Question 1

how to shrink a multi-nodular toxic goiter? i am taking iodine / selenium. i am vegan. goiter has been slowly growing over the last 10 years. currently about the size of a golf ball. my levels are t4 18.6, t3 (liothyronine) 6, tsh 0.01

Accepted Answer

Abnormal : your thyroid lab work is normal you need a face-to-face visit with an endocrinologist and appropriate testing and treatment of your thyroid you may have an overactive thyroid which can be very serious medical problem seek medical attention the next few days

Question 2

what is a nodular goiter?

Accepted Answer

Thyroid with masses: Goiter usually means an enlarged thyroid gland, but can also refer a normal-sized gland with nodules or masses within it.  Thyroid nodules are areas within the gland that stick out from the gland and can be felt when pressing on the neck, or may be areas that appear different from the normal gland on imaging tests like ultrasound or cat scans.

Question 3

can women with toxi nodular goiter not get pregnant?

Accepted Answer

Fertility: Hyperthyroidism will sometimes impair fertility.  Once the hyperthyroidism is controlled with medications, fertility should be restored.

Question 4

i have nodular goiter. does it mean, i am at a higher risk of cancer?

Accepted Answer

Increased risk: Multinodular goiters are associated with an increased risk of thyroid cancer. If a thyroid nodule is found to be cancerous, surgery is generally required. Most or all of your thyroid gland is generally removed with this surgery, after which you would have to take thyroid hormone replacement therapy for the remainder of your life. Please get examined regularly. I wish you well with your health!

Question 5

i have 25*14 mm sized cold multi nodular goiter which is benign as per investigation reports. should i go for surgical treatment?

Accepted Answer

Nodular goiter: I would not worry about a nodular goiter if the thyroid blood levels are OK and you are not really troubled by slightly enlarged thyroid nodules.

That said, if your doctor recommends thyroid surgery you will be referred to a thyroid surgeon who will tell you what needs to be done or what is not necessary to be done, at least for now.

Question 6

i had biopsy (fna) done for swollen gland . the report says 
benign; nodular goiter with hemorrhagic changes(bethesda2)
what does that mean?

Accepted Answer

No tumor: The report states that no tumor was found in the sample. Bethesda 2 also means, no tumor. You may visit this site for more info: http://docs.thyroid-cancer.net/bethesda_system_thyroid_cyto.pdf
Wish you good health! - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. 
Practice safe sex, if you have sex.

Question 7

i have a multi nodular goiter with 3 benign nodules.  2 4cm nodules on left & 1 2.5cm on right. goiter pushed trachea to the right. md rec thyroidectomy. goiter isn't bothering me. what happens if i don't remove it?

Accepted Answer

Risks vs benefits: Masses this big will not shrink in time. You hope they will stay the same but they could also grow in the future. They are already causing trachea deviation. In cases like this i usually recommend surgery but you need to be comfortable with your decision. At the very least, follow these masses closely. Good luck.

Question 8

could there be a direct relationship between a growing multi-nodular goiter and increase of severe cramping that may be "return" of endometriosis.

Accepted Answer

Goiter: The sever cramps are unlikely to be related to your thyroid but does need attention.

A multinodular goiter general results in thyroid surgery. At the very least you should see a thyroid surgeon.

Question 9

thyroid gland hyper functioning nodule right lobe multi nodular goiter. what does this all mean?

Accepted Answer

Multinodular goiter: Hi. Your hyper-functioning nodule is producing thyroid hormone without pituitary regulation. Since you have multiple nodules, chances are they're all overproducing thyroid hormone (aka "hot" nodules). Your radio-iodine scan will tell. Any "cold" nodule of certain size will need to be evaluated to make sure it's not cancer (you may not have any cold nodules). Treatment with 131-Iodine is easy.

Question 10

multi-nodular goiter, partially solid partially cystic, 3 at the left lobe 1.9x1.1, 0.6x0.4, 2.4x1.5 cm 1 at the isthmus 1.8x1.1cm  tsh 0.26. surgery?

Accepted Answer

Surgery: Probably the best approach. Wish you well.

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Doctor answers about:

Toxic multi nodular goiter

A member asked:

How to shrink a multi-nodular toxic goiter? i am taking iodine / selenium. i am vegan. goiter has been slowly growing over the last 10 years. currently about the size of a golf ball. my levels are t4 18.6, t3 (liothyronine) 6, tsh 0.01

A member asked:

What is a nodular goiter?

A member asked:

Can women with toxi nodular goiter not get pregnant?

A member asked:

I have nodular goiter. does it mean, i am at a higher risk of cancer?

A member asked:

I have 25*14 mm sized cold multi nodular goiter which is benign as per investigation reports. should i go for surgical treatment?

A member asked:

I had biopsy (fna) done for swollen gland . the report says benign; nodular goiter with hemorrhagic changes(bethesda2) what does that mean?

A member asked:

I have a multi nodular goiter with 3 benign nodules. 2 4cm nodules on left & 1 2.5cm on right. goiter pushed trachea to the right. md rec thyroidectomy. goiter isn't bothering me. what happens if i don't remove it?

A member asked:

Could there be a direct relationship between a growing multi-nodular goiter and increase of severe cramping that may be "return" of endometriosis.

A member asked:

Thyroid gland hyper functioning nodule right lobe multi nodular goiter. what does this all mean?

A member asked:

Multi-nodular goiter, partially solid partially cystic, 3 at the left lobe 1.9x1.1, 0.6x0.4, 2.4x1.5 cm 1 at the isthmus 1.8x1.1cm tsh 0.26. surgery?

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