It is treated aggressively with resuscitation measures along with a combination of the above modalities including: an intravenous beta blockers such as propranolol, followed by a thioamide such as methimazole, an iodinated radiocontrast agent or an iodine solution if the radiocontrast agent is not available, and an intravenous steroid such as hydrocortisone. Alternative medicine
In countries such as China, herbs used alone or with antithyroid medications are used to treat hyperthyroidism. Very low quality evidence suggests that traditional Chinese herbal medications may be beneficial when taken along with routine hyperthyroid medications, however, there is no reliable evidence to determine the effectiveness of Chinese herbal medications for treating hyperthyroidism. Epidemiology
In the United States hyperthyroidism affects about 1.2% of the population. About half of these cases have obvious symptoms while the other half do not. It occurs between two and ten times more often in women. The disease is more common in those over the age of 60 years.Subclinical hyperthyroidism modestly increases the risk of cognitive impairment and dementia. History
Caleb Hillier Parry first made the association between the goiter and protrusion of the eyes in 1786, however, did not publish his findings until 1825. In 1835, Irish doctor Robert James Graves discovered a link between the protrusion of the eyes and goiter, giving his name to the autoimmune disease now known as Graves Disease. Pregnancy
Recognizing and evaluating hyperthyroidism in pregnancy is a diagnostic challenge. Thyroid hormones are naturally elevated during pregnancy. Thyroid function generally normalizes in by the second trimester without treatment.
Types of parasitic helminths
Of all the known helminth species, the most important helminths with respect to understanding their transmission pathways, their control, inactivation and enumeration in samples of human excreta from dried feces, faecal sludge, wastewater, and sewage sludge are:
soil-transmitted helminths, including Ascaris lumbricoides (the most common worldwide), Trichuris trichiura, Necator americanus, Strongyloides stercoralis and Ancylostoma duodenale
Hymenolepis nana
Taenia saginata
Enterobius
Fasciola hepatica
Schistosoma mansoni
Toxocara canis
Toxocara catiHelminthiases are classified as follows (the disease names end with "-sis" and the causative worms are in brackets):

Roundworm infection (nematodiasis)
Filariasis (Wuchereria bancrofti, Brugia malayi infection)
Onchocerciasis (Onchocerca volvulus infection)
Soil-transmitted helminthiasis – this includes ascariasis (Ascaris lumbricoides infection), trichuriasis (Trichuris infection), and hookworm infection (includes necatoriasis and Ancylostoma duodenale infection)
Trichostrongyliasis (Trichostrongylus spp. infection)
Dracunculiasis (guinea worm infection)
Baylisascaris (raccoon roundworm, may be transmitted to pets, livestock, and humans)

Tapeworm infection (cestodiasis)
Echinococcosis (Echinococcus infection)
Hymenolepiasis (Hymenolepis infection)
Taeniasis/cysticercosis (Taenia infection)
Coenurosis (T. multiceps, T. serialis, T. glomerata, and T. brauni infection)

Trematode infection (trematodiasis)
Amphistomiasis (amphistomes infection)
Clonorchiasis (Clonorchis sinensis infection)
Fascioliasis (Fasciola infection)
Fasciolopsiasis (Fasciolopsis buski infection)
Opisthorchiasis (Opisthorchis infection)
Paragonimiasis (Paragonimus infection)
Schistosomiasis/bilharziasis (Schistosoma infection)

Acanthocephala infection
Moniliformis infection

Transmission
Helminths are transmitted to the final host in several ways. The most common infection is through ingestion of contaminated vegetables, drinking water, and raw or undercooked meat. Contaminated food may contain eggs of nematodes such as Ascaris, Enterobius, and Trichuris; cestodes such as Taenia, Hymenolepis, and Echinococcus; and trematodes such as Fasciola. Raw or undercooked meats are the major sources of Taenia (pork, beef and venison), Trichinella (pork and bear), Diphyllobothrium (fish), Clonorchis (fish), and Paragonimus (crustaceans).