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Information from Your Family Doctor
Subclinical Hyperthyroidism
Am Fam Physician. 2017 Jun 1;95(11):online.
See related article on subclinical hyperthyroidism.
What is subclinical hyperthyroidism?
The thyroid gland is located in the front of your neck. It makes hormones that tell your body how to use energy. Hyperthyroidism happens when there is too much thyroid hormone in the body. This speeds up your body functions. Subclinical hyperthyroidism is a mild form of hyperthyroidism. Subclinical means that you do not have any symptoms, or that your symptoms are mild.
What causes it?
Several things can cause your body to have too much thyroid hormone. Your thyroid gland may be making too much. A virus can temporarily increase thyroid hormone levels. Taking too much thyroid medicine or getting too much iodine in certain medicines can cause subclinical hyperthyroidism. Some people have benign (not cancer) growths on their thyroid that can make too much thyroid hormone. These are called toxic nodular goiters.
Who gets it?
Only about three people out of 100 have subclinical hyperthyroidism. It is more common in older adults and in people who live in areas where there is not enough iodine in the food.
What are the symptoms?
People with subclinical hyperthyroidism usually do not have any symptoms. If you do have symptoms, they may include:
Frequent bowel movements
Feeling tired
Feeling nervous
Unable to tolerate heat
Increased sweating
Increased appetite
Racing heart
Losing weight without trying
Hair loss
Shaking hands
Lack of menstrual periods in women
Sleep problems
The more symptoms you have, or the worse they are, the more likely you are to have hyperthyroidism.
What problems can it cause?
People older than 65 years who have subclinical hyperthyroidism have a higher risk of a type of irregular heartbeat called atrial fibrillation (AY-tree-ul fibrill-AY-shun). Women who have gone through menopause and who have subclinical hyperthyroidism may have more bone loss than other women.
Should I be tested for it?
Most doctors do not test patients for subclinical hyperthyroidism unless they have symptoms. It's not clear whether treating it will improve your health.
Where can I get more information?
Your doctor
AAFP's Patient Information Resource
American Association of Clinical Endocrinologists
American Thyroid Association
Endocrine Society (Hormone Health Network)
National Institutes of Health
National Library of Medicine
This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at http://familydoctor.org.
This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.
Copyright © 2017 by the American Academy of Family Physicians.
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