Hashimoto’s Symptoms: Typical signs of Hashimoto’s thyroiditis at a glance

The symptoms of Hashimoto’s thyroiditis are very diverse and therefore usually difficult to grasp. Often, some patients do not even realize that they are suffering from the autoimmune disease Hashimoto’s thyroiditis and chronic inflammation of the thyroid gland.

Other patients, on the other hand, have strong Hashimoto’s symptoms and are struggling with the most severe complaints.

This is also the reason why many doctors are often overwhelmed with Hashimoto’s patients and cannot assign and classify the symptoms accordingly.

As a patient, you usually have little choice but to take the reins into your own hands and tackle the autoimmune disease on your own. However, this is only possible if the person concerned is informed in detail and does not blindly rely on doctors.

The disease usually begins slowly and insidiously, so that the affected person hardly notices the Hashimoto symptoms at first.

It is often not easy to interpret the signs correctly, since paradoxical symptoms can appear and sometimes disappear again. Depending on the hormone level, different symptoms can occur individually.

Symptoms of overactive thyroid (hyperthyroidism)

Since  Hashimoto’s thyroiditis is associated with a short phase of hyperthyroidism, especially at the beginning of the disease, and only progresses to hypothyroidism as the disease progresses, the following symptoms often appear first:

  • tachycardia and severe palpitations
  • high blood pressure
  • increased sweating
  • sleep disorders
  • shaking hands
  • restlessness
  • nervousness and irritability
  • Aggressive moods
  • Weight loss despite a healthy appetite
  • diarrhea and indigestion
  • In women: cycle disorders (irregular or increased bleeding)

As the thyroiditis progresses, the hormone production of the thyroid gland fails and there is a seamless transition to hypothyroidism (hypothyroidism).

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Symptoms of underactive thyroid (hypothyroidism)

In addition to the classic hypofunction symptoms such as constipation, weight gain, feeling cold, poor sleep and depressive moods, Hashimoto patients also often describe the following typical signs:

energy balance and sleep

  • Chronic fatigue and weakness
  • Lack of drive, lack of motivation and dejection
  • Low endurance and long recovery time after exercise and sports
  • Slowed reflexes (Achilles tendon reflex)
  • Noticeably slow body movement and speech
  • insomnia, sleep apnea and snoring

body weight

  • Weight gain despite a normal diet  and inability to lose weight
  • Losing weight despite eating normally and being unable to gain weight
  • Metabolic syndrome and obesity
  • anorexia
  • Decreased or greatly increased appetite
  • Abdominal fluid accumulation (ascites)

body temperature

  • Cold hands and cold feet
  • Cold intolerance and heat intolerance
  • Constantly clammy hands, cold sweats and night sweats
  • Internal trembling and restlessness
  • Low basal body temperature (below 36.4 degrees)
  • Inability to sweat or excessive sweating

immune system

  • Weak immune system, frequent infections, colds and chronic diseases
  • Susceptibility to bronchitis, sinusitis, upper respiratory infections, sinus infections and ENT infections
  • Recurring urinary tract infections
  • Difficulty recovering from infections
  • Chronic infestation with fungi , bacteria and parasites in the intestine
  • Chronic allergies

heart and circulation

  • Clearly palpable palpitations
  • Dizziness, sensory disturbances (feeling of cotton wool in the head) and fainting spells
  • high blood pressure or low blood pressure
  • Weak pulse (below 60bpm) or rapid pulse (above 90bpm)
  • tachycardia after eating
  • Heart flutter, irregular heartbeat (arrhythmia) and severe heart palpitations
  • Atherosclerosis and plaque build-up
  • High cholesterol, high triglycerides and high LDL cholesterol (bad cholesterol)
  • Anemia/low hemoglobin (anemia)

brain and psyche

  • Depression, panic attacks and general, neurological and psychological symptoms
  • Mania, phobias, bipolar disorders, anxiety and personality changes
  • Obsessions, delusions, hallucinations, schizophrenia and other mental illnesses
  • Brain fog, poor concentration, mental sluggishness and dementia
  • Irritability, nervousness and mood swings
  • personality disorders and nightmares
  • Sleep disorders (difficulty falling asleep, poor sleep quality, constant waking up)
  • concentration and memory disorders
  • Altered personality, anxious, skittish, tense
  • word-finding disorders
  • Lack of coordination, clumsiness, tendency to fall, fainting and dizziness
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  • Constipation (rarely also diarrhea) and flatulence
  • Often light, yellowish stools
  • loss of appetite and nausea
  • Food allergies and food intolerance
  • Celiac disease, gluten intolerance, lactose intolerance and alcohol intolerance
  • Diverticulosis, hemorrhoids, colitis (inflammation of the large intestine) and ulcers
  • Irritable bowel syndrome (IBS), reflux, gastroesophageal reflux disease (GERD) and excessive belching
  • Gallbladder disease and gallstones
  • Enlargement and/or congestion of the liver
  • Fatty liver, increased liver values ​​(liver enzymes) and hypoglycaemia

