If you are developing any of the following manifestations, your hypothyroidism is probably progressing, and you should immediately contact your physician to curb your illness.

The symptoms are variable but may include slow speech, absence of sweating, constipation, peripheral edema, pallor, hoarseness, decreased sense of taste and smell, muscle cramps, aches and pains, difficulty in breathing, weight changes (usually gain, but weight loss is not rare), and diminished auditory acuity.

Some women have amenorrhea or stoppage of menstruation; others have excessive/heavy menses.

Physical findings may include goiter or swelling of thyroid gland, puffiness of eyelids and face; yellowish tinge to skin color, thinning of outer halves of eyebrows; thickening of tongue, hard pitting edema (swelling) especially on legs.

There can also be involvement of lungs, heart, and abdominal cavities with the fluid accumulation. Hypothermia or body temperature lower than normal may be present.