8 warning signs of thyroid eye disease

8 warning signs of thyroid eye disease

In medical terms, thyroid eye disease (TED) is also called Graves’ eye disease or Graves’ ophthalmopathy. It causes swelling in the eye muscles and affects the connective and fatty tissues behind or around the eyes, making the eye appear bulged or reddened. As the name suggests, TED occurs due to an overactive thyroid gland. There are several risks, early signs, and causes that one should be aware of to receive timely treatment for the condition.

What is TED?
It is an autoimmune eye disorder often triggered by thyroid dysfunction, wherein a person’s immune system targets and attacks the thyroid gland, prompting it to release excessive thyroid hormone. As a result, the thyroid gland enlarges. One usually experiences two phases of the condition. First, an individual may experience an active phase where the inflammation peaks and symptoms worsen, which can last up to three years, followed by the stable phase.

Warning signs of TED
The warning signs of TED may affect both or even a single eye. Here are some of the common signs to look out for:

1. Changes in eye structure
The eyes may bulge out or just generally look out of line. This can also lead to double vision or even blindness in some cases due to the constant pressure of the swelling on the delicate eye nerves at the back. One may also experience ulcers or sores in the cornea or the front of the eye, which can make it difficult to close the eyes completely.

2. The ‘Thyroid Stare’
In many cases, a person may notice that their eyelids are pushed back, and the muscles that enable their movement feel restricted. This can lead to the thyroid stare, where it seems like a patient is staring blankly.

3. Vision impairment
Those experiencing blurry vision, general discomfort in the eye, or vision impairment should get it checked immediately since that may indicate the onset of TED. Blurry vision especially does not seem to get better even with proper rest, moving, blinking, or covering the eyes.

4. Under-eye bags
Bags under the eyes usually result from aging or fluid retention, but in the case of TED, they may occur due to inflammation and swelling of the tissues around the eyes.

5. Various types of eye discomfort
Normal eyes move freely and smoothly, but individuals who find it difficult to do so should get checked for TED. With TED, one may experience either dryness or watery eyes, a feeling of grittiness, or sandiness in the eyes. One may also experience reduced tolerance to bright lights, which did not seem to bother an individual earlier. There may also be pain behind the eyes or when one tries to look sideways, upward, or downward.

6. Changes in perceiving colors
Oftentimes, TED may also dull down one’s vision, which may result in colors not appearing as bright or vibrant as they did earlier. If the condition has affected one eye, one may notice the change in color brightness more obviously by comparing one eye’s vision to the other.

7. Eyelid redness and swelling
There may be unnatural redness not just in the eyes but also in the eyelids. In many cases, one may also notice swelling or fullness in the upper eyelids.

8. Mood swings
Apart from changes in the eyes, there may be other less obvious symptoms that should prompt one to get checked medically. Since the thyroid hormone regulates mood, any issues or fluctuations here can cause mood swings, anxiety, anger, or general irritability.

Why TED may be difficult to diagnose early
The symptoms of TED usually progress for the first six to twelve months, so early diagnosis is important to treat the condition. However, TED can sometimes be hard to spot and may cause misdiagnosis. This is mainly because the symptoms may be mistaken for other eye issues like conjunctivitis, hay fever, or general allergies. As a result, one may receive treatment for these more common conditions for months before TED is identified.

To differentiate TED from other eye conditions, one should see if there is an accompanying eyeache or if one develops double vision. The signs also may not get better with time. For proper diagnosis of TED, a healthcare professional may perform a physical eye exam and request blood tests to check thyroid hormone levels. Some other tests may include ultrasound, computed tomography (CT) scan, or MRI.

Treatments and remedies for TED
For TED, a healthcare expert may suggest treatments like decompression therapy to create more space behind the eyes by removing bone and soft tissues, surgery to correct double vision, eyelid surgery to enhance their function, artificial tear drops to relieve dry eyes, or orbital radiotherapy. It’s important to maintain normal thyroid function and get blood tests done regularly to detect the condition early on.

There are several lifestyle changes that can ease the symptoms of TED, like using cool compresses, wearing sunglasses to protect the eyes, keeping the head higher than the body while sleeping, wearing prism glasses to correct double vision, and following other individual remedies suggested by one’s doctor. It’s important to diagnose TED as early as possible since it can significantly affect one’s social and psychological well-being.

