Hashimoto’s Thyroiditis symptoms often are not clear

The symptoms of Hashimoto are very diverse and therefore difficult to grasp. Frequently, some patients do not realize that they suffer from thyroiditis. Other patients, on the other hand, are struggling with severe symptoms.

This is also the reason why many physicians are often overwhelmed with Hashimoto patients and can not properly assign the symptoms and classify them properly.

As a patient, you  usually have no other choice than to take things in your own hands and tackle the autoimmune disease on your own initiative. But this is only possible if the concerned person gets itself well informed and does not rely blindly on the doctors.

Usually, the disease begins slowly and gradually, so that the person initially barely perceives the symptoms. Often it is not easy to interpret the signs correctly, as paradoxical complaints occur and sometimes can be blurred again. Individually, depending on the particular hormone situation, different symptoms may occur.

Since the Hashimoto especially at the beginning of the disease is accompanied with a short phase of hyperthyroidism, and only later in the disease to hypothyroidism passes over, often the first symptoms occur:

Symptoms of hyperthyroidism

  •     Tachycardia and strong palpitations
  •     High blood pressure
  •     Increased sweating
  •     Insomnia
  •     Trembling hands
  •     Restlessness
  •     Nervousness and irritability
  •     Aggressive upsets
  •     Weight loss despite normal appetite
  •     Diarrhea and digestive disorders
  •     In women: menstrual disorders (irregular or increased bleeding)

in the course of thyroiditis, the thyroid hormone production fails rapidly and the result is a seamless transition into the hypothyroidism.

In addition to classic symptoms of hyperthyroidism, such as constipation, weight gain, freezing, poor sleep, and depressive moods, Hashimoto’s often also features the following typical symptoms:

Symptoms of hypothyroidism

Energy balance and sleep

  •     Chronic fatigue and weakness
  •     Lack of energy, demotivation and depression
  •     Low stamina and long recovery period after physical exercise and sports
  •     Slow reflexes (Achilles tendon reflex)
  •     Noticeable slow body movement and speech
  •     Insomnia, sleep apnea and snoring


  •     Weight gain despite normal diet and inability to lose weight
  •     Weight loss despite normal diet and inability to increase weight
  •     Metabolic syndrome and obesity
  •     Anorexia
  •     Decreased or extremely increased appetite
  •     Abdominal fluid accumulation (ascites)

Body temperature

  •     Cold hands and cold feet
  •     Intolerance to cold and heat
  •     Constantly wet hands, cold sweats and night sweats
  •     Internal tremors and restlessness
  •     Low basal body temperature (under 36.4 degrees)
  •     Inability to perspire or excessively sweating

Immune system

  •     Weak immune system, frequent infections, colds and chronic diseases
  •     Susceptibility to bronchitis, sinusitis, infections of the skin, upper respiratory infections  and ENT infections
  •     Recurring infections of the urinary tract
  •     Difficulties to recover from infections
  •     Chronic contamination with fungi, bacteria and parasites in the intestines
  •     Chronic allergies

Cardiovascular system

  •     Significantly tactile palpitations
  •     Dizziness, cognitive disorders (foggy brain) and fainting
  •     High blood pressure or low blood pressure
  •     Low pulse (below 60bpm) or fast (over 90bpm)
  •     Racing heart, irregular heartbeat (arrhythmia) and severe palpitations
  •     Arteriosclerosis and plaque buildup
  •     High cholesterol, high triglycerides and high LDL cholesterol (bad cholesterol)
  •     Anemia

Brain and psyche

  •     Depression, panic attacks and general neurological symptoms
  •     Mania, phobias, bipolar disorders, anxiety and personality changes
  •     Obsessions, delusions, hallucinations, schizophrenia and others mental illness
  •     Foggy brain, lack of concentration, mental sluggishness and dementia
  •     irritability, nervousness and mood swings
  •     Personality disorders and nightmares
  •     Sleep disorders (difficulties to fall asleep, poor quality of sleep, constant waking up)
  •     Concentration- and memory disorders
  •     Personality changes, anxious, frightful, tense
  •     Trouble finding words
  •     Lack of coordination, awkwardness, tendency to fall, fainting and dizziness


  •     Constipation (rarely diarrhea) and flatulence
  •     Often light in colour, yellowish stool
  •     Loss of appetite and nausea
  •     Food allergies and food intolerance
  •     Celiac disease, gluten intolerance, lactose intolerance and alcohol intolerance
  •     Diverticulosis, hemorrhoids, colitis and ulcers
  •     Irritable bowel syndrome (IBS), reflux, gastroesophageal reflux disease (GERD) and excessive regurgitation
  •     Illness of the gallbladder and gallstones
  •     Enlargement and / or congestion of the liver
  •     Fatty liver, elevated liver enzymes and hypoglycemia

Mouth and throat

  •     Difficulty in swallowing and feeling of pressure in the throat
  •     Thyroid nodules / goiter
  •     Burning in the throat, sore throat, swollen tongue
  •     Dry mouth and bad breath
  •     Teeth grinding
  •     Gum bleeding, swollen gums, irritated gums, periodontosis
  •     Hoarse voice and speech problems
  •     Cravings and distorted taste (dysgeusia)
  •     Difficulties to breathe deeply
  •     Breathing difficulties, air hunger and shortness of breath

Skin, hair and nails

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

Eyes and ears

  •     Dry eyes, photosensitivity t (photophobia)
  •     Poor focusing, blurred vision and double vision
  •     Red, inflamed eyes and night vision problems
  •     Dizziness with rapid head movements
  •     Dark circles under the eyes and swelling around the eyes
  •     Glaucoma and cataracts
  •     Hypersensitivity to noise and loud sounds
  •     Tinnitus and noises in the ears (Ringing and hissing)
  •     Dry, flaky ear canal, excess of ear wax
  •     Water retention, especially on the eyelids and on the face

Pain and musculature

  •     Joint pain and stiff joints
  •     Muscle pain and muscle cramps
  •     Neck pain and muscle tension
  •     Chronic back pain
  •     Stiffness, arthritis, gout and fibromyalgia
  •     Migraine and chronic headache
  •     Tendinitis, aching bones , Heel spur and plantar fasciitis
  •     Muscle weakness, muscle hardening and muscle tremors
  •     Wrist pain, carpal tunnel syndrome (hands or forearms) and tarsal tunnel syndrome (legs)
  •     Pain and pressure sensitivity in the area of the neck and/or the thyroid gland

Menstrual disorders and pregnancy

  •     Irregular period, interruption of periods (amenorrhoea) and intermenstrual bleeding
  •     Cycle disorders and unfulfilled desire for children
  •     Very light (oligomenorrhea) or very strong period (menorrhagia)
  •     Premenstrual syndrome (PMS) and premenstrual tension (PMT)
  •     Premature or delayed menopause
  •     Polycystic Ovary Syndrome (PCOS)
  •     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

Common concomitants of Hashimoto’s thyroiditis with similar symptoms

It is not just the Hashimoto itself that causes symptoms, but also the weakened organs that have been running low for some time due to hormone deficiency. But fatigue, weakness, dizziness and indigestion play a major role in almost every Hashimoto patient.

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