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Doctor insights on: Causes Of Toxic Multinodular Goiter

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Dr. Steve Martinez
305 doctors shared insights

Thyroid Enlargement (Definition)

Thyroid enlargement refers to a thyroid gland that is larger than normal. The thyroid gland is located in the front of the neck, below the Adam's apple, and may become enlarged due to hyper or hypo-thyroidism. An enlarged thyroid is also ...Read more


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What is the best way to treat toxic multinodular goiter?

What is the best way to treat toxic multinodular goiter?

Options: The "best" way will depend on your current clinical, and social circumstances. Your options include1) antithyroid pill to control the thyroid level, 2)radioactive iodine and 3) surgery. Choice 2 and 3 are considered curative options but you need to discuss the pros and cons of these options with your own physician who knows you best. Good luck. ...Read more

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Hello: Had a total thyroidectomy Jan. 15, 2015 for non toxic multinodular goiter., I have been having nerve pain between my upper shoulder blades to middle of spine which started in December.. My upper shoulder to under arm aches or sharp pins and

Hello:  Had a total thyroidectomy Jan. 15, 2015  for  non toxic multinodular goiter.,    I have been having nerve pain between my upper shoulder blades to middle of spine which started  in December.. My upper shoulder to under arm aches or sharp pins and

Radiclopayhy?: it is extremely rare to have radiculopathy in that region only. I wonder if you have muscular spasm, worsened by laying flat for a long time during and after surgery. I would think PT OT chiro maybe helpful in ur case as well as rehab doctor evaluation. Take care! ...Read more

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Does a young female of age 29 with toxic multinodular goiter difficult to conceive along with the antithyroid medication..Will i get pregnant?

Does a young female of age 29 with toxic multinodular goiter difficult to conceive along with the antithyroid medication..Will i get pregnant?

Yes, it can.: Thyroid disease impacts fertility. Both elevated and low levels of thyroid hormone can have an impact. For this reason, you should continue your medication. (ptu (propylthiouracil) is better than mtx in pregnancy.) be sure to discuss these concerns with your physician. ...Read more

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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?

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?

No autoimmune: so your multi nodular is is under production of Thyroxine no on immune basis , must see an endocrinologist to follow nodular goiter is it is cold or hot by Biopsy and follow as appropriate and tsp levels and t3, (liothyronine)t4 ...Read more

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I have a Multinodular goiter with 7 nodules, largest 2 on isthmus at 2.1 & 2.7 cm. Could these cause breathing, swallowing & voice issues when I eat?

I have a Multinodular goiter with 7 nodules, largest 2 on isthmus at 2.1 & 2.7 cm. Could these cause breathing, swallowing & voice issues when I eat?

Anatomical: Yes, these potentially could cause some issues with pressing inwards and giving feeling of pressure, and swallowing, voice issues. Your ultrasounds and exam would help delineate this more clearly though! ...Read more

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Dx with multinodular goiter. But T4,free t4,total t3, (liothyronine)tsh, & Tpo ab normal. Tg ab test is high @ 2.3 Iu/ml. range 0-0.9. Would this cause hypo symptoms?

Dx with multinodular goiter. But T4,free t4,total t3, (liothyronine)tsh, & Tpo ab normal. Tg ab test is high @ 2.3 Iu/ml. range 0-0.9. Would this cause hypo symptoms?

Not likely: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it would have helped to have all the data. From what you presented, you are not hypothyroid, but are at risk for it. Please follow your doctor's advice. ...Read more

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Her ultrasound says it's a multinodular goiter. What is that?

Her ultrasound says it's a multinodular goiter. What is that?

See below: Goiter is an enlargement of the thyroid gland. The gland can be generally enlarged or have multiple growths (nodules) leading to enlargement of the whole thyroid gland. The latter is termed multinodular goiter. The nodules are generally benign (noncancerous). The ultrasound appearance is correlated with how well the thyroid works using blood tests of thyroid function. ...Read more

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What are the risks associated with a 2nd surgery for a moderate multinodular goiter?

What are the risks associated with a 2nd surgery for a moderate multinodular goiter?

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

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Goiter (Definition)

A goiter is ...Read more