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Understanding Graves' Disease -- Diagnosis and Treatment

How Do I Find Out If I Have Graves' Disease?

Although Graves' disease can be diagnosed from the results of one or two tests, your doctor may use several methods to double-check the findings and rule out other disorders. An analysis of your blood will show if the levels of two hormones -- free thyroxine (free T-4) and triiodothyronine (free T-3), which are produced or regulated by the thyroid -- are higher than normal. If they are, and if levels of thyroid-stimulating hormone (TSH) in your blood are abnormally low, you are hyperthyroid, and Graves' disease is the likely culprit. Blood analysis can also detect the presence of the abnormal antibody associated with Graves' disease, but this test is somewhat expensive and generally not necessary.

To confirm a diagnosis of Graves' disease, your doctor may conduct a radioactive iodine uptake test, which shows whether large quantities of iodine are collecting in the thyroid. The gland needs iodine to make thyroid hormones, so if it is absorbing unusually large amounts of iodine, it obviously is producing too much hormone.

Understanding Graves' Disease

Find out more about Graves' disease:

Basics

Symptoms

Diagnosis and Treatment

If bulging eyeballs (called exophthalmos) is the only symptom, your doctor will probably run blood tests to check for hyperthyroidism, since this eye disorder is not always related to Graves' disease. The doctor may also evaluate eye muscles using ultrasound, a CT scan, or magnetic resonance imaging (MRI). Signs of swelling in any one of these tests will go along with the diagnosis of Graves' disease.

What Are the Treatments for Graves' Disease?

If you have Graves' disease, or even suspect that you have it, you should have a professional diagnosis and, if necessary, a treatment plan that suits your particular condition. Although the disorder is rooted in a malfunctioning immune system, the goal of treatment is to restore thyroid hormone levels to their correct balance and to relieve discomfort.

Conventional Medicine for Graves' Disease

Beta-blockers such as atenolol (Tenormin), propranolol (Inderal), and metoprolol (Lopressor), frequently prescribed to treat heart disease and high blood pressure, are also used by most patients to alleviate the heart palpitations and muscle tremors that characterize Graves' disease. Before prescribing beta blockers for this condition, however, your doctor needs to know if you are asthmatic or have any kind of heart trouble. These drugs aren't a cure; instead they are given to block some of the effects of thyroid hormones. They are used in conjunction with other treatments.

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