ICD 10 Hypothyroidism

Hypothyroidism is a condition when the thyroid gland cannot produce enough thyroid hormone. The thyroid is a gland shaped like a butterfly's wings, located on the front of the neck. It produces hormones such as T4 (tetraiodothyronine) and T3 (triiodothyronine), which control the body's use of fat and sugar. , regulate body temperature and heartbeat, monitor protein production in the body, and affect the body's metabolism

Usually, patients with hypothyroidism are sensitive to cold, have rough hair and are prone to hair loss, and are easily tired. Myxedema and overweight are also common. In addition to the above symptoms, some people are also troubled by constipation.

In addition to controlling weight, it is also important to pay attention to adequate intake of dietary fiber and water.

On the other hand, if you consume non-iodized salt for a long time, iodine deficiency will also cause hypothyroidism. People with hypothyroidism caused by lack of iodine intake should avoid excessive intake of cruciferous foods (kale, kale, Rapeseed, cauliflower, cabbage, lettuce, cabbage, radish, etc.), they will hinder the use of iodine and further suppress thyroid function.

ICD stands for International Classification of Diseases with 10 Edition or revision (ICD-9/ICD-10), which is the latest research on Modern Medical Disease names and definitions. ICD uses coding method to represent the system. Version 10 includes 155,000 codes and records with new diagnoses and predictions. ICD-9 version has less than 17,000 codes than ICD-10.

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Simple goiter is a non-inflammatory diffuse enlargement of the thyroid gland, including endemic

Swelling and sporadic goiter, commonly known as "big neck". Endemic goiter is common to certain areas

Caused by some etiological factors, more than 10% of people in the area have generalized or localized adenopathy; Sporadic goiter occurs in non-endemic areas and is often caused by factors that do not affect the population. Therefore Goiter is defined as an enlargement of the thyroid gland that is not caused by inflammation or neoplasia and is not initially associated with thyrotoxicosis or hypothyroidism

It is a simple goiter or a non-toxic goiter. The cause of this disease is mainly due to the relative production of thyroid hormones.

 

How common is hypothyroidism

Anyone can develop hypothyroidism, including infants and young children, but it is more likely to occur in the elderly, especially women over 60, or people with a family history of hypothyroidism.

Symptoms of hypothyroidism

Symptoms of hypothyroidism may vary depending on the degree of hormone deficiency in the body, but usually symptoms such as fatigue and weight gain that appear to be purely aging are not noticed at first; obvious symptoms of hypothyroidism may appear after several years. It will gradually become clearer. Here are some common symptoms of hypothyroidism that can get worse if left untreated:

tired.

Becoming more and more afraid of the cold.

constipate.

Dry skin.

Weight gain.

The face becomes swollen.

Hoarseness.

Muscle weakness, pain, stiffness, or tenderness.

Blood pressure and cholesterol become high.

Swelling, stiffness, or pain in the joints.

Irregular menstrual periods or heavy menstrual bleeding.

Hair loss.

Heartbeat slows down.

Memory becomes poor and reactions become slower.

Depression.

Severe forms of hypothyroidism, called myxedema, are rare but can be life-threatening. Its symptoms include low blood pressure, decreased body temperature, unresponsiveness, and even coma.

When to see a doctor

If you have any of the above symptoms, please consult your doctor. Early detection will allow for early treatment and avoid worsening of the condition. Everyone’s body is different, and it’s always best to consult a doctor if you have questions.

Causes of hypothyroidism

Suffering from an auto immune disease, receiving treatment for hyperthyroidism, receiving radiation therapy, having thyroid surgery, or taking certain medications may cause hypothyroidism. The following is a more detailed explanation:

Autoimmune disease: There is an inflammatory condition called Hashimoto’s thyroiditis, which is also an autoimmune disease. Because the thyroid gland sometimes affects the immune system, problems with it can cause the body to produce antibodies that attack its own tissues.

Receive treatment for hyperthyroidism: This may be radiation therapy or medication, which sometimes results in permanent hypothyroidism after the course of treatment.

Thyroid surgery: Removal of most or all of the thyroid gland may reduce thyroid hormone secretion. Some patients may need to continue taking thyroid hormone supplements throughout their lives after surgery.

Radiation therapy: Radiation therapy used to treat cancer of the head or neck may affect the thyroid gland, which is otherwise fine.

Taking certain medications: There are several medications that can cause this condition, such as lithium, which is used to treat mental illness.

Risk factors for hypothyroidism

People who meet the following conditions are more likely to have hypothyroidism:

Women over 60 years old.

Are suffered from auto-immune diseases, such as rheumatoid arthritis and lupus.

Have a family history of hypothyroidism.

Hyperthyroidism has been treated with medication or radiation.

Radiation therapy was given to areas above the chest, especially the neck.

Have had thyroid-related surgery, such as partial thyroidectomy.

Have been pregnant or given birth in the past 6 months.

Even if those in high-risk groups are asymptomatic, they can have their thyroid checked regularly to confirm that they do not suffer from mild or subtle symptoms of hypothyroidism.

Diagnosis and treatment of hypothyroidism

The following information is not a medical diagnosis. For further information, please feel free to consult your physician.

How to Diagnose Hypothyroidism

The doctor will perform a physical examination and perform certain tests, such as blood tests, Thyroid-stimulating hormone (TSH) and T4 tests. If these values ​​are abnormal, the doctor will further perform antithyroid antibody (Antithyroid) testing. The doctor may also perform a computed tomography (CT) scan, or magnetic resonance imaging (MRI).

How to Treat Hypothyroidism

Physicians often recommend that patients take a daily oral synthetic thyroid hormone supplement, or Levothyroxine. But in addition to synthetic thyroxine, there are also natural products extracted from pig thyroid gland. Then, the doctor will check the patient every 2 to 3 months and adjust the dosage. For people with cardiovascular disease and severe hypothyroidism, special attention must be paid to the initial dose of levothyroxine therapy not to be too high and to be increased gradually. If the dose is too high, it can cause side effects such as increased appetite, insomnia, heart palpitations, and tremors. People with mild symptoms of hypothyroidism should discuss alternative treatments with their physician.

In addition, some nutritional supplements and drugs may affect the body's absorption of levothyroxine, so please inform your doctor if you have the following conditions:

Eat a lot of soy products or high-fiber foods.

Some are using iron supplements or multivitamins containing iron.

Take cholestyramine, aluminum hydroxide (common in many antacids), and calcium supplements.

Can hypothyroidism be prevented?

Hypothyroidism cannot be prevented, but it can be learned and watched for signs to seek immediate treatment.