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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Sleep Apnea Be Related To Hashimoto S Thyroiditis And High Blood Pressure?

I have been diagnosed with Hashimoto s Thyroiditis - 3 nodules & 1 cyst - and have very high blood pressure. I am interested to know what role the pituitary gland may play in influencing my thyroid and also whether there is an association between possible sleep apnea and the persistent tiredness I constantly feel. I am currently only able to manage 3 hour periods before I have to return to bed to sleep. I am a 56 year old menopausal woman, living in a stressful marriage (husband is a high functioning aspergers , who also refuses to accept diagnosis of coeliac disease & aspergers for himself) with 2 teenage sons.
Wed, 19 Feb 2014
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Endocrinologist 's  Response
Hi dear,
Good DAy
HAshimotos Thyroiditis may eventually develop in to hypothyroidism. You must check your TSH and Free T4 levels.

Your pituitary glad is a master gland which controls the function of thyroid through a hormone called TSH ( Thyroid stimulating Hormone) . TSH stimulates thyroid hormone production and favours growth of thyroid. If your thyroid is not producing enough hormones, then your pituitary produces TSH in excess to stimulate Thyroid gland. However, in conditions where your thyroid produces excess hormones, pituitary production of TSH is reduced.

Hypothyroidism sometimes can cause weight gain and in extreme cases, can cause vocal cord edema etc. These can cause sleep apnea.

However, the commonest cause of sleep apnea is obesity. When you have sleep apnea, you tend to snore during sleep and your sleep breaks and you may even have apnea ( chocking). In the sleep you may not be aware of it. This leads to lack of good quality sleep and you may not feel fresh in the mornings and may feel fatigued. You may even fall asleep while watching TV, reding or while driving. You may need a sleep study and there are effective ways to treat sleep apnea.

Please discuss with your doctor.
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Can Sleep Apnea Be Related To Hashimoto S Thyroiditis And High Blood Pressure?

Hi dear, Good DAy HAshimotos Thyroiditis may eventually develop in to hypothyroidism. You must check your TSH and Free T4 levels. Your pituitary glad is a master gland which controls the function of thyroid through a hormone called TSH ( Thyroid stimulating Hormone) . TSH stimulates thyroid hormone production and favours growth of thyroid. If your thyroid is not producing enough hormones, then your pituitary produces TSH in excess to stimulate Thyroid gland. However, in conditions where your thyroid produces excess hormones, pituitary production of TSH is reduced. Hypothyroidism sometimes can cause weight gain and in extreme cases, can cause vocal cord edema etc. These can cause sleep apnea. However, the commonest cause of sleep apnea is obesity. When you have sleep apnea, you tend to snore during sleep and your sleep breaks and you may even have apnea ( chocking). In the sleep you may not be aware of it. This leads to lack of good quality sleep and you may not feel fresh in the mornings and may feel fatigued. You may even fall asleep while watching TV, reding or while driving. You may need a sleep study and there are effective ways to treat sleep apnea. Please discuss with your doctor.