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What are hyperthyroidism, hypothyroidism, and thyroid nodules?

Distinguish between hyperthyroidism and hypothyroidism test thyroid function seven can be clear, and thyroid nodules to do ultrasound to check out the general thyroid function test is seven, there is a h-TSH thyroid hormone, which is the normal range of 0.25-5, if you are higher than this value is hypothyroidism, lower than this value is hyperthyroidism, there are also four were T4 (thyroxine), T3 (triiodothyronine), FT4 (free thyroxine), FT3 free triiodothyronine), these four also have a normal value range, if higher than the normal value is hyperthyroidism, lower than this value is hyperthyroidism. FT4 (free thyroxine), FT3 free triiodothyronine), these four also have a normal value range, if higher than the normal value is hyperthyroidism, lower than the normal value is hypothyroidism, there are also two TGAB thyroglobulin antibody and TMAB thyroid microsomal antibody, these two are to check the antibody, the back also has a normal value range, usually will be normal. Since I'm a cured hyperthyroid, I'll share with you the labs I just found out about my hyperthyroidism!

Another way to differentiate between hyperthyroidism and hypothyroidism is to look at your body's symptoms. Generally, hyperthyroidism is weight loss, fast heartbeat, weakness, fear of heat, sweating, and vice versa for hypothyroidism.

And you said thyroid nodules, this is not visible on the thyroid function labs, you have to do ultrasound, an experienced doctor can tell if you are a thyroid nodule once he touches your neck!

Influenced by the rhythm of life, diet and nowadays all kinds of radiation, thyroid diseases are becoming more and more common, hyperthyroidism, hypothyroidism and thyroid nodules sometimes make people silly to distinguish.

Hyperthyroidism, known as hyperthyroidism, is a thyrotoxicosis caused by the accelerated increase in synthesis and secretion of thyroid gland due to the hyperfunction of the thyroid gland itself. It is a group of clinical syndromes characterized by increased excitability and hypermetabolism in the nervous, circulatory and digestive systems due to the excess of thyroid hormones in the blood. T3, T4, FT3 and FT4 are significantly elevated in clinical tests, and TSH is often decreased. Hyperthyroidism patients show fast metabolic symptoms, increased gastrointestinal activity, increased bowel movements, increased body energy consumption, patients show weight loss; increased thermogenesis shows fear of heat sweating, increased thyroid hormone stimulation of sympathetic nerve excitation, clinical manifestations of palpitations, tachycardia, insomnia, sensitivity to the surrounding things, mood fluctuations, and even anxiety. Female menstruation is characterized by a decrease or amenorrhea. Hypothyroidism is the opposite of hyperthyroidism. Clinical tests for hypothyroidism show a marked decrease in T3, T4, FT3, FT4, and often an increase in TSH. Patients present with slow metabolic symptoms, lack of appetite, hoarse voice, lethargy, fatigue, sleepiness, memory loss, unresponsiveness, non-sagging edema, and in women, menstruation is shown to be increased. Hyperthyroidism and hypothyroidism are both disruptive to life, but thyroid nodules are not. Thyroid nodules are one or more clusters of abnormal tissue structure in the thyroid gland from a variety of causes. Usually patients are asymptomatic and are only detected by palpation and ultrasound. There are benign and malignant thyroid nodules. For benign nodules, usually do not have to take care of, light diet, pay attention to the thyroid gland to keep warm can be, for malignant nodules is not terrible, can be surgically removed, and there is no impact on life.

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Hyperthyroidism, hypothyroidism, and thyroid nodules all belong to the thyroid group of disorders, all of which cause changes in the body for certain reasons. Hyperthyroidism, the pathological manifestation of a very active metabolism in the body, is very easily agitated during the illness and is accompanied by symptoms such as irritability, insomnia, palpitations, excessive sweating, etc., but the appetite is not affected. Hyperthyroidism is characterized by diffuse enlargement of the thyroid gland to varying degrees, but hyperthyroidism is not painful when touched with the hand. Hypothyroidism is the opposite of hyperthyroidism and refers to hypothyroidism, in which the thyroid hormones are lower than normal. Thyroid nodules are organic diseases, belonging to the relatively independent foci within the thyroid gland, so the clinical manifestations of the three will be different.

