Auto Immune Thyroiditis


An inflammation of thyroid gland, which makes hormones that control many of the body’s functions. It causes fatigue, weight gain, puffy face and slow heartbeat.


It is caused by an autoimmune disorder. Know More


Symptoms are fatigue, weight gain and abnormal menstruation. Know More


Doctor may do a physical examination looking for enlargement of thyroid gland. Know More

Diagrammatic Representation of Health Condition Hashimoto's thyroiditis

©Provided by Focus Medica


Treatments can help manage condition, no known cure

Diagnosed by medical professional

Often requires lab test or imaging

Can last several years or be lifelong

More common in females

Family history may increase likelihood

Urgent medical attention recommended

Know More

Hashimoto’s thyroiditis is an autoimmune disease. The disease progression is slow and is classified as five different stages.

  • Stage 1: Genetic predisposition – no signs and symptoms & no triggers for the disease progression.
  • Stage 2: Immune cell Infiltration – TSH, Free T3 and Free T4 level will be normal. TPO antibodies may be elevated in blood.
  • Stage 3: Subclinical Hypothyroidism – elevated TSH and higher levels of TPO antibodies. Inflammation in the thyroid gland.
  • Stage 4: Overt Hypothyroidism – Higher TSH and low levels of Free T3, Higher TPO antibody. Thyroid gland destruction.
  • Stage 5: Progression to other autoimmune diseases.



People may be asymptomatic in the early stage, but they may develop the following symptoms as the condition progresses:


Weight gain


Slowed heart rate

Heavy or abnormal menstrual periods

Sensitive to cold

Puffiness of face

Difficulty to conceive

Dry skin

Enlargement of thyroid gland



Actual cause of Hashimoto’s thyroiditis is not known, but it is clear that autoimmune response to the thyroid gland induces the disease condition. Following are the possible causative factors that can trigger autoimmune response.

Family history

Excessive exposure to radiation

Exposure to chemical agents

Hormonal changes

Viral infections



Doctor may do a physical examination looking for enlargement of thyroid gland.

Thyroid function tests (TFTs)

Blood test to check for levels of TSH, Free T3 and T4 levels

Blood test

To check levels of anti-thyroperoxidase antibodies that plays a role in production of thyroid hormones.


To check compression of esophagus and the trachea.


Hashimoto’s Thyroiditis cannot be cured but medications (thyroid hormone replacement therapy) will help manage the disease condition.


Birth defects: Babies born to women having Hashimoto’s thyroiditis are likely to have high risk of birth defects.

  • Goitre: Inflammation of the thyroid gland leads to enlargement. Most common cause of goitre is hypothyroidism.
  • Mental Health Issue: Depression is observed in a person with Hashimoto’s thyroiditis, this worsens over the period of time.
  • Myxedema – This is a rare case.
  • Heart problems – Increased risk of heart problems.

Questions To Ask Your Doctor

  • What are the life style modifications I need to follow?
  • Will there be any problem in conceiving?
  • Will this lead any serious mental health issue?




Foods to eat:

Following healthy diet

Probiotic rich foods

Fermented foods

Vitamin C rich food can improve the immunity

Foods to avoid:

Gluten rich foods


Rich Omega 6 foods

Canola oil

Source Credit: Hashimoto’s thyroiditis: Symptoms, causes, diagnosis and treatments (

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