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Thyroiditis (Hashimoto's & subacute)

Thyreoiditis (Hashimoto et subacuta) · Zánět štítné žlázy (Hashimotova a subakutní tyreoiditida)

What it is

Immune or viral inflammation of the thyroid, often ending in underactivity.

Symptoms & signs

  • Neck tenderness
  • transient overactivity then underactivity
  • fatigue
  • goitre
  • post-viral onset in subacute type

🚩 Get help if…

  • see a doctor soon Very painful, tender neck with fever
  • see a doctor soon Racing or irregular heartbeat, tremor or weight loss
  • see a doctor soon Neck swelling that grows fast or makes swallowing hard
  • see a doctor soon Slowing down: tiredness, feeling cold and weight gain

Where it strikes

Medical treatment

  • NSAIDs or steroids for subacute pain
  • levothyroxine when underactive
  • monitor TSH through the phases

Natural & lifestyle

  • Selenium 200 µg (reduces antibodies)
  • adequate iodine, not excess
  • vitamin D
  • stress and sleep management

Emerging & experimental

  • Low-dose naltrexone trials
  • antigen-specific immunotherapy

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Myo-inositol with selenium — small trials lower antibodies and TSH early / small studies
  • Autoimmune paleo diet — a small uncontrolled study improved quality of life early / small studies

ICD codes