Hyperthyroidism, also known as overactive thyroid, is a condition where the thyroid gland produces excessive amounts of thyroid hormones, thyroxine (T4) and triiodothyronine (T3), leading to an accelerated metabolism. The thyroid gland, located at the base of the neck, is responsible for regulating the body’s metabolic rate, controlling how the body uses energy, and influencing many vital functions, including heart rate and body temperature.
In Singapore, an estimated 5 to 10 percent of the population suffers from a thyroid disorder. Hyperthyroidism, along with hypothyroidism, are the most common thyroid disorders in women, who are five times more likely than men to develop these conditions. Hyperthyroidism can cause various symptoms that can affect physical and mental well-being and everyday life, but it is a manageable condition with proper diagnosis and treatment.
Hyperthyroidism Causes
Graves' disease, an autoimmune disorder where the immune system attacks the thyroid gland, causing it to produce excessive thyroid hormone, is the most common cause of hyperthyroidism in Singapore, accounting for approximately 70% of all cases. Other causes of hyperthyroidism can include toxic nodular goitre, where nodules in the thyroid gland lead to excessive hormone production, and increased iodine levels, often due to medication or dietary intake. Subacute thyroiditis, an inflammation of the thyroid gland, can also temporarily elevate hormone levels.
Hyperthyroidism Symptoms
Symptoms of hyperthyroidism can vary from person to person but may include the following:
- Rapid heartbeat
- Unexplained weight loss
- Increased appetite
- Nervousness and irritability
- Sweating and heat intolerance
- Sleep problems
Some individuals may also experience tremors, fatigue, and changes in menstrual cycles. In severe cases, symptoms like bulging eyes and goitre (an enlarged thyroid gland) may occur.
Complications of Hyperthyroidism
If left untreated, hyperthyroidism can lead to serious complications such as heart problems, including atrial fibrillation (irregular heartbeat) and congestive heart failure. Another significant risk is osteoporosis, where bones become weak and brittle due to the accelerated loss of calcium. Additionally, thyroid eye disease, particularly associated with Graves' disease, can cause vision problems.
How to Test for Hyperthyroidism?
Hyperthyroidism is diagnosed through a combination of physical examination, blood tests, and imaging studies. Blood tests, also known as thyroid function tests, typically measure levels of thyroid-stimulating hormone (TSH), free thyroxine (T4), and triiodothyronine (T3). A low TSH level coupled with high T4 or T3 levels can indicate hyperthyroidism. Imaging tests such as thyroid ultrasound may also be used to assess the thyroid gland's structure and function.
Hyperthyroidism Treatment
In Singapore, hyperthyroidism is primarily treated through the following methods:
- Medication: Antithyroid drugs such as methimazole, carbimazole, and propylthiouracil are commonly prescribed to reduce thyroid hormone production. Beta-blockers like propranolol and atenolol are also used to control symptoms such as rapid heartbeat and tremors by mitigating the effects of excess thyroid hormones on the body.
- Radioactive Iodine Therapy (RAI): This treatment involves taking radioactive iodine orally, which gradually shrinks the thyroid gland and reduces its hormone production, making it an effective option for many patients.
- Surgery: When other treatments are unsuitable, a thyroidectomy – surgery to remove part or all of the thyroid gland – may be recommended. This procedure often necessitates lifelong thyroid hormone replacement therapy to maintain normal hormone levels post-treatment.
Cost of Thyroid Function Tests in Singapore
At ATA Medical, we offer various thyroid function tests and treatment for hyperthyroidism with the following prices:
Test | Price* |
---|---|
Consultation | From $38.15 |
Thyroid Profile 1 Free T4 (FT4) + Thyroid Stimulating Hormone (TSH) |
$37.06 |
Thyroid Profile 2 Free T4 (FT4) + Free T3 (FT3) |
$43.60 |
Thyroid Profile 3 Free T4 (FT4) + Thyroid Stimulating Hormone (TSH) + Free T3 (FT3) |
$54.50 |
Thyroid Profile 4 Free T4 (FT4) + Thyroid Stimulating Hormone (TSH) + Thyroglobulin Antibody + Thyroid Peroxidase Antibody (Anti-TPO) |
$74.12 |
Thyroid Profile 5 Free T4 (FT4) + Thyroid Stimulating Hormone (TSH) + Free T3 (FT3) + Thyroglobulin Antibody + Thyroid Peroxidase Antibody (Anti-TPO) |
$95.92 |
Thyroid Ultrasound | $163.50 |
Carbimazole 5 mg | $0.22 per tab |
Besides thyroid function tests, we also offer testing for various hormones from $32.70 excluding fees for consultation and reviewing results.
Where Can I Do Thyroid Function Tests in Singapore?
ATA Medical is conveniently located at two different locations:
- Tanjong Pagar Medical Clinic (Closest MRT: Tanjong Pagar EW15)
- Orchard Clinic (Closest MRT: Orchard Boulevard TE13)
Summary
Hyperthyroidism is a manageable condition with a range of effective treatments available in Singapore. Early diagnosis and proper management are essential in preventing health complications. If you are experiencing symptoms associated with hyperthyroidism, it's important to consult a doctor to explore testing and treatment options. Timely intervention can significantly improve outcomes and help maintain a good quality of life.
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