Hyperthyroidism Insomnia Management

Hyperthyroidism causes the entire metabolism to malfunction. The increased thyroid hormones in the body cause energy imbalance and results in different symptoms like anxiety, nervousness, palpitations, rash, cramps, sleep disorders etc. Statistics indicate that almost 1.12 percentage of the hyperthyroid population suffers from insomnia or sleeplessness. Hyperthyroidism insomnia is observed to be more in males than in females. Almost 80 percent of people suffering from hyperthyroidism insomnia are males. It is commonly seen in the age of 30 years and above and more common after 60 years of age. Severity of reported hyperthyroidism insomnia is most often severe and less moderate.

Insomnia is a condition where there is difficulty in sleeping. Sometimes, sleep itself is less or the person wakes up many times while through the night. It can cause a loss of energy and increases stress. Cognitive abilities deteriorate and difficulty is experienced in remembering things. Hyperthyroidism insomnia requires timely management.  Hyperthyroidism insomnia should be distinguished from insomnia due to pain, depression, gastro esophageal reflux disease etc. Certain blood and biochemical investigations can rule out other causes of insomnia. Generally, blood tests are done to understand the levels of thyroid stimulating hormones (TSH) and thyroid hormones. Lower levels of TSH, due to any underlying condition, can cause thyrotoxicosis or hyperthyroidism. Thus, identifying and diagnosing hyperthyroidism insomnia is relatively easy, but treating it can often be a challenge.

Sleeping induces relaxation of the body and mind. Hyperthyroidism insomnia causes increase in the baseline activity of the autonomic functions like heart rate, blood pressure, excessive sweating etc. A feeling of hotness and irritability is created due to lack of sleep. Mood fluctuations are common in hyperthyroidism insomnia. Due to physical discomfort, mental uneasiness develops. Other hyperthyroidism symptoms like fatigue and tiredness can exacerbate because of insomnia. There is increased anxiety, delusions and confusion due to the sleeplessness. In addition, the body is already overactive due to the excessive production of the thyroid hormones, T3 and T4. There is a lack of energy in hyperthyroidism insomnia, which is reflected in your daily work. Drowsiness, day time sleepiness and a state of confusion can form due to lack of sleep.

Along with other symptoms, hyperthyroidism insomnia can be life threatening. Generally, a hyperthyroid patient wakes up in the middle of the night with palpitations and faces difficulty getting back to sleep. Treatment normally consists of medication for the underlying hyperthyroidism. However, some people take beta blockers that help to reduce the rapid pulse and occurrence of palpitations. It may be helpful, but this is not the solution. Thyrostatics or anti-thyroid drugs are available in the pharmacy, which reduces the thyroid hormone levels in the blood. It is always advisable to have a medical doctor prescribe such drugs rather than going for self medication, as there can be side effects and other associated problems as well. Hyperthyroidism insomnia can be overcome with appropriate care. Commonly prescribed anti-thyroid drugs in the United States and United Kingdom are carbimazole, methimazole and propylthiouracil. Since thyroid hormones are stored in the gland. These drugs can take many days before they are actually effective. In such cases, the doctors prescribe temporary medicines to reduce hyperthyroidism insomnia. Other forms of treatment include radioactive iodine treatment and surgical removal of the thyroid gland itself. There are natural supplements available to treat hyperthyroidism effectively as well. Herbal medicine, naturopathy and yoga practices can help in the reduction of the symptoms of hyperthyroidism insomnia. Adequate physical activity combined with relaxation techniques can aid in reversing the physical and psychological symptoms associated with insomnia. An endocrinologist or other experts would be the ideal consultants to get the root cause of insomnia treated, i.e. hyperthyroidism.

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