Hyperthyroidism is a very familiar disease for many people. It not only causes a thick neck, but also causes bulging eyes, and symptoms such as eye swelling and pain. It can also easily lead to rapid weight loss and frequent hunger, which has a great impact on physical health. Eye swelling and pain can be relieved by eye drops or appropriate eye massage. How to relieve eye pain caused by hyperthyroidism Patients with hyperthyroidism who experience eye pain are advised to limit water and salt intake to prevent increased intraocular pressure and have their thyroid function checked regularly. Don't eat seafood. Treatment for hyperthyroidism, depending on the severity of the condition, includes antithyroid drug therapy, radioactive iodine therapy, and surgical treatment. Causes Causes of hyperthyroidism include diffuse toxic goiter (also known as Graves' disease), inflammatory hyperthyroidism (subacute thyroiditis, painless thyroiditis, postpartum thyroiditis, and Hashimoto's hyperthyroidism), drug-induced hyperthyroidism (levothyroxine sodium and iodine-induced hyperthyroidism), hCG-related hyperthyroidism (transient hyperthyroidism due to vomiting of pregnancy), and pituitary TSH tumor hyperthyroidism. Clinically, more than 80% of hyperthyroidism is caused by Graves' disease, which is an autoimmune disease of the thyroid gland. The patient's lymphocytes produce thyroid-stimulating immunoglobulin-TSI. Clinically, the TSI we measure is the thyrotropin receptor antibody: TRAb. The cause of Graves' disease is currently unclear. It may be related to factors such as fever, lack of sleep, and mental stress, but clinically the cause of the disease cannot be found in the vast majority of patients. Graves' disease is often combined with other autoimmune diseases, such as vitiligo, alopecia, type 1 diabetes, etc. Clinical manifestations Thyroid hormones promote metabolism and the body's redox reactions. Hypermetabolism requires the body to increase food intake; gastrointestinal activity is enhanced, and the frequency of bowel movements increases; although food intake increases, the oxidation reaction is enhanced, the body's energy consumption increases, and patients experience weight loss; increased heat production manifests as heat intolerance and sweating, and some patients experience low fever; increased thyroid hormones stimulate sympathetic nerve excitement, and clinical manifestations include palpitations, tachycardia, insomnia, irritability, and even anxiety. If patients with hyperthyroidism do not receive appropriate treatment for a long time, it may cause hyperthyroid heart disease. examine Physical examination revealed that the patient's thyroid gland was enlarged (mild to severe enlargement). The enlargement of the thyroid gland in elderly patients is often not obvious, and the thyroid gland is soft or medium in texture. In severe patients, vascular murmurs can be heard throughout the period with a stethoscope, and severe hyperthyroidism may even be felt by touch. The heart rate of most patients with hyperthyroidism is increased, often exceeding 90 beats per minute when at rest, and elderly patients may exhibit rapid atrial fibrillation. Patients with hyperthyroidism have hot flashes on the skin and fine hand tremors. Many patients also have eyelid edema, widened palpebral fissures, less blinking in both eyes, and conjunctival congestion and edema. Severe patients may experience exophthalmos, restricted eye movement, and even incomplete eyelid closure. Some patients with more severe hyperthyroidism experience myxedema in the anterior tibia (tibia) of the lower limbs, coarsening, thickening, and roughening of the skin in front of the tibia, and orange peel-like appearance. The sweat hair becomes coarser, similar to elephantiasis, and is quite difficult to treat. |
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