The thyroid glands are two very small glands that sit either side of your cat’s windpipe. These glands use dietary iodine to make thyroid hormones. In turn, these hormones help regulate important body functions. You can picture the thyroid glands like the coal furnace on a steam train. When you need more heat or speed, the metabolism is cranked up, like shovelling coal into the furnace. Thyroid hormones help regulate:
Hyperthyroidism is a common feline endocrine disorder, most often diagnosed in older cats over the age of 10. It is usually the result of a benign tumour (also called hyperplasia) in one or both of the glands. These tumours produce an excess of thyroid hormones and the metabolism goes into overdrive.
Left untreated, hyperthyroidism can have serious, sometimes fatal, consequences on vital organs like the heart and kidneys. However, the good news is this disease is highly manageable and can be controlled with proper veterinary care.
Signs of hyperthyroidism can vary in severity depending on how long a cat has been ill. As the metabolism is being cranked up by all these extra hormones, the most common signs and symptoms are:
Cats with chronic kidney disease and diabetes mellitus exhibit some signs similar to hyperthyroidism. Your veterinarian may also need to perform tests for these diseases to ensure an accurate diagnosis. Of course, in older cats, it’s also not uncommon to have one or more of these diseases going on at any one time.
There are four potential options for managing cats with hyperthyroidism:
Nutrition. Limiting dietary iodine intake reduces thyroid hormone production. This therapeutic food still has all the iodine an adult cat needs, but not enough to allow an overproduction of the hormone.
Pros:
Cons:
Kittens may need several visits in their first year for vaccinations. Adult cats generally benefit from annual check-ups, while senior or special-needs cats might require more frequent visits.
Medication. Antithyroid drugs inhibit the production of thyroid hormones.
Pros:
Cons:
Radioactive iodine therapy. This involves using radiation to destroy abnormal thyroid tissue.
Pros:
Cons:
Surgery. This involves removal of diseased thyroid tissue.
Pros:
Cons:
There is no one option that will suit every cat. With all of these options, you will need to do some longer-term monitoring of thyroid levels and renal function through regular blood testing. As you can see, each treatment option has its pros and cons, so have a discussion with your veterinarian and look at your and your cat’s lifestyles. Together, you can pick the right option for you and your cat.
Reviewed by Dr. Hein Meyer, DVM, PhD, Dipl-ECVIM-CA and Dr. Emma Milne BVSc FRCVS.
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