The full name of hyperthyroidism is hyperthyroidism, because the thyroid gland synthesizes and releases too much thyroid hormone, which causes hypermetabolism or sympathetic excitation of the body, thus causing cardiovascular counting, sweating, or increasing or decreasing the number of times of eating, and most of the patients are accompanied by eyelid edema and vision loss symptoms. People suffering from hyperthyroidism will have enlarged thyroid gland, severe tremor, lower limbs tibial mucous edema and other symptoms, so once found to have hyperthyroidism should be treated immediately, or to the later stage of the time will be more difficult to cure.

Hypothyroidism is the opposite of hyperthyroidism, a condition in which the body's metabolism is reduced due to a lower synthesis of thyroid hormones, or due to a lack of physiological effects. Hypothyroidism can also be categorized into three types according to its cause, namely primary hypothyroidism, secondary hypothyroidism and peripheral hypothyroidism. Patients with hypothyroidism usually have symptoms such as swollen eyelids, dry skin and memory loss.

Thyroid nodule is a lump in the thyroid gland, this lump will move up and down with the swallowing action and the thyroid gland together, thyroid nodules can be single or multiple, generally the probability of multiple nodules is higher, but the probability of a single nodule becoming a single nodule thyroid cancer is higher. Usually, the onset of thyroid nodules are mostly middle-aged women, usually its onset is relatively slow, because of its clinical manifestations of features are not much, so the patient usually feel uncomfortable neck, thyroid function test is also mostly normal, so it is recommended to suspect that they are suffering from thyroid nodules of patients as soon as possible to go to the hospital to check the right medicine.

Instructor: Wang Wenbin, Deputy Chief Physician, Department of General Surgery, Chaoyang Downtown Hospital.

She has been engaged in general surgery for 26 years, specializing in the diagnosis and treatment of thyroid and breast diseases, hepatobiliary surgery, gastrointestinal tumors and other general surgical diseases.

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Hyperthyroidism, or "hyperthyroidism" for short, is a common endocrine disorder caused by an overproduction of thyroxine from a variety of sources. It is a common endocrine disease caused by overproduction of thyroxine. Diffuse goiter with hyperfunction is the most common pathology, followed by nodular goiter, rare thyroid cancer and exogenous "iodine hyperthyroidism". The common clinical manifestations are hypermetabolic syndrome, increased neural excitability, enlarged thyroid gland, and protruding eyes. This disease belongs to the category of "gall tumor" in Chinese medicine. (b) Hypothyroidism, known as "hypothyroidism", is an endocrine disease characterized by reduced metabolic rate due to insufficient synthesis and secretion of the thyroid gland. In Chinese medicine, it is categorized as "deficiency labor", "spleen and kidney yang deficiency", etc. It can be divided into three types according to the year. According to the year can be divided into three types: ① cretinism (beginning in the fetus or newborn). ② Juvenile hypothyroidism (starting in pre-developmental children). Adult-type hypothyroidism (begins in adulthood). Juvenile and adult types, which are more severe, may both show mucous edema. (iii) Simple goiter includes endemic and sporadic types. Sporadic goiter is found in non-endemic areas and occurs in individuals or families. It is caused by a relative or absolute deficiency of thyroid hormones, which excites the TRH and sH systems and leads to hypertrophy and hyperplasia of the thyroid tissue. Endemic goiter is an epidemic disease caused by iodine deficiency, which results in hyperplasia, enlargement, and degenerative changes of the thyroid tissue, generally not accompanied by obvious abnormalities in thyroid function. China's southwest, northwest inland provinces are high incidence areas, this disease belongs to the Chinese medicine "gall tumor ll category.

