Are people with thyroiditis afraid of heat?

Written by Li Hui Zhi
Endocrinology
Updated on January 27, 2025
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Thyroiditis generally refers to subacute thyroiditis.

It is a disease caused by the destruction of thyroid follicles due to a viral infection, leading to the release of thyroid hormones into the blood. In the early stages, some people may experience transient hyperthyroidism, with symptoms such as heat intolerance, excessive sweating, palpitations, insomnia, weight loss, and irritability. In addition to these symptoms, thyroiditis can also be accompanied by neck pain and fever, generally occurring in the afternoon or evening. Therefore, it is recommended that anyone with these symptoms should promptly visit an endocrinology specialist to complete thyroid function tests, erythrocyte sedimentation rate, routine blood tests, and thyroid ultrasound to confirm the diagnosis.

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Symptoms of thyroiditis and hypothyroidism

Because the onset of hypothyroidism is gradual, its early symptoms are atypical. Specific symptoms only appear when there is a decrease in basal metabolic rate and a reduction in sympathetic nerve excitability. Generally, symptoms include cold intolerance, fatigue, swelling of hands and feet, drowsiness, memory decline, reduced sweating, joint pain, weight gain, constipation, and menstrual irregularities such as heavy or light periods, or infertility in women of childbearing age. Additionally, some common clinical signs include expressionless face, slow response, hoarse voice, hearing impairment, pale complexion, edema around the eyelids, face and lower limbs, thick tongue coating often with teeth marks. Moreover, there are also associated symptoms such as dry skin, flaky skin, low skin temperature, and the hands and feet turning a yellowish-orange color.

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Written by Liang Yin
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Symptoms of hypothyroidism in thyroiditis

There are many types of thyroiditis, and the most common one associated with hypothyroidism is Hashimoto's thyroiditis. Symptoms of hypothyroidism include multi-system involvement. In the nervous system, it manifests as reduced memory and attention, and drowsiness; in the cardiovascular system, it presents as bradycardia, faint heart sounds, and cardiac enlargement; in the musculoskeletal system, it manifests as slowed movement and joint disorders; in the digestive system, it presents as loss of appetite, bloating, and constipation; in the respiratory system, it manifests as weak and shallow breathing; in the hematologic system, it can manifest as anemia; in the endocrine system, it can present as reduced gonadal function accompanied by hyperprolactinemia, menorrhagia, amenorrhea or infertility, hair loss, and the skin and mucous membranes appear pale with myxedema.

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Written by Xu Dong Dong
Endocrinology
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Does thyroiditis require rest?

Some periods of thyroiditis require rest. The common types of thyroiditis clinically include subacute thyroiditis and autoimmune thyroiditis. Subacute thyroiditis has a relatively sudden onset, characterized by neck pain radiating to the back of the ear, fever, loss of appetite, tachycardia, muscle pain, excessive sweating, etc. If these acute symptoms are severe, rest is necessary, and treatment with non-steroidal anti-inflammatory drugs and steroids is required. If the symptoms are mild, involving only slight pain and discomfort, it might not be necessary to rest and one can continue working, but it is important to reduce the workload. In the case of autoimmune thyroiditis, most patients have a relatively stable condition and can carry on with normal work and life. However, if autoimmune thyroiditis enters a phase of hyperthyroidism with symptoms of high metabolism, it is also necessary to rest for a period. Some patients in the middle to late stages might experience symptoms of reduced thyroid function, such as dizziness, fatigue, chest tightness, and edema. If these conditions occur, it is appropriate to take some time to rest.

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Written by Chen Xie
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Can you get pregnant with thyroiditis?

Patients with thyroiditis can become pregnant, but they must keep their thyroid function within the normal range. During the course of thyroiditis, it can manifest in three phases: hyperthyroidism, euthyroidism, and hypothyroidism. When thyroid function is overactive, it is necessary to maintain thyroid function at a basically normal level, and then plan for pregnancy under the guidance of a doctor. For patients with reduced thyroid function, it is even more necessary to maintain thyroid function within the normal range. It is advisable to consult a doctor and plan for pregnancy only after ensuring thyroid function is normal, as reduced thyroid function can impair fetal intellectual development.

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Written by Li Hui Zhi
Endocrinology
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How to check for thyroiditis?

Thyroiditis is a general term. Clinically, the most common type is subacute thyroiditis, and another is Hashimoto's thyroiditis, which are two different diseases. For subacute thyroiditis, the symptoms include fever, neck pain, and throat discomfort. Generally, the first step is to check thyroid function to see if there is hyperthyroidism or hypothyroidism. The second step is to suggest antibody tests, including anti-thyroid peroxidase antibodies and anti-thyroglobulin antibodies. The third suggestion is to conduct a routine blood test and erythrocyte sedimentation rate. Fourth, a thyroid ultrasound is recommended. If necessary, a thyroid fine-needle aspiration may be performed for a definitive diagnosis. If it's Hashimoto's thyroiditis, which is an autoimmune disease, a specific antibody, TPOAB or anti-thyroid peroxidase antibody, is used for diagnosis.