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?
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 more
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 more
I have multinodular goiters only one has changed enlarged x2 within 6 months. Fnb neg. Also have hashimotoes some minor compression. Surgery or watch?
Yes: A multinodular goiter secondary to hashimoto's thyroiditis will likely decrease or stop functioning over time, but the bulkiness of the goiter does not usually become smaller. If the goiter is compressive and causes difficulty with swallowing or breathing, it should be surgically removed. Medical therapy is available to suppress the goiter and also to treat the hashimoto's. ...Read more
Dear doc. I have coloid goiter disease, then I want my disease surgery, but doubt. What percentage to sucess if my disease is in surgery? Thanks
No surgery.: To have success in surgery you have to have an objective. You don't get surgery just because you have disease. For goiter, surgery is usually indicated if there is a suspicion of cancer or the goiter has gotten so large that your airway is at risk for compression. Always ask your doctor why your having surgery and "because I said so" is not a good answer. ...Read more
Can a goiter go away on its own? I just had gastric sleeve wondering if I will require another surgery for this goiter or will it regulate?
Risk of redo surgery: Second surgery or redo surgery carries increased risk because your surgeon is going through scarred tissue instead of normal anatomy. Typically the surgeon goes slower and small structures like nerves and parathyroid glands are a bit more difficult to identify. Risk depends on the first surgery. If you had one side/lobe removed and now need the other side removed, redo risk does not apply. ...Read more
Doc please help me how to remove or lighten and flatten my scar from goiter surgery. I had my surgery 12years ago. Tnx?
Consult with: A plastic surgeon. If the scar is 12 years old, the only solution might be excision and plastic closure. ...Read more
What kind of treatment can I get for a goiter when I am allergic to iodine and do not want surgery?
Goiter: Work with your team, your doc. If you have graves disease and radioactive iodine was recommended, there are several additional medications with benefit. Initial therapy and subsequent result is important for you and your doc to determine subsequent treatments. Don't avoid all care over your iodine and surgery limits. ...Read more
I had my goiter surgery 12 years ago and left a scar on my neck. I want to make it lighter or thinner, my scar is darker than my complexion. Please help me. Tnx?
I have multinodular goiter. I suffer discomfort and pressure in the neck continuously. Is there any treatment or have to resort to surgery?
Choices: Your physician will be able to discuss with you whether you want radioactive iodine, levothyroxine suppression, or surgery. Reasonable people will make different choices. In your position, i'd get a good surgeon, but you must exercise autonomy after learning of all your options. Good luck. ...Read more
My free T4 has increased from 48.8 to 59.6, my goiter is causing a lot of pain, my doctor does not want to do surgery, what option do I have?
Second opinion: You always have a choice to seek a second opinion to see if there are other treatment options. A good doctor should not be offended if a patient would like a second opinion. ...Read more
I have two colloid goiter due to iodine deficiency, my dr insists surgry, necessary? Will I lose weight and thyroid function normally after surgery?
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?
Surgery: Probably the best approach. Wish you well. ...Read more
Nodule/goiter on thyroid causing a tight feeling in throat normal hormone levels should I ask about surgery for removal?
What's the TSH level to maintain for 57+ female with Hypothyroidism, whose one & half of thyroid glands were removed for goiter surgery 15+ yr back?
Don't base on TSH:
I believe it is a mistake to base dosage on TSH alone; TSH is a surprisingly poor marker for tissue thyroid levels in many common conditions; one should assess Free T3 (liothyronine) and Free T4 and also take how the patient is feeling into account. Here are good articles about how 11 renowned specialists optimize thyroid hormone levels:
Also see http://tinyurl. Com/nrww2qg ...Read more
I have a goiter pushing over esophagus, pretty big never saw endocrinologist, ear, nose, throat doctor recommended surgery. Some thoughts?
Obstruction: Neck mass, regardless of the organ or cause, at a certain size (also regardless of delay) need relief of obstruction (airway/feeding tube). Primary concern is avoid loss of airway. Surgery might be the best choice if you are obstructed. However, most of the thyroid related diseases require both medical and surgical therapies. Be prepared for both. Take family with you to your doc visits. Good luck. ...Read more
38 yo female with a nontoxic multinodular goiter 5-6X bigger than normal. Could it stop growing or shrink on its own? Dx 20 years ago - slow growing
I have had a underactive diffuse goiter for 8 years, it seems to shrink and swell daily. Is this common with goiters. I am waiting on ultrasound?
Goiters: Goiters don't commonly swell and shrink daily. That's very unusual. ...Read more
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