What is Hypothyroidism?
Thyroid hormone performs many important actions during childhood, including allowing for normal growth and bone development. Thyroid hormone is also important in the regulation of metabolism.
Hypothyroidism occurs when the thyroid gland is underactive and does not produce enough of the active thyroid hormones. This condition can be present at birth or can develop anytime during childhood or adulthood.
Hypothyroidism is very common and occurs in about 1 in 1,250 children and young adults. Usually, the condition is permanent and will require treatment for life.
The signs and symptoms of hypothyroidism include:
Tiredness
Feeling cold
Dry skin
Brittle nails
Hair loss
Constipation
Poor growth
Weight gain
Basic blood tests are used to diagnose hypothyroidism. These tests measure the amount of hormones produced by the thyroid and pituitary glands.
Normal ranges for blood tests such as free T4 and TSH are somewhat different in children than adults, so the diagnosis should be made in consultation with a pediatric endocrinologist.
How is Hypothyroidism treated?
Hypothyroidism is treated using a prescription thyroid hormone called levothyroxine. This is a once-daily pill that is usually given for life. Very few side effects may occur with this, and it is usually due to overtreatment.
Overtreatment of hypothyroidism is not uncommon, and you should contact your child’s doctor if your child has trouble falling asleep, restless sleep, or difficulty concentrating in school. These may be signs that your child’s current thyroid hormone dose may be too high, and your child is being overtreated.
There is no cure for hypothyroidism; however, hormone replacement is safe and effective when monitored carefully. With once-daily medication and close follow-up with your pediatric endocrinologist, your child can live a normal, healthy life.
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At The Mehra Clinic, Dr. Mehra is passionate about helping young women better understand their concerns about their thyroid. If you have any questions or are ready to get started, we are ready to help you.
Please contact us to schedule your appointment. We look forward to working with you.
