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A health practitioner may order a TSH test when someone has symptoms of hyperthyroidism or hypothyroidism and/or when a person has an enlarged thyroid gland (goiter). The eyes may be affected: puffiness around the eyes, dryness, irritation, and, in some cases, bulging of the eyes.
The TSH test measures the levels of TSH, a hormone that is made and released by your pituitary gland. Your pituitary can sense whether there is enough thyroid hormone in the bloodstream, and it releases TSH when it detects insufficient thyroid hormone. This is why your TSH rises when your thyroid is underactive.