Can Telemedicine Treat Hypothyroidism (Follow-up) in Children?

Audience: pediatric

Hypothyroidism in children means the thyroid gland is not making enough hormones needed for growth and energy. Follow-up care is important to keep hormone levels balanced and help children feel their best. Telemedicine can often be used for follow-up visits, allowing families to connect with healthcare providers from home. During these visits, doctors may review symptoms, adjust medication doses, and discuss lab test results. However, some situations require in-person exams or tests. Telemedicine is a helpful tool for ongoing care but does not replace all in-person visits. If your child has new or worsening symptoms, urgent medical attention may be needed. Always follow your healthcare provider's advice about when to use telemedicine and when to seek in-person care.

Red flags — go in person / ER

• Child develops sudden swelling in the neck or throat area — seek emergency care immediately.
• Child has difficulty breathing, severe tiredness, or fainting — get urgent medical help.
• Child shows signs of severe constipation, cold intolerance, or slow heart rate worsening rapidly — contact healthcare provider promptly.

What telemedicine can do

• Routine follow-up discussions about symptoms and medication.
• Reviewing lab test results with healthcare provider.
• Adjusting medication doses based on previous tests and symptoms.
• Providing education and answering questions about hypothyroidism management.

What telemedicine cannot do

• Performing physical exams or growth measurements.
• Conducting blood tests or other laboratory work.
• Managing emergency symptoms or sudden health changes.
• Diagnosing new or complex health problems requiring in-person assessment.

What is Hypothyroidism in Children?

Hypothyroidism happens when the thyroid gland does not make enough thyroid hormone. This hormone helps control how the body uses energy. In children, it is important for growth, brain development, and staying active. Symptoms may include tiredness, slow growth, feeling cold, and dry skin.

How Telemedicine Helps with Follow-Up Care

Telemedicine lets families talk to doctors or nurses using video calls or phone. For children with hypothyroidism, telemedicine can be used to:

This can save time and reduce travel, making it easier to keep up with regular care.

When In-Person Visits Are Needed

Some parts of care may need a visit to the clinic or hospital, such as:

Your healthcare provider will guide you on when these visits are necessary.

Preparing for a Telemedicine Visit

Before your telemedicine appointment:

After the Telemedicine Visit

After the visit, you may need to:

Stay in touch with your healthcare provider if you have questions or concerns.

How to prepare for your tele-visit

• List all current medications and doses your child is taking.
• Write down any new or ongoing symptoms to discuss.
• Gather recent lab test results if available.
• Ensure a quiet, private space with good internet and functioning camera/microphone.
• Have a notebook or device ready to take notes during the visit.

After your tele-visit

• Follow any medication changes or instructions given by the provider.
• Schedule recommended lab tests or in-person visits.
• Monitor your child's symptoms and report any concerns.
• Keep track of the next appointment date and prepare questions for future visits.
• Contact your healthcare provider if your child's condition worsens or new symptoms appear.

FAQs

Can telemedicine replace all in-person visits for my child's hypothyroidism?

Telemedicine can often handle routine follow-up care, but some visits need to be in-person, especially for physical exams, lab tests, or if your child has new or worsening symptoms.

How often should my child have blood tests for hypothyroidism?

Blood test frequency varies by individual needs but typically happens every few months during dose adjustments and less often once stable. Your healthcare provider will advise the best schedule.

What should I do if my child feels very tired or cold despite treatment?

These symptoms may mean the hormone levels are not well controlled. Contact your healthcare provider promptly to discuss these changes. If symptoms are severe, seek urgent care.

Is telemedicine safe and private for my child's health information?

Yes, telemedicine platforms used by healthcare providers follow privacy and security standards to protect your child's health information. Always use recommended platforms and secure internet connections.

Sources

1. Hypothyroidism in Children — MedlinePlus, U.S. National Library of Medicine.
2. Hypothyroidism — Mayo Clinic.
3. Thyroid Disorders in Children — American Academy of Pediatrics.
4. Thyroid Function Tests — National Library of Medicine.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. Always follow the advice of your healthcare provider and seek urgent care if your child experiences emergency symptoms.