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To some extent: If a goiter is due to primary hypothyroidism then levothyroxine allows TSH to come down thereby removing one source of goiter. However, patients with hashimoto's also have lymphocytic infiltration of the gland which contributes to goiter development also. That takes time to go down. We see this in patients with nl thyroid function also. Grave's antibodies stimulate thyroid growth mimicking tsh. ...Read more
Depends on problem: 3 major categories of potential health issues caused by thyroid nodules: a) large size affecting swallowing, breathing, voice ; b) over active production of thyroid hormone (hyperthyroid) ; and c) ~5% of nodules are cancer. Methimazole and ptu (propylthiouracil) are pills that block thyroid hormone production, treating b) above. Radioactive i-131 can shrink/destroy nodule, treating a) and b). Need surgery for c). ...Read moreSee 2 more doctor answers
Will thyroid hormones or antithyroid medications interfere with a tc99m pertechnetate thyroid scan?
Not usually: Technetium is usually trapped by thyroid gland and used to determine in young children and infants the configuration of thyroid gland, hypoplasia, absence, or increased size or hyperplasia, or abnormal location. Radioactive iodine is used in older patients for determine function of thyroid gland, increased function or hyperthyroiidism or decreased function, hypothyroidism. ...Read moreSee 2 more doctor answers
Some are caused: By iodine deficiency, which is a reason for iodinized table salt...Those lacking seafood in the midwest and near west used to be so afflicted. Taking exogenous thyroid hormone (thyrolar, synthroid) may turn off TSH stimulation and reduce/diminish growth, but that is treatment rather than prevention. ...Read moreSee 1 more doctor answer
Usually not: Goiters usually grow out, not in, and do not affect vocal cords, trachea, or esophagus. Sometimes, big nodular goiters in the elderly can do this, but not usually. However, if the goiter is producing either hyper or hypothyroidism, that can certainly affect the vocal cords. Hypothyroidism could turn you from an alto into a tenor.... Or more. ...Read more
4-21-14 Thyroidectomy r/t thyroiditis, goiter. On Synthroid (thyroxine) 137 mcg- hypo s/s returning have felt great for months. Would adding Cytomel help?
Not specific: The signs & symptoms of hypothyroidism are not specific for hypothyroidism (not a single one). Recheck your thyroid labs. If they're normal, your symptoms are due to something else. Having said that, I'm happy to do a trial of Cytomel with the Synthroid (thyroxine) in patients who want to try as long as I don't make them hyperthyroid. Some people report feeling better with comparable labs taking a little T3. ...Read moreSee 1 more doctor answer
Thyroid nodule: The thyroid nodule is not likely to be caused by pregnancy. Transient mild hyperthyroidism can sometimes be seen in the first trimester but should resolve as long as it is not an underlying problem that has not been diagnosed. Would suggest repeating labs for thyroid function at 16-18 weeks. Should talk to your doctor. ...Read more
Lab results are-TSH<0.006, Free Thyroxine index- 8.4, T3- 43 T4-19.6. I AM ALLERGIC TO ANTI- THYROID DRUGS. WORRIED ABOUT ANOTHER THYROID STORM.
See endocrinologist: It is a difficult situation given that you are still in the reproductive age. Need care from an endocrinologist. ...Read more
Normal Tpo Ab and Tg Ab; no Hashi's or Graves'. Have a multinodular goiter & Hypothyroidism.
If not Hashi's, what causes my Hypothyroidism? Pituitary?
Taking ptu (propylthiouracil) for overactive thyroid and Clomid also; does smoking affect thyroid hormones?
Eye disease: Smoking will greatly increase your risk for developing grave's exophthalmopathy. Essentially, the eyes are pushed out because of immune deposits behind them. This will make it difficult for you to close your eyes. People go blind from this depending on severity. We don't understand why smoking increases your risk but it does. ...Read moreSee 1 more doctor answer
Allopecia: If scalp hair loss called allopecia is due to hypothyroidism one can reverse it by normalizing thyroid function. Most of the time hypothyroidism is due to an autoimmune disorder called hashimotos disease. Allopcia is an accompanying autoimmune disorder and may not be due to low thyroid hormones. It's an association -- not causation. ...Read moreSee 2 more doctor answers
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