Doctor insights on:
Can A Goiter Shrink Without Surgery
Goiter/FNA: The cause of your goiter determines the possible therapies and yes it can be treated medically. Overall size, compression, response to medical therapy, fna biopsy, cancer are important so work with your team of docs. A surgery consult can give you lots of information about the risk/benefit of therapy with surgery. You have choices, good luck. ...Read more
My brother has had, in the past, 3 heart attacks. He has a very large goiter and his heart doctor does not want him to have surgery. How to shrink it?
Size: If the thyroid enlarges enough that it starts to cause swallowing difficulties, speaking difficulties, or breathing difficulties. Usually do not want to wait until the symptoms listed above are severe, or if it is so large that the surgery becomes more difficult. ...Read more
Depends: First - do you need the surgery? Second - is the surgeon trained to do a minimally invasive approach? Recovery from that is usually just a few hours vs overnight in the hospital for more conventional procedures. Make sure this is an experienced thyroid surgeon who knows his/her way around the neck. ...Read more
Depends: Surgical indication for thyroid is based on size of the goiter, symptoms of obstruction, and the fna diagnosis. There are times when surgery is a benefit, best to take family/friend with you to surgery consult. In many cases medical therapy and observation is all that is needed. ...Read more
May need chest open: Also, if the thyroid now extends downward into the chest, there is a higher likelihood with a second procedure, that the surgeons would need to cut through the collarbone, breastbone, and/or upper ribs to remove all of the thyroid compared to a first procedure. ...Read moreSee 1 more doctor answer
Check out your level: Please be sure to have your thyroid hormone levels checked again. Maybe they are off and affecting your sleep. Otherwise, i can't explain any other reason for the surgery to affect your sleep this far out afterwards. Even when your levels are "normal", if you continue to not feel right, find an endocrinologist who will work with you until you feel right. Sometimes a medication switch is needed. ...Read moreSee 1 more doctor answer
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