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Hyperthyroidism Presenting with Urinary and Faecal Incontinence

 

Case Report

Volume 8, Issue 3

Hyperthyroidism Presenting with Urinary and Faecal Incontinence

Fatma Said Muhali1*, Godlove Shangwe Twamala1 and Noel G. Mwanga2

1Department of Internal Medicine, Endocrinology Unit, Muhimbili National Hospital, Mloganzila, Dar es Salaam, Tanzania
2Department of Internal Medicine, Endocrinology Unit, Kampala International University in Tanzania, Dar es Salaam, Tanzania

*Corresponding author: Fatma Said Muhali, Department of Internal Medicine, Endocrinology Unit, Muhimbili National Hospital, Mloganzila, Dar es Salaam, Tanzania. E-mail: muhalifatma@yahoo.co.uk

Received: May 04, 2026; Accepted: May 21, 2026; Published: June 05, 2026

Citation: Muhali FS, Twamala GS, Mwanga NG. Hyperthyroidism Presenting with Urinary and Faecal Incontinence. Clin Image Case Rep J. 2026; 8(3): 593.

Abstract

Hyperthyroidism commonly presents with metabolic and cardiovascular symptoms, but urinary and especially faecal incontinence are rarely recognised manifestations. We report a 50-year-old woman with diabetes, hypertension and previous stroke who presented with progressive urinary and faecal incontinence for six months. Extensive gastrointestinal and urological investigations were unremarkable. Clinical examination revealed tachycardia and a thyroid swelling. Thyroid function tests confirmed thyrotoxicosis. The patient was treated with carbimazole, resulting in biochemical improvement and marked resolution of incontinence symptoms. This case highlights that thyroid dysfunction should be considered in patients with diabetes presenting with unexplained urinary or faecal incontinence, as recognition can prevent unnecessary investigations and lead to reversible outcomes.

Keywords: Multinodular goitre; Hyperthyroidism; Graves’ disease; Incontinence

https://www.literaturepublishers.org/archive/Hyperthyroidism-Presenting-with-Urinary-and-Faecal-Incontinence.html


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