Which examinations are useful in case of suspicion of a thyroid disease?
October 9, 2023 | 30,00 EUR | answered by Babette Kleine
Dear Doctor,
My name is Gertrud Schreiber and I am reaching out to you because I have been experiencing various symptoms that could indicate a possible thyroid disease. Lately, I have been feeling extremely tired and fatigued, despite getting enough sleep. I have also experienced unexplained weight gain, even though I have not changed my diet. Additionally, my skin and hair feel dry, and I constantly feel sensitive to cold.
These symptoms are causing me great concern, and I am wondering if it would be advisable to undergo specific tests to investigate a possible thyroid disease. I have already researched online and read that thyroid disease is often diagnosed through a blood test to determine thyroid hormones (TSH, T3, T4). Is this indeed the recommended method for investigating a thyroid disease, or are there other tests that would be beneficial?
Furthermore, I am wondering if an ultrasound of the thyroid would be necessary to detect any changes or nodules. I want to ensure that all relevant tests are conducted to receive an accurate diagnosis and potentially start appropriate treatment.
I appreciate your help and advice on this matter and look forward to your response.
Sincerely,
Gertrud Schreiber
Dear Ms. Schreiber,
Thank you for your detailed inquiry regarding a possible thyroid disorder. The symptoms you described, such as fatigue, weight gain, dry skin and hair, and sensitivity to cold, can indeed indicate a thyroid disorder. A thorough evaluation is therefore very important in your case.
The diagnosis of a thyroid disorder is usually made through a blood test to determine thyroid hormones TSH (Thyroid-stimulating hormone), T3 (Triiodothyronine), and T4 (Thyroxine). These values provide information about whether the thyroid is functioning properly and whether there is over or underactivity. An elevated TSH level indicates underactivity, while a decreased TSH level may indicate overactivity.
In addition to the blood test, an ultrasound examination of the thyroid may be useful to identify possible changes, nodules, or enlargements of the organ. This examination is painless and can provide important information about the condition of your thyroid.
Depending on the findings of the blood test and ultrasound, further tests such as a thyroid scan or a fine needle biopsy may be necessary to make an accurate diagnosis. A thyroid scan can provide information about the function of the thyroid, while a fine needle biopsy is performed to investigate nodules or suspicious changes.
It is important that you consult a specialist in endocrinology or an internist specializing in thyroid disorders for a comprehensive diagnosis and treatment. Please do not hesitate to schedule an appointment and discuss all your questions and concerns with the doctor.
I hope this information is helpful to you and wish you all the best for your health. Feel free to contact me with any further questions.
Best regards,
Babette Kleine
