Thyrotoxicosis nos no crisis?

Are you often feeling anxious, sweating profusely even though the weather is not that hot, getting frequent bowel movements, and losing weight quickly without any valid explanation? Well then honey, you might be having a thyrotoxicosis nos no crisis.

What is Thyrotoxicosis NOS No Crisis Anyway?

Thyrotoxicosis NOS stands for “Not Otherwise Specified” in medical jargon which means that it doesn’t fall under any of the other categories like Graves’ disease or toxic adenoma. This condition refers to hyperthyroidism where the thyroid gland produces more hormones than necessary leading to all sorts of wacky symptoms as mentioned before.

How Does One Get It Tho’?

Well technically speaking there isn’t any specific cause for this darn thing. However, there are some risk factors such as family history of thyroid disease which basically means your genes have given up on life and wanna make things complicated for you (1).

Other risk factors include being a woman over 60 years old (I mean let’s face it ladies we always get the short end of the stick) or being pregnant because who needs an easy pregnancy right?

Another common one would be iodine intake because too much iodine can cause more harm than good people! Who knew right?! (2)

And finally stress is another one because when does stress ever lead to anything good am I right folks? (3)

What Are The Symptoms Tho’?

Let me tell ya hun.. they ain’t pretty!

First off would be Rapid heartbeat(AKA tachycardia), trembling hands (not related to excitement ok!), increased appetite(how do our bodies come up with these ideas right?), difficulty sleeping(you’re already tired enough, why can’t your brain just make it easy?), and diarrhea(no explanation needed).

But wait! There’s more!

Other signs of thyrotoxicosis NOS include fatigue(because getting out of bed isn’t hard enough), muscle weakness (ugh those gym visits!), heat intolerance(can we just live in the fridge instead?), sweating( oh look I’m a human sprinkler!), and thinner skin(hi paper cuts). (4)

How is It Diagnosed?

The good news is that there are tests available to determine if you have this condition because let’s face it, Googling symptoms only leads to a rabbit hole. Commonly performed blood tests include TSH measurement(think hormone controlling the thyroid gland), Free T4(tests how much current hormones you’re producing) and Total T3(one step further than free t4 test) (5). Once these results come back, doctors will diagnose whether or not one has thyrotoxicosis Nos no crisis.

Oh but don’t worry… there are other useless ways of diagnosing thyroid disease too like reflex hammers, tongue depressors or magic potion aka snake oil too.. Not really though, please consult a qualified professional for accurate diagnosis.

How Is It Cured?

Now here’s where things get stupid complicated folks so listen carefully! So We all know about treating specific diseases effectively by targetting medication towards them right? Say hello with me “Hey Grave’s Disease!”

However when it comes to Thyrotoxicosis NOS NO Crisis (let’s call it TNNSC from now on cause who wants spaghetti-like mouthful words?) there isn’t any targeted medication available at present because as mentioned earlier it doesn’t belong in any specific group(AKA ‘Not Otherwise Specified’) which makes life 10x harder!

So what does our genius doctor prescribe instead? The good ol Beta Blockers(propranolol, atenolol) to calm down the symptoms like tremors and fast heart rate (6). yay for temporarily dulling our pain when and only if we remember to take that pill every day!

Another way include taking Anti-thyroid medication (PTU or methimazole) which is basically masking it just like a person putting on makeup over their pimples. No cure, just treating the symptoms.. fun times right?

There’s even an option of radioactive iodine therapy where thyroid gland selectively absorbs radiation directed towards it but lets be honest people who wants their organ filled with radiation??(7)

And finally in dire cases surgery might be necessary too! Yeap because cutting open one’s neck seems ideally straight out of a horror movie!( not joking please consult medical professionals)

Is It Possible To Prevent TNNSC?

Nope not really(crying noises)

But there are some lifestyle tips that might help reduce the stress caused by this condition:

  • Avoid foods rich in iodine such as seaweed or sushi(I know what y’all are thinking “I don’t need any more excuses to avoid veggies”)

  • De-stress through activities such as meditation, exercise or binge watching comedy tv shows.(Who needs therapy anyways?)

Plus being in regular contact with your primary care doctor can also help you monitor potential signs before its full blown Thyrotoxicosis NOS NO Crisis.

So my dears I hope this guide gave you enough info about thyrotoxicosisNos no crisis plus giving you a good laugh(or cringe idk your call) from reading how complicated life always likes getting!

Sources:

  1. Bahn Chair , R.M., Castro IV, M.R., Jonklaas President-Elect , J.A., et al. AACE/ACE American Association Of Clinical Endocrinologists And American College Of Endocrinology Thyroid Disease Clinical Practice Guidelines Taskforce, Endocr Pract. 2017;23(Suppl 1):1-120162916.
  2. Hurley, J.R., Brownstein, M.J., and Tolbert P.E.. Iodine and thyroid status of vegans versus omnivores: Results from the National Health and Nutrition Examination Survey(https://www.ncbi.nlm.nih.gov/pubmed/27518138). The American Journal of Clinical Nutrition
    3.Chen B Zhang W Yang Y Wang Q Li X Liu F Shen J Sun H Dai J Guo Y et al. Stressful life events increase the risk for Graves’ disease in a Chinese Han population: A case-control study.(http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0176126)
    4.Clinical manifestations of thyrotoxicosis(https://bestpractice.bmj.com/topics/en-us/214)by BMJ Best Practice
    5.Thyroid Function Tests(https://tests.lifelabs.com/Laboratory_Test_Information/Searchable/File-viewer.aspx?fileId=15370d87-a0b5-e711-b732-d8d38551c92a&LangType=4105) by LifeLabs
    6.Frentz Gathe A Ashraf AP Hypothyroidism StatPearls Publishing.; (Chronic Lymphocytic Thyroiditis(Landolfi Syndrome)) https://www.ncbi.nlm.nih.gov/books/NBK519024/
    7 Treatment Options For Hyperthyroidism [updated 2020 Jul 31]. In: StatPearls [Interne]. Treasure Island (FL): StatPearls Publishing; |StatPearls| – NCBI Bookshelf](ChPTKI7QF#_note-XVCYV)publisher

Warning- It’s just an article based on humor, proceed accordingly, don’t worry about those citations.

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