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Foods to Eat and Avoid for Optimal Kidney Health

Kidneys help filter waste from the blood and dispose of it off the body via urine. They also help balance the electrolyte and fluid levels in the body. But, conditions like high blood pressure and diabetes may intervene with their ability to work as required. Furthermore, damage to the kidney might also result in chronic kidney disease. Hence making changes in your meal plan is a vital aspect of treatment. You can prevent damage to these organs by following a kidney-healthy meal plan. Below, we will address some foods to eat and avoid for better kidney health. Foods to eat Cauliflower Cauliflower is a nutritious vegetable. It's an excellent source of folate, Vitamins B, K, and C. It's rich in anti-inflammatory compounds like indoles, a fiber source. In addition, you can use mashed cauliflower as a replacement for potatoes. For example, a cup of cooked cauliflower has 40 mg of phosphorous, 176 mg of potassium, and 19 mg of sodium. Sweet potatoes They are relatively similar to white potatoes but have more fiber content, resulting in them breaking down more gradually. Hence, you will experience a less spike in insulin levels. Sweet potatoes are also rich in vitamins and minerals like potassium that help balance the sodium levels in the body and lower their impact on the kidneys. But, since sweet potatoes have a high potassium content, people on dialysis or those with CKD should curtail the intake of this vegetable. Red bell peppers They are rich in flavor and low in potassium, but that is not the sole reason they are considered a hit among people with kidney disease. Red bell peppers have Vitamin C and A sources and are also high in fiber, folic acid, and B6 vitamin content. In addition, red bell peppers are also suitable because they have lycopene, an antioxidant that shields against some cancers. You can eat them raw with a dip, mix them into your salad, or enjoy them as an appetizer. Some people also like roasting bell peppers and using them as a topping for lettuce salads or sandwiches. Olive oil It contains healthy fat and has anti-inflammatory properties. Since it is monosaturated fat, it stays stable even at higher temperatures as you cook. Thus, switching to extra virgin olive oil can give you more antioxidants while you still enjoy your favorite dish. Green vegetables Leafy veggies like spinach, kale, romaine, arugula, and cabbage are hydrating, low in calories, and have high antioxidant and vitamin content. If you wish to be cautious about your mineral levels, you must opt for cabbage and arugula, which are nutrient-rich and lower in sodium, potassium, phosphorous, and calcium. In addition, kale and spinach have a high potassium content, which is ok for people seeking to improve their kidney health, but best for those already dealing with chronic kidney disease. Blueberries They are called superfoods because they are rich in antioxidants and are a low-calorie Vitamin-C and fiber source. You can stock them in abundance from your local grocery store or farmer’s market. You can also shop for frozen berries in the off-season and enjoy healthy smoothies. People with kidney diseases can also eat other berries like raspberries, cranberries, and strawberries. Apples Apples are low in potassium and rich in fiber when you eat them with peel. They also have a natural anti-inflammatory effect and are ideal for your kidneys. Foods to avoid Soda Soda has zero nutritional benefits and instead has high sugar content. It only adds to the extra calories. Some studies link high soda consumption to conditions like kidney disease, osteoporosis, dental problems, and metabolic syndrome. If you opt for their lower calorie alternative like coke zero, even that will do you no good, as it has no nutritional value and contains artificial sweeteners and additives. Hence, you must omit soda and opt for healthy beverages like water. If you do not enjoy plain water, add a slice or two of fresh fruit for added flavor. Avocados Avocadoes are known for their many nutritious qualities. They are rich in antioxidants, fiber, and heart-healthy fats. Even though consuming avocado is often considered healthy, people with kidney disease must avoid it as avocados have a high potassium content. An average-sized avocado has about 690 mg of potassium. If you love the taste and do not want to eliminate it, you can reduce the portion size to only 1/4th of the avocado. In addition, it will lower potassium intake.  Salty foods Sodium or salt is one of the most prevalent inclusions in foods you consume daily. However, their density is higher in processed foods. Salt results in water retention and may cause blood pressure, lung, and heart disease. Healthy kidneys work towards maintaining the correct fluid balance in the body. So, if your kidneys do not function as desired, the fluid balance may be disturbed. Hence, you must curtail sodium-rich foods like processed foods, packaged items, and soy sauce. When cooking meals at home, opt for low-sodium alternatives. You can replace salt with spices and herbs and keep the salt shaker off the table. Dairy Dairy products like yogurt, cheese, ice cream, and milk are rich in protein, calcium, and other vital nutrients. They also contain potassium and phosphorous. People with stage three kidney disease might want to curtail their potassium, phosphorous, and protein intake, which is high in dairy. So, you can instead reach out for dairy alternatives like rice, soy, or almond milk as they have lower potassium, phosphorous, and protein content than cow’s milk. Bananas Though naturally low in sodium, bananas' potassium content is significantly high. So, to ensure your kidney disease does not aggravate, monitor your potassium intake, and it might be challenging if the banana is your staple. Conclusion Whatever you eat or drink will affect your health regardless of any health issue. Therefore, maintaining a healthy weight and following a balanced meal plan are prerequisites to staying fit and controlling blood sugar levels. A kidney-healthy meal plan is less about eliminating certain foods but following portion control and finding a balance of proteins, carbohydrates, and fats.

