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The Latest on Symptoms in Hyperthyroidism

Hyperthyroidism can cause a wide variety of symptoms. Most people wont have all of the characteristic symptoms. Instead, theyll experience several predominant symptoms. These symptoms can change over time and they can vary in severity. For many years, typical 10 symptoms of hyperthyroidism, such as excess sweating, muscle weakness, heat tolerance, fatigue, tremor, increased heart rate, anxiety and nervousness have been recognized.IN recent years, a number of other less typical symptoms, many of which occur outside of hyperthyroidism, have been found to occur as a result of hyperthyroidism. For instance, symptoms of headache, vomiting, high blood calcium and low potassium have been found to occur in hyperthyroidism, but sometime, because they are commonly seen in other conditions, the connection to hyperthyroidism isnt made. Similarly, hyperactivity in attention deficit disorders has been linked to excess thyroid hormone, but often, this connection isnt considered. In hypokalemic periodic paralysis, patients with hyperthyroidism develop low blood potassium, which can result in temporary paralysis. This condition was originally described in Asian men, but has since found in all races and in women although it occurs more often in men. The sudden drop in potassium typically occurs after exercise or following ingestion of high amounts of carbohydrates or sodium. Paralysis typically begins in the proximal muscles and is worst in the lower legs. Patients with hypokalemic paralysis may become paralyzed after sitting or lying down and may awaken from deep sleep unable to rise from bed. Beta-blockers improve

this condition but complete resolution doesnt occur until the thyroid hormone levels are lowered. Similarly, serum calcium levels may rise in hyperthyroidism, sometimes to a significant degree. This occurs as the hypermetabolic state causes increased withdrawal of calcium from bones. The sudden onset of hypercalcemia may cause appetite loss, usually in contrast to the usual increased appetite typically seen in hyperthyroidism. This can cause significant bone loss over time, particularly in women. With treatment for hyperthyroidism, this condition improves.