A thyroid storm, sometimes referred to as a thyrotoxic crisis, is a potentially fatal disorder that can occur when the thyroid gland abruptly releases an excessive amount of thyroid hormones. “A thyroid storm is a rare but severe complication of untreated or poorly managed hyperthyroidism. This is a critical condition that requires prompt medical attention and emergency care to save the affected person's life,” Dr. L. Sudarshan Reddy, a senior consultant physician at Yashoda Hospitals, told an lifestyle magazine in an interview. Dr. L. Sudarshan Reddy also described the early warning signals of a thyroid storm.

The thyroid storm has alarming symptoms:

Extremely high temperature (usually over 100°F).

• A very high heart rate, sometimes more than 140 beats per minute.
• extreme anxiety, restlessness, or irritability.
• Confusion or disorientation (which might also result in loss of consciousness).
• Heat intolerance and excessive perspiration.
• gastrointestinal distress characterized by severe nausea, vomiting, diarrhea, and stomach discomfort.
• Heart failure or jaundice are possible in extreme cases.

What does it feel like?

"A patient may feel shaky, nauseated, confused, and overwhelmed as a result of a racing heartbeat, high fever, and anxiety. Immediate hospitalization is necessary for this medical emergency," Dr. L. Sudarshan Reddy stated.

Threat factors:

• Hyperthyroidism that is not treated, particularly in people who have diseases like Graves' disease or toxic thyroid nodules.
• Women are more likely to be affected than men.
• The majority of individuals who have a thyroid storm are in their early 40s.

What are the treatments for thyroid storm?

Blood tests for thyroid function and viral monitoring are used to identify thyroid storm. The treatment prioritizes lowering thyroid hormone levels and stabilizing vital indicators after the patient is brought to the hospital. The treatment strategy consists of:

• IV fluids and electrolytes to address dehydration.
• Steps to lower body temperature by cooling.
• oxygen treatment for respiratory assistance.
• beta blockers, typically administered intravenously, to lower heart rate and lessen cardiac stress.
• Anti-thyroid drugs (thionamides) that reduce hormone production.
• Iodine to block the production of hormones.
• steroids (glucocorticoids) to lower inflammation and hormone conversion.
• Encouragement to lessen anxiety and organ strain.

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