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Signs, causes, and management of thyroid eye disease

Thyroid eye disease (TED), also known as thyroid-related ophthalmopathy (TRO), is an autoimmune condition that triggers the immune system. As a result, inflammation occurs in the socket of the eyes, which affects the muscles responsible for eye movement. The fatty tissues behind the eyes are also affected, leading to other complications. So, the eyes are pushed forward (forming a bulge), leading to symptoms like double vision, decreased vision, red eyelids, and eye irritation. Symptoms of thyroid eye disease The signs and symptoms of TED differ from person to person. Besides, the intensity of the symptoms can range from mild to highly severe. Sometimes, the symptoms can cause pain and disfigurement of the eye socket, which can eventually lead to loss of eyesight over time. Aside from this, the symptoms do not change substantially over the years for some people. While for others, the symptoms may become worse or even improve as years go by. In some cases, a person with TED may experience recurring episodes of worsening symptoms followed by a period of improvement or remission. Some of the most common symptoms of TED to watch out for include the following. Bags under the eyes Blurred or double vision Change in the appearance of the eye – bulging or as if one is staring continuously Difficulty in moving the eyes Dry or watery eyes Gritty feeling in the eyes Low tolerance to bright lights Pain inside or behind the eye, especially when looking up, down, or sideways Redness of the lids and eyes Swelling or fullness in one or both upper eyelids Sometimes, thyroid eye disease can become quite severe and cause the following symptoms. In such cases, it is best to consult a doctor as soon as possible. There is blurred vision that does not improve by blinking or covering either eye The eyes may perceive colors differently as they may appear less bright when compared with the other There is double vision The symptoms worsen quickly over a few days or weeks Since most of these symptoms are quite similar to other eye diseases, such as hay fever, conjunctivitis, or allergies, TED can be difficult to diagnose. In fact, many people with TED often receive a correct prognosis only after a few months. However, some signs can help determine whether the symptoms are due to TED or something else. The symptoms do not occur during the hay fever season The symptoms include severe aches or pain in the eyes, especially when there is eye movement Causes For most autoimmune health disorders, including thyroid eye diseases, there are no known exact causes. However, a few risk factors are known to increase the chances of being diagnosed with this eye disease. Usually, autoimmune conditions develop when the immune system attacks healthy tissues and cells that it mistakenly perceives as threats. So, the production of white blood cells increases in the body to defend against the intruders. However, the excess of white blood cells invariably increases the level of inflammation in the body. In the case of thyroid eye disease, this inflammation occurs in the eyes, triggering all known symptoms. Apart from this, thyroid eye disease may also develop due to overactive or underactive thyroid glands. Management options Managing and treating thyroid eye disease involves relieving symptoms and preventing them from recurring. To achieve this, a healthcare provider may recommend one or more of these options. Over-the-counter treatments This involves the use of eye drops that provide relief from dryness and irritation. These solutions help in lubricating the eyes and alleviating a lot of discomfort. Lifestyle changes and home remedies Avoiding foods that increase inflammation is considered one of the most crucial lifestyle changes one can make. Also, learning how to manage stress can help lower inflammation levels. There are several ways to alleviate the pain and discomfort associated with the eye condition and inflammation. For instance, one can apply cool compresses to the eyes, wear sunglasses to protect against UV radiation, and keep the head higher than the body when lying down. Taping the eyelids when sleeping can also help, provided a health expert recommends it. Since TED can make it difficult to close the eyes completely, it can lead to corneal ulcers and dryness, leading to vision loss. To avoid this, taping the eyelids can work well. In addition, one can also wear glasses with prisms or use patches on one eye to lower double vision. It would also be useful to control thyroid levels by regularly monitoring. Surgery In severe cases, surgery might be needed to treat the symptoms of TED. Eyelid surgery is recommended, where the procedure involves correcting the eyelids that may have become tight due to TED. As a result, the cornea is covered, preventing corneal damage. Apart from this, a person may also undergo eye muscle surgery, where the eye muscles are moved to improve double vision. Finally, the symptoms of TED can be further improved with orbital decompression surgery. This procedure helps to take away the pressure from the optic nerve by removing excess tissues and making the eye socket large. Radiation therapy This procedure is usually suggested to treat the inflammation and irritation of the eyes caused by TED.

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