Is Hashimoto’s thyroiditis treatable?

  The majority of Hashimoto’s thyroiditis has a good prognosis, but there is a natural tendency to develop into hypothyroidism, which will undergo a process of hyperthyroidism followed by hypothyroidism, so the main focus is on symptomatic treatment, and different medications are needed at different times. Commonly used drugs are: β-blockers: Tipsan, full name propranolol, mainly for the hyperthyroidism period of thyrotoxicosis caused by tachycardia and other complications.  Anti-inflammatory and analgesic drugs: mainly used to relieve thyroid inflammation and pain, mild cases only need to apply non-steroidal anti-inflammatory drugs, such as aspirin, ibuprofen, indomethacin, etc., moderate to severe patients can be used glucocorticoid drugs, such as prednisone.  Levothyroxine: The main component is thyroid hormone, which is used for hormone replacement therapy. Most thyroiditis will go through a process from hyperthyroidism to hypothyroidism, and levothyroxine is generally used for the treatment of hypothyroidism.  For patients with severe enlargement of the thyroid gland, obvious pressure symptoms and no relief from medication, surgical treatment is also an option, but the chance of conversion to lifelong hypothyroidism after surgery is higher and lifelong medication is required.  Therefore, Hashimoto’s thyroiditis is a type of autoimmune thyroiditis, which is self-limiting and generally does not require specialized clinical treatment, but only symptomatic management, and eventually usually transforms into hypothyroidism.