Thyroiditis Clinical Symptoms

Written by Li Hui Zhi
Endocrinology
Updated on February 04, 2025
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Thyroiditis usually refers to subacute thyroiditis in clinical terms, and its symptoms mainly include the following: Firstly, early stages of the disease typically involve neck pain accompanied by fever, which usually occurs in the afternoon or evening. If it coincides with hyperthyroidism, additional symptoms may include palpitations, weight loss, insomnia, tremors, excessive sweating, increased appetite, irritability, and mood swings commonly associated with hyperthyroidism. Therefore, if these symptoms are present, it is advised to promptly visit the endocrinology department of a hospital for a complete thyroid function test, erythrocyte sedimentation rate, blood routine, and thyroid ultrasonography to establish a clear diagnosis.

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Written by Tang Zhuo
Endocrinology
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What department does thyroiditis fall under?

Thyroiditis is a common disease in endocrinology. Thyroiditis refers to the inflammation of the thyroid gland, which can be divided into two types: bacterial inflammation and autoimmune inflammation. Clinically, thyroiditis can be categorized into three types: the first is called acute suppurative thyroiditis, the second is called subacute thyroiditis, and the third is called chronic thyroiditis. Acute thyroiditis is a bacterial infection and the pathogens can be either bacteria or viruses. It is generally induced by an upper respiratory infection, which may trigger a bacterial or viral infection in the thyroid. Subacute thyroiditis is not a bacterial infection but an immunological inflammatory infection. The third type, chronic thyroiditis, is also known as Hashimoto's disease. All three types of thyroiditis can be treated in the department of endocrinology.

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Written by Li Hui Zhi
Endocrinology
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Initial symptoms of thyroiditis

If it is the early stage of subacute thyroiditis, the patient will experience a fever, mainly in the afternoon or at night. Secondly, there is pain when bending the neck forward, and many patients feel as if they have a sore throat and thus visit the otolaryngology department. Thirdly, in the early stages, the patient experiences transient hyperthyroidism, with symptoms such as palpitations, excessive sweating, weight loss, and insomnia. Therefore, with these symptoms, it is advisable to promptly visit an endocrinology specialist for further thyroid function tests and thyroid ultrasound, followed by a definitive diagnosis and comprehensive treatment.

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Written by Li Hui Zhi
Endocrinology
56sec home-news-image

Thyroiditis Clinical Symptoms

Thyroiditis usually refers to subacute thyroiditis in clinical terms, and its symptoms mainly include the following: Firstly, early stages of the disease typically involve neck pain accompanied by fever, which usually occurs in the afternoon or evening. If it coincides with hyperthyroidism, additional symptoms may include palpitations, weight loss, insomnia, tremors, excessive sweating, increased appetite, irritability, and mood swings commonly associated with hyperthyroidism. Therefore, if these symptoms are present, it is advised to promptly visit the endocrinology department of a hospital for a complete thyroid function test, erythrocyte sedimentation rate, blood routine, and thyroid ultrasonography to establish a clear diagnosis.

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home-news-image
Written by Li Hui Zhi
Endocrinology
53sec home-news-image

How is thyroiditis treated?

The treatment of thyroiditis begins first with ensuring adequate rest and avoiding strenuous physical activities. Secondly, if the patient experiences symptoms such as fever and neck pain, anti-inflammatory and analgesic medications can be administered, such as celecoxib and indomethacin. Thirdly, if neck pain is particularly severe, integration with Traditional Chinese Medicine (TCM) treatments can be beneficial. In TCM, modifications of Xiao Chai Hu Tang can be used to clear heat and detoxify. At home, throat-soothing and pain-relieving medicines can be used, and locally applied Chinese herbal plasters can help reduce nodules and alleviate pain. If symptoms like fever and neck pain occur, it is essential to visit a hospital promptly for treatment under the guidance of a doctor.

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Written by Liang Yin
Endocrinology
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Symptoms of hypothyroidism in thyroiditis

There are many types of thyroiditis, and the most common one associated with hypothyroidism is Hashimoto's thyroiditis. Symptoms of hypothyroidism include multi-system involvement. In the nervous system, it manifests as reduced memory and attention, and drowsiness; in the cardiovascular system, it presents as bradycardia, faint heart sounds, and cardiac enlargement; in the musculoskeletal system, it manifests as slowed movement and joint disorders; in the digestive system, it presents as loss of appetite, bloating, and constipation; in the respiratory system, it manifests as weak and shallow breathing; in the hematologic system, it can manifest as anemia; in the endocrine system, it can present as reduced gonadal function accompanied by hyperprolactinemia, menorrhagia, amenorrhea or infertility, hair loss, and the skin and mucous membranes appear pale with myxedema.