Thyroid hormone generally controls the pace of all of the processes in
the body. This pace is called your metabolism. If there is too much
thyroid hormone, every function of the body tends to speed up. It is
not surprising then that some of the symptoms of hyperthyroidism are
nervousness, irritability, increased perspiration, heart racing, hand
tremors, anxiety, difficulty sleeping, thinning of your skin, fine brittle hair,
and muscular weakness—especially in the upper arms and thighs. You
may have more frequent bowel movements, but diarrhea is uncommon.
You may lose weight despite a good appetite and, for women, menstrual
flow may lighten and menstrual periods may occur less often.
Hyperthyroidism usually begins slowly. At first, the symptoms may be
mistaken for simple nervousness due to stress. If you have been trying
to lose weight by dieting, you may be pleased with your success until
the hyperthyroidism, which has quickened the weight loss, causes other
problems.
In Graves’ disease, which is the most common form of hyperthyroidism,
the eyes may look enlarged because the upper lids are elevated.
Sometimes, one or both eyes may bulge. Some patients have swelling
of the front of the neck from an enlarged thyroid gland (a goiter).
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