Hypothyroidism patients have a puffy face and tend to be forgetful, and hyperthyroidism patients lose weight rapidly and suffer from anxiety. So it is quite unrealistic to have both conditions considering the contrast of their symptoms.
Similarity in the early stages
In its infancy, Hashimoto’s has symptoms similar to both hyperthyroidism and hypothyroidism. The disease attacks the thyroid gland causing a spike in thyroid hormone levels in the bloodstream. These high concentrations cause alertness and hyperactivity. But after some time the patient becomes fatigued.
At that early stage, patients can be diagnosed with the bipolar condition and psychotic disorders. Some patients are even taken to psychiatric facilities. All these when the real problem is the thyroid. In older patients, the symptoms can be dismissed as signs of aging. Other clinicians might misdiagnose it for depression and administer antidepressants. Of course, the situation will not improve until the thyroid is treated.
Differences between Hyperthyroidism and Hypothyroidism
Difference in the hormone levels is the primary difference between hyperthyroidism and hypothyroidism. Hyperthyroidism results in high levels of thyroid hormones. On the other hand, hypothyroidism results in low levels of thyroid hormones.
Prevalence of the two conditions is also different. Hypothyroidism is more prevalent than hyperthyroidism. In most cases, hyperthyroidism precedes hypothyroidism, as is the case in Hashimoto’s.
There are differenced in the energy levels of these two sets of patients. Hypothyroidism patients experience low levels of energy due to decreased metabolism. These patients experience physical and mental fatigue and tend to sleep a lot. Another notable effect of the low levels of metabolism is weight gain. Hyperthyroidism, on the other hand, causes hyperactivity due to increased metabolism. The consequence of the high metabolism is rapid weight loss. Weight loss associated with hyperthyroidism is not healthy as it depletes muscle mass and weakens the body.
Hypothyroidism causes stress and depression while hyperthyroidism causes anxiety. One is the flip side of the other.