mouth and throat

  • Difficulty swallowing and a feeling of pressure in the throat
  • Thyroid nodule / goiter
  • Burning in the throat, sore throat, swollen tongue
  • Dry mouth and bad breath
  • Tense grinding of teeth
  • Bleeding gums, swollen gums, irritated and receding gums
  • Hoarse voice and speech problems
  • Food cravings and distorted taste (dysgeusia)
  • Difficulty breathing deeply
  • Difficulty breathing, hunger for air and shortness of breath

skin, hair and nails

  • Hair loss, dry and unruly hair
  • Brittle, fragile and very fine hair
  • Premature hair loss, baldness and gray hair
  • Thinning or loss of eyebrows and eyelashes
  • Dry skin / scaly skin
  • Dry and itchy scalp
  • Pale skin and lips
  • Dry and light mucous membranes
  • Pale, yellowish or amber tint of the skin
  • Acne, rashes and increased pigmentation in skin folds
  • Wheals, eczema, impetigo and easy bruising
  • Numbness and tingling in the face, hands, legs or feet
  • Slow wound healing
  • Swelling and fluid retention in: eyes, face, lips, hands, legs, feet or ankles
  • Lipedema and Lymphedema
  • Brittle, thin and fragile nails
  • Longitudinal grooves or transverse grooves on fingernails and toenails (nutrient deficiency)

eyes and ears

  • Dry eyes, sensitivity to light (photophobia)
  • Poor focusing, blurred vision, and double vision
  • Red, sore eyes and problems with night vision
  • Dizziness with rapid head movements
  • Dark circles under the eyes and puffiness around the eyes
  • glaucoma and cataracts
  • Hypersensitivity to noise and loud sounds
  • Tinnitus and noises in the ears (ringing and hissing)
  • Dry, scaly ear canal, excess earwax
  • Water retention especially on the eyelids and face
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pain and muscles

  • Joint pain and stiff joints
  • muscle pain and muscle cramps
  • Neck pain and muscle tension
  • Chronic back pain
  • Joint stiffness, arthritis, gout and fibromyalgia
  • migraines and chronic headaches
  • Tendonitis, aching bones, heel spurs and plantar fasciitis
  • Muscle weakness, muscle tightness and muscle shaking (tremor)
  • Wrist pain, carpal tunnel syndrome (hands or forearms) and tarsal tunnel syndrome (legs)
  • Pain and tenderness in the neck and/or thyroid area

Menstrual disorders, pregnancy and female ailments

  • Irregular periods, interruption of periods (amenorrhea) and bleeding between periods
  • Menstrual cycle disorders and  unfulfilled desire to have children
  • Very light (oligomenorrhea) or very heavy periods (menorrhagia)
  • Premenstrual Syndrome (PMS) and Premenstrual Tension (PMT)
  • Premature or delayed menopause
  • Polycystic Ovarian Syndrome (PCOS)
  • Progesteronmangel
  • Premature or delayed puberty
  • infertility, miscarriage and gestational diabetes
  • Abnormal estrogen levels, progesterone levels and testosterone levels
  • Loss of libido and sexual dysfunction
  • Maternal anemia and gestational diabetes
  • Endometriosis and ovarian fibroids
  • Inflammation of the mammary glands (mastitis) due to excess prolactin

Common comorbidities of Hashimoto’s thyroiditis with similar symptoms

  • adrenal fatigue
  • HPU / KPU
  • Candida Albicans
  • Leaky Gut Syndrome
  • Basedow’s disease
  • Typ 1 Diabetes
  • Typ 2 Diabetes
  • insulin resistance
  • Pernicious anemia
  • Chronic Fatigue Syndrome (CFS)
  • Systemic lupus
  • Vitiligo
  • Psoriasis

Not only does Hashimoto’s thyroiditis itself cause various symptoms, but also the weakened organs, which have been on the back burner for some time due to a lack of hormones. However, fatigue, weakness, dizziness, and indigestion play major roles in almost every Hashimoto’s patient.

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