05/08/2026
Hormones decoded # 1
"My child is always tired... should we check the thyroid?" 🤔
It's one of the most common questions I hear in clinic.
The truth? Thyroid disease is NOT the most common cause of fatigue in children.
Before jumping to thyroid tests, we first think about:
✔️ Not getting enough sleep
✔️ Iron deficiency (even before anemia develops)
✔️ Poor nutrition
✔️ Too much screen time and too little physical activity, too much academic pressure
✔️ Stress, anxiety, or depression
✔️ Poor-quality sleep due to snoring or sleep apnea
✔️ Recovery after viral illnesses
✔️Dehydration in hot weather
But fatigue can also be an early sign of medical conditions that need evaluation—including thyroid disorders.
🚩 If tiredness is accompanied by poor height gain, constipation, dry skin, cold intolerance, delayed puberty, rarely early puberty or a swelling in the neck, thyroid disease becomes much more likely.
As pediatricians, we don't treat a symptom—we evaluate the whole child.
Save this reel for future reference and share it with a parent who has wondered, "Could it be a thyroid issue?"
💬 Has your child ever complained of being tired all the time? Check for the above checlikst
https://www.instagram.com/reel/DbqOAdqBbV8/?igsh=MXdrdnE1OTl3ejY5bA==