiditis: Inflammation of the thyroid, usually from a viral infection or autoimmune condition. Thyroiditis can be painful, or have no symptoms at all.

Synonyms for thyroiditis;

·         Hashimoto's thyroiditis

·         Hashimoto's disease

·         Lymphadenoid goiter

·         Struma lymphomatosa

·         Goitrous autoimmune thyroiditis

·         Chronic thyroiditis

·         Hashimoto's syndrome

·         Grave’s disease

·         Postpartum thyroiditis

• Hyperthyroidism: Excessive thyroid hormone production. Hyperthyroidism is most often caused by Graves disease or an overactive thyroid nodule.

Having too much thyroid hormone can make a lot of things in your body speed up. You may lose weight quickly, have a fast heartbeat, sweat a lot, or feel nervous and moody. Or you may have no symptoms at all. Your doctor may discover that you have hyperthyroidism while doing a test for another reason.

Hyperthyroidism is easily treated. With treatment, you can lead a healthy life. Without treatment, hyperthyroidism can lead to serious heart problems, bone problems, and a dangerous condition called thyroid storm.

• Hypothyroidism: Low production of thyroid hormone. Thyroid damage caused by autoimmune disease is the most common cause of hypothyroidism .

What are the symptoms?

Hypothyroidism can cause many different symptoms, such as:

·         Feeling tired, weak, or depressed.

·         Dry skin and brittle nails.

·         Not being able to stand the cold.

·         Constipation.

·         Memory problems or having trouble thinking clearly.

·         Heavy or irregular menstrual periods.

Symptoms occur slowly over time. At first you might not notice them, or you might mistake them for normal aging. See your doctor if you have symptoms like these that get worse or won't go away.

• Graves disease: An autoimmune condition in which the thyroid is out of balance and is overstimulated, causing hyperthyroidism.

First described by Sir Robert Graves in the early 19th century, Graves' disease is one of the most common of all thyroid problems. It is also the leading cause of hyperthyroidism, a condition in which the thyroid gland produces excessive hormones.

What Causes It?

Hormones secreted by the thyroid gland control metabolism, or the speed at which the body converts food into energy. Metabolism is directly linked to the amount of hormones that circulate in the bloodstream. If, for some reason, the thyroid gland secretes an overabundance of these hormones, the body's metabolism goes into high gear, producing the pounding heart, sweating, trembling, and weight loss typically experienced by hyperthyroid people. Normally, the thyroid gets its production orders through another chemical called thyroid-stimulating hormone (TSH), released by the pituitary gland in the brain. But in Graves' disease, a malfunction in the body's immune system releases abnormal antibodies that mimic TSH. Spurred by these false signals to produce, the thyroid's hormone factories work overtime and exceed their normal quota.

Eye trouble -- usually in the form of inflamed and swollen eye muscles and tissues that can cause the eyeballs to protrude from their sockets -- is a distinguishing complication of Graves' disease. However, only a small percentage of all Graves' patients will experience this condition, known as exophthalmos. Even among those who do, the severity of their bout with Graves' has no bearing on the seriousness of the eye problem or how far the eyeballs protrude. In fact, it isn't clear whether such eye complications stem from Graves' disease itself or from a totally separate, yet closely linked, disorder. If you have developed exophthalmos, your eyes may ache and feel dry and irritated. Protruding eyeballs are prone to excessive tearing and redness, partly because the eyelids can no longer shelter them effectively from injury.

In severe cases of exophthalmos, which are rare, swollen eye muscles can put tremendous pressure on the optic nerve, possibly leading to partial blindness. Eye muscles weakened by long periods of inflammation can lose their ability to control movement, resulting in double vision.

Rarely, people develop a skin condition known as pretibial myxedema. It is a lumpy reddish thickening of the skin in front of the tibia. It is usually painless and is not serious. Like exophthalmos this condition does not necessarily begin with the onset of Graves’ nor does it correlate with the severity of the disease. 

• Thyroid storm: A rare form of hyperthyroidism in which extremely high thyroid hormone levels cause severe illness.

When the levels of thyroid hormones become very high in a patient who has hyperthyroidism, the symptoms get worse and can result in a serious condition called thyroid storm. One major sign of thyroid storm that differentiates it from plain hyperthyroidism is a marked elevation of body temperature, which may be as high as 105-106 ºF. Thyroid storm is unusual, but when it occurs, it is a life-threatening emergency. People experiencing symptoms of thyroid storm should be taken to an emergency department.

Thyroid Storm Causes explained by Conventional Medical Terms

Infections, especially of the lung
Thyroid surgery in patients with overactive thyroid gland
Stopping medications given for hyperthyroidism
Too high of thyroid dose
Treatment with radioactive iodine
Pregnancy
Heart attack or heart emergencies

Thyroid Storm Symptoms

Rapid heart beats
Greatly increased body temperature
Chest pain
Shortness of breath
Anxiety and irritability
Disorientation
Increased sweating
Weakness
Heart failure

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