How to Spot Thyroid Problems With These 19 Key Warning Signs
Medically reviewed by our experts

The small butterfly-shaped gland in your neck plays a major role in how your body works. Millions of people have thyroid issues without even knowing it. When your thyroid doesn’t work right, it can affect almost every part of your body, from your heart to your skin. Spotting the signs early can make a big difference in how you feel.
What Is Your Thyroid and What Does It Do?
Your thyroid sits at the front of your neck, just below your Adam’s apple. This small gland makes hormones that control how your body uses energy. Think of it as your body’s power plant – when it works well, everything runs smoothly.
The thyroid produces two main hormones: triiodothyronine (T3) and thyroxine (T4). These hormones travel through your blood to all parts of your body. They help control your heartbeat, body temperature, and how fast you burn calories.
Your pituitary gland, located in your brain, makes thyroid-stimulating hormone (TSH). TSH tells your thyroid how much T3 and T4 to make. When this system gets out of balance, you can develop thyroid problems.
There are two main types of thyroid problems:
- Hyperthyroidism happens when your thyroid makes too many hormones
- Hypothyroidism occurs when your thyroid doesn’t make enough hormones
Each condition causes different signs that can affect how you feel day to day.
Signs of an Overactive Thyroid (Hyperthyroidism)
When your thyroid works too hard, it makes more hormones than your body needs. This speeds up many body functions and can make you feel like your engine is always running too fast.
An overactive thyroid often shows these 10 warning signs:
1. Unexplained weight loss
You might lose weight even though you’re eating the same amount of food or even more than usual. Your body burns calories faster when you have too much thyroid hormone.
2. Rapid heartbeat or heart palpitations
Your heart may beat faster than normal, even when you’re resting. You might feel your heart pounding, fluttering, or skipping beats.
3. Feeling nervous or anxious
Too much thyroid hormone can make you feel on edge, irritable, or anxious without any clear reason.
4. Hand tremors
You might notice a fine trembling in your hands and fingers when you try to hold them still.
5. Increased sweating
You may sweat more than usual, even when you’re not hot or exercising.
6. Heat sensitivity
You might feel too warm when others are comfortable. You may find yourself turning down the heat or removing layers of clothing.
7. More frequent bowel movements
Your digestion speeds up, which can lead to more bathroom visits. This isn’t usually diarrhea, just more frequent movements.
8. Enlarged thyroid (goiter)
The front of your neck might look or feel swollen. Sometimes you can see this swelling when you look in the mirror.
9. Sleep problems
You might have trouble falling asleep or staying asleep, despite feeling tired.
10. Changes in your appearance
Your hair might become thin and brittle, and your nails may break easily. In some cases, your eyes might appear to bulge slightly.
Signs of an Underactive Thyroid (Hypothyroidism)
When your thyroid doesn’t make enough hormones, your body processes slow down. Many people with an underactive thyroid don’t know they have it because the symptoms develop slowly over time.
Look out for these 9 signs that might point to an underactive thyroid:
1. Weight gain without changing diet or activity
You might gain weight even if you haven’t changed how you eat or how active you are. This happens because your body burns fewer calories when thyroid levels are low.
2. Feeling tired and weak
One of the most common signs is feeling exhausted, even after a full night’s sleep. Simple tasks might leave you feeling drained.
3. Cold sensitivity
You may feel cold when others are comfortable. Your hands and feet might feel especially cold due to slower circulation.
4. Skin changes
Your skin may become dry, rough, or pale. You might notice that lotions don’t seem to help as much as they used to.
5. Hair and nail problems
Your hair may become coarse, thin, or break easily. Some people notice hair loss, including the outer edges of their eyebrows. Nails may become brittle and break more easily.
6. Muscle aches and joint pain
You might feel stiffness, tenderness, or aching in your muscles and joints, especially in your arms and legs. These aches aren’t caused by exercise or injury.
7. Feeling down or foggy
Low thyroid levels can affect your mood and thinking. You might feel sad or down, or have trouble with memory and clear thinking.
8. Changes in women’s periods
Women may notice heavier, longer, or more frequent periods. Some women with severe hypothyroidism stop having periods altogether.
9. Constipation
Your digestive system slows down, which can lead to constipation that doesn’t get better with over-the-counter remedies.
When to See a Health Professional
Pay attention to your body’s signals. If you notice several of these signs, especially if they’re new or getting worse, it’s time to talk with a health professional.
A simple blood test can check your thyroid hormone levels. The test measures TSH and sometimes T3 and T4 levels. Your health professional may also feel your neck to check for thyroid enlargement.
Don’t try to diagnose or treat thyroid problems on your own. Many other health conditions can cause similar signs. Only a health professional can tell for sure what’s causing your symptoms.
Some signs call for prompt attention. Contact a health professional right away if you experience:
- Rapid heart rate with fever
- Severe neck swelling that makes it hard to breathe or swallow
- Feeling very tired along with cold, clammy skin
- Sudden weight gain with swelling in your legs and shortness of breath
Lifestyle Factors That Support Thyroid Health
Taking care of your thyroid involves more than just watching for warning signs. Your daily habits can help maintain thyroid balance.
Nutrition for Thyroid Health
What you eat affects how your thyroid works. These foods may help support thyroid function:
- Seafood and seaweed (natural sources of iodine)
- Brazil nuts, mushrooms, and eggs (contain selenium)
- Lean proteins
- Colorful fruits and vegetables
Some foods may interfere with thyroid function when eaten in large amounts:
- Soy products
- Certain raw vegetables like cabbage, broccoli, and kale
- Processed foods with high amounts of sugar and fat
Nation Health MD’s ThyroSupport provides key nutrients that support normal thyroid function. This balanced formula includes Vitamin A for healthy thyroid cell development, Vitamin C which helps protect the thyroid from stress, Vitamin B12 that works with thyroid hormones for energy production, and Zinc which plays a role in thyroid hormone metabolism. These nutrients work together to support overall thyroid health as part of a balanced lifestyle.
Physical Activity Matters
Regular movement helps your body use thyroid hormones more effectively. Even light activity like walking for 20-30 minutes daily can make a difference. Find activities you enjoy, whether it’s gardening, swimming, or dancing.
Managing Daily Stress
High stress can affect how well your thyroid works. Try these simple ways to lower stress:
- Deep breathing for a few minutes each day
- Spending time in nature
- Talking with friends or family
- Doing activities you enjoy
Quality Sleep
Poor sleep can disrupt hormone balance. Aim for 7-8 hours of quality sleep each night. Create a sleep routine by going to bed and waking up at the same times each day.
The Bottom Line
Knowing the signs of thyroid problems puts you in control of your health. Pay attention to changes in your body, energy levels, and mood. Many thyroid conditions respond well to treatment, especially when caught early.
If you notice several of the warning signs we’ve covered, talk with a health professional. A simple blood test can provide answers and put you on the path to feeling better.
Yes. Women are 5-8 times more likely to develop thyroid issues than men. Risk increases with age, especially after 60. Family history also plays a role in your chances of developing thyroid conditions.
Long-term stress doesn’t directly cause thyroid disease, but it may trigger or worsen symptoms in people who already have thyroid issues. Stress management techniques may help ease some thyroid-related symptoms.
Adults over 60 should consider thyroid testing every 3-5 years, even without symptoms. Those with family history of thyroid issues or previous thyroid problems may need more frequent testing. Always follow your health provider’s recommendations.
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