Difference between hyperthyroidism and thyroid nodules

1, hyperthyroidism is the thyroid gland's function is too high, manufacturing and release more than the body's normal needs of thyroxine, and trigger a series of hyperthyroxinemia disease, it can be caused by a variety of diseases, hyperthyroidism is different from goiter;

2, thyroid nodules are hyperplastic masses formed by unequal proliferation of thyroid tissue. Thyroid nodules are nodules inside the thyroid gland, generally more than one is benign, a single malignant chances than larger, hyperthyroidism medical also known as hyperthyroidism, there is a difference, are two diseases, the treatment method is also different, just all are thyroid gland disease.

The difference between hypothyroidism and hyperthyroidism

1, first of all, we have to clearly emphasize that hypothyroidism and hyperthyroidism is just the opposite of hyperthyroidism, hyperthyroidism is due to the systemic secretion of thyroid hormone caused by high thyroid hormone elevation in the blood circulation, which leads to the whole body organ function disorders. Hypothyroidism is due to the secretion of too little hormone, which will also lead to the dysfunction of the organs.

2, the incidence of hypothyroidism is even higher than hyperthyroidism. According to statistics, the incidence rate of hyperthyroidism is about 3%, while the incidence rate of hypothyroidism is as high as 5%. As the symptoms of hypothyroidism are often atypical, it is not easy to be found.

3, the early symptoms of hyperthyroidism and hypothyroidism are different, hyperthyroidism patients are a kind of excitement-oriented performance, hypothyroidism patients symptoms are just the opposite.

4, hyperthyroidism patients are often accompanied by protruding eyes, hypothyroidism patients rarely have protruding eye symptoms.


Difference between thyroid nodules and hypothyroidism

1, the cause of the disease is different. Hypothyroidism is hypothyroidism. Thyroid nodules are lumps that occur in the thyroid gland. Thyroid nodules are caused by various reasons such as radiation exposure. Mental trauma, over fatigue etc. can also trigger thyroid nodules. Hypothyroidism, on the other hand, refers to hypothyroidism. Its occurrence is related to factors such as reduced synthesis and secretion of thyroid hormones and reduced metabolism of the body.

2, clinical symptoms are different. The clinical manifestations of thyroid nodules are neck lumps, neck distension and breathlessness, and pharynx with a sense of congestion. In addition, patients will also have panic, upset, irritability, excessive sweating, neck swelling and pain, voice mute and other symptoms. Patients with hypothyroidism may have pale face, swollen eyelids and cheeks, memory loss, mental retardation, lethargy, slow reaction time, anxiety, dizziness, headache, tinnitus, deafness, nystagmus, ataxia and other clinical symptoms. The clinical symptoms of hypothyroidism are numerous.

3. The results of the test indicators are not the same. Both thyroid nodules and hypothyroidism can be diagnosed by thyroid function measurement. The serum T3, T4, FT3, FT4 of patients with thyroid nodules are generally normal or high. In patients with hypothyroidism, serum T3, T4, FT3 and FT4 are significantly lower.

Dr. Ming Li, Deputy Chief Physician, Department of Endocrinology and Metabolism, Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, China:

For the thyroid organ, common disorders are categorized into two main areas, abnormalities of function and abnormalities of morphology.

The so-called abnormal function refers to the well-known hyperthyroidism or hypothyroidism, hyperthyroidism is hyperthyroidism, due to the thyroid gland synthesizes and releases too much thyroid hormone; hypothyroidism is hypothyroidism, due to the reduction of the synthesis and secretion of thyroid hormone, or physiological effects of insufficient to lead to the body's metabolism is lowered, these are the most common two categories of thyroid function abnormality.

Abnormalities in morphology are thyroid nodules, or thyroid tumors, which are benign or malignant growths on the thyroid organ. Most of the thyroid disorders encountered in the clinical clinic are centered around these two areas. Some people find thyroid nodules during physical examination and panic, thinking that nodules are equivalent to tumors. However, 95% of thyroid nodules are benign, and malignant ones only account for 5%, so there is no need to be overly panicked if they are found during physical examination.

Professional things are left to professionals, I am the attending physician of endocrinology and diabetes, your health I will guard!

