Hashimoto’s thyroiditis, with its insidious onset and slow progression, may have no clinical symptoms in the early stages, or may present with atypical symptoms such as generalized malaise, etc. As the disease progresses, symptoms such as goiter, hyper- or hypothyroidism may appear, and a few patients may have symptoms of peripheral tissue compression or enlarged lymph nodes in the neck. 1. Hashimoto’s thyroiditis develops slowly and has a long course. It may be asymptomatic in the early stages, or it may present with atypical symptoms such as generalized fatigue, or pain and discomfort in the thyroid region. 2. As the disease progresses, diffuse enlargement of the thyroid gland often occurs, either bilaterally or unilaterally, and some patients may develop symptoms of pressure on the surrounding tissues, such as respiratory distress due to tracheal compression and dysphagia due to esophageal compression. 3. Some patients may have symptoms of hyperthyroidism in the early stage, such as tachycardia, excessive sweating, fatigue, muscle weakness, weight loss, etc., and symptoms of hypothyroidism in the late stage, such as chills, fatigue, loss of concentration, bradycardia, constipation, etc. 4. Neck lymph nodes are usually not enlarged, and in a few cases may be accompanied by enlarged but soft lymph nodes in the neck. It is recommended to go to the hospital in time, determine the treatment plan under the guidance of the doctor, and avoid blindly using medication on your own.