The Manchester Clinic's resident Pediatritian Dr Denis Hardy, was privileged to work at Tawam Hospital, Al Ain, before coming here and was involved in the National Programme starting in 1998 for screening newborn babies for congenital hypothyroidism and has been involved in the management of more than 100 of these children.
In general, Thyroid issues are easy to diagnose – there are only 3 problems – too little, too much and cancer. The latter is so rare in childhood is can be mostly discounted.
Babies can be born with an under-active thyroid. Without treatment they will be slow mentally and physically. With treatment started early they will be normal. An overactive thyroid in babies is uncommon and only occurs if the mother has or had thyroid problems. An under active thyroid at all ages is much more common.
With lack of the hormone thyroxine many symptoms can develop – slow growth upwards, and obesity, dry hair, dry skin, hoarse voice, sleepiness, feeling cold, generally slowing down to name but a few. In the morning the bed of a hypothyroid child looks as if it has not been slept in. In contrast the bed of a hyperthyroid (overactive) child looks as if it has been hit by a bomb. A hyperthyroid child is overactive, sweats a lot, is anxious, may have palpitations, a tremor and staring eyes. Stillness is the hallmark of the hypothyroid child (he or she can outstare anyone) and constant fidgeting characteristic of the hyperthyroid child.
Both can come on slowly and not be recognized for a long time even by doctors. However, it is important to recognize thyroid problems because treatment is very rewarding for the child and can completely change his / her life for the better.
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