Home Your Thyroid Quick Guides Congenital Hypothyroidism
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Congenital hypothyroidism is the name given to the condition that occurs when a baby is born with an underactive thyroid gland. This means that not enough thyroxine is produced for the body’s needs.

Causes

Sometimes the thyroid gland

  • does not develop in the unborn baby, or
  • is in the wrong position and does not work well, or
  • does not produce thyroxine normally

Symptoms

  • Sometimes none
  • Sleepiness
  • Difficulty in feeding
  • Constipation
  • Cold hands and feet
  • Low muscle tone (floppiness)
  • Slow growth or no growth

Diagnosis

  • All babies born in the UK are screened for hypothyroidism using a heelprick blood test about four to five days after birth

Treatment

  • Levothyroxine in tablet or liquid form
  • The dose will be adjusted as the child grows

Are there any side effects?

  • Too much levothyroxine may cause ‘fussiness’, mild diarrhoea, or poor weight gain
  • Too little levothyroxine may cause lack of energy, constipation, cold extremities, or unexpected weight gain

Follow-up

Blood tests are carried out

  • every two to three months in the first year
  • every four to six months in infancy and childhood

Long term outlook

  • Levothyroxine will usually be needed for life
  • The vast majority of babies diagnosed and treated from birth will grow up normally
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