Hyperthyroidism and hypothyroidism are pathological states

Many diseases can cause hyperthyroidism or hypothyroidism, such as thyroiditis, thyroid tumor, thyroid cancer, or benign thyroid nodules. If hyperthyroidism or hypothyroidism occurs, it is necessary to identify the cause of the disease and carry out targeted treatment in order to alleviate hyperthyroidism or hypothyroidism.

So, what is hyperthyroidism?

Hyperthyroidism can be characterized by symptoms of accelerated metabolism such as eating more, starving faster, losing weight, panic attacks, fear of heat and sweating, insomnia, and moodiness.

What is hypothyroidism?

Hypothyroidism can present symptoms of reduced metabolism such as apathetic expression, slow reaction time, rough skin, pallor, thinning hair, coldness, cold limbs, mental retardation, drowsiness or insomnia, loss of appetite, constipation, shortness of breath, weight gain, loss of libido, impotence in men, and irregular menstruation or amenorrhea in women.

Thyroid nodules are scattered lesions caused by abnormal localized growth of thyroid cells

Most patients with thyroid nodules do not experience any discomfort, however, if there is a combination of abnormal thyroid function, or if the nodule is pressing on the surrounding tissues, the corresponding clinical symptoms will appear.

Generally speaking, 5%-15% of thyroid nodules are malignant. In recent years, the incidence of thyroid cancer in China has shown an increasing trend, so we should pay attention to it.

If thyroid nodules are found on physical examination, it is recommended to go to the endocrinology department of the hospital and have high-resolution ultrasound, thyroid function, thyroid-related antibodies, calcitonin and other tests done if necessary.


Thyroid (also known as thyroid nodules and thyroid tumors) is one of the common diseases in Linnaeus, and the clinical distinction between a thyroid nodule and a thyroid tumor is based on size. A tumor is larger than one centimeter, while a nodule is smaller than one centimeter. When it comes to tumors, the first thing people think about is whether they are benign or malignant. Thyroid tumors are usually benign tumors, so don't stress too much. Benign: neck lumps are mostly single, slow-growing, large can have pressure symptoms, lumps with swallowing up and down activities, smooth, soft texture, round or oval, can cause hyperthyroidism. Malignant: hard texture.

Symptoms of thyroid gland: the patient's neck is enlarged in the front part of the throat below the laryngeal node, the amount of food increases, the number of meals increases, and often feels hungry, and there is a phenomenon of repeatedly not being able to eat enough, as well as weight loss. Gender and thyroid function: Because thyroid disease is more common in women, it is usually more complicated in men than in women.

Hyperthyroidism and hypothyroidism are fundamentally different, and they are diametrically opposed diseases. Hyperthyroidism is hyperthyroidism, which is the manifestation of high metabolism of the body, can appear panic, sweating, fatigue, increased frequency of bowel movements, agitation and other manifestations; physical examination of the protruding eyes, hands trembling, enlarged thyroid gland. Hypothyroidism is hypothyroidism, which is the manifestation of slow metabolism of the body, such as fear of cold and fatigue, skin irritability, constipation, slow reaction, expression of stagnation and other manifestations; physical examination of the face is puffy. Hoarseness.

Hyperthyroidism, hypothyroidism and thyroid nodules are all abnormalities of thyroid function, but there are differences. Hyperthyroidism is the result of too much iodine in the body causing an increase in thyroxine, which disrupts the metabolism of the body's internal organs. Hypothyroidism is the opposite of hyperthyroidism. Hypothyroidism is caused by a lack of thyroxine production in the body. The cause of thyroid nodules is more complex than hyperthyroidism or hypothyroidism. Dietary, environmental, and genetic factors can cause thyroid nodules. There is a big difference between hyperthyroidism and hypothyroidism symptoms. Hyperthyroidism patients are more excited and hypothyroidism symptoms show the opposite. Hyperthyroidism is accompanied by symptoms of protruding eyes, while hypothyroidism is less likely to have symptoms of protruding eyes. Thyroid nodules have lumps in the neck, and the neck is distended and suffocated. In hypothyroidism, the face is pale and there are symptoms such as swelling of the eyelids and cheeks.

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