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Why
You Are Not Really Crazy Even When the Doctors Say You Are:
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Thyroid Disease and in particular, Hashi's Disease mentally, is
like someone giving you a healthy dose of happiness followed by
a long drawn out dose of sadness. It makes you think you
are nuts, flat out. In seeking treatment, I've been
diagnosed with Bipolar, Panic Disorder, Schizophrenia and just
about every other mental disorder known to man until finally
getting diagnosed with Hashi's.
The nature of Hashi's presents lots and lots of mental problems,
which is probably one of the worst symptoms of the disease.
Its not that either of the emotions that Hashi's triggers is
very difficult to deal with on its own, its the fact that the
disease continuously causes changes. One minute you feel
relatively perfect....just like before you ever had problems.
Next minute out of nowhere your heart is racing, your legs are
weak and you are jumping out of your skin with anxiety.
Next minute you are sleepy, exhausted and crampy. The
cause of all this up and down is due to antibodies attacking
your Thyroid gland. Some people, like me for instance, can
toggle every 20 or 30 minutes during the day when my antibodies
are flaring up and then at other times, I feel perfect for a few
weeks at a time.
The problem lies in the fact that you never know when another
"attack" is going to come and that is a bit unsettling.
You can be walking in the park on a gorgeous day and everything
is fine and then out of the blue you turn Hyper because your
antibodies start killing off lots of Thyroid cells at one time
and you go from perfectly normal to shaky and nervous to the
point its debilitating. These actions can lead to
Agoraphobia and then your world becomes smaller and smaller
unless you get help. Many people start associating these
attacks with places they've been and will want to try to avoid
them in the future to the point where they become a complete
recluse and never leave the house.
For me, a prescription of
Propranolol, which is a beta-blocker helps
with these attacks. Beta Blockers help block epinephrine
and slow your heart rate slightly and lower your blood pressure.
Just having this drug around in the event of emergencies is not
a bad idea and might make you feel more secure in getting on
with your life.
Soon I will most likely be getting my Thyroid "zapped" as I call
it - ablated with Radioactive Iodine, or removed. I have
not made up my mind yet which of the two evils I prefer.
Nonetheless the outcome of Hashi's is almost always the same -
your Thyroid will eventually drop dead on its own and the
antibodies will never go away for 90% of the people with this
disease. Now the question I am faced with is do I want to
wait 20 years for my Thyroid to drop dead on my own and continue
feeling crappy or do I go and get my Thyroid removed and get on
with life? I think I am opting for the latter personally.
Why wait?
Getting back to the craziness. A lot of docs will think
you are nuts, particularly with Hashi's. I've had almost
perfect Thyroid panel results several times when I still feel
like shit. However, upon thorough inspection, my
antibodies are raging like crazy, throwing everything else out
of wack. It even has effects on blood sugar levels.
When Im HypER, my blood sugar tends to stay elevated much longer
than normal. For doctors, upon examination, the first
thing they think of is diabetes, which is not the case.
Next, when you toggle back to HypO, your blood sugar is
difficult to keep up into the normal ranges. |
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If
you are experiencing problems with any of the symptoms on this
site, you need to get checked out by a good Thyroid doctor.
Not just any Endocrinologist, but someone that is familiar with
Hashi's and Graves Disease. This disease is a BITCH to
diagnose correctly. It mimics so many other problems, both
mental and physical. Here is a partial list of other
diseases that Thyroid disease and Hashi's in particular seems to
mimic and diseases you will want to rule out one way or another
to make sure its just your Thyroid and not something else:
Diabetes
Panic Disorder / Panic Attacks
Bipolar Disorder
Pheochromocytoma - Adrenal Tumor
Pituitary Tumors
Hypothalamus Problems
Parkinson's Disease (tremor from HyperThyroid)
There are a host
of other problems that mimic Thyroid Disease as well.
Some tests to get
done if you are having trouble getting properly diagnosed
include:
Pititary MRI of
the brain
TRH uptake test
RAI (Radioactive
Iodine Uptake Scan)
Thyroid FNA (Fine
Needle Aspiration - Biopsy)
Thyroid Sonogram
Glucose A1C test - tests your blood sugar average over the
last 3 or 4 months - helps rule out diabetes.
Cholesterol - Thyroid goes hand in hand with Cholesterol and
if you are HypO, you can expect to have high cholesterol.
Testosterone (in men) - works in conjunction with
cholesterol.
Estrogen (woman) -
sex hormones and Thyroid go hand in hand.
Prolactin - Hypo usually causes high Prolactin levels in
both men and women. Prolactin is the hormone responsible
for milk production in women who breastfeed, but men can have
abnormally high levels when Hypo.
Cortisol - If you are feeling Hyper, you are going to want
to check your adrenal glands.
Adrenal Insufficiency is a big problem with Thyroid
disorder. Also, your problems can be caused by Adrenal
Tumors which this test might help rule out - they are pretty
rare.
So in summary, NO,
YOU ARE NOT CRAZY (most likely). Your Thyroid really
screws up your mind with a wild tangent of emotions and a
toggling of feelings.
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