Doctor insights on:
Could Chronic Sinusitis Be Causing Thyroid Multinodular Goiter
Can allergies and chronic sinusitis cause excessive post nasal drip and swollen neck glands for 8 weeks? In sched for sinus surgery in 2 months.
Yes: Both conditions can cause your problem. Do note that sinus surgery would help if you have obstruction at the sinus openings. Else you should consult an allergist prior to undergoing the surgery. ...Read more
Need more info: Not sure what you mean by "test results" but u cannot know that u have multinodular goiter from a blood test. A thyroid ultrasound can give u this diagnosis in which case u will need a blood test called TSH to know what to do next. No thyroid scan needed unless the TSH is low. Thyroid ultrasound vs. Biopsy might be needed depends on the size and characteristics of the nodules but need more info. ...Read more
Maybe: If you treat with levothyroxine, lowering the tsh, the goiter may shrink. But often it does not, at least not much. There is also a risk of inducing hyperthyroidism. If there is a cyst, aspiration of the cyst may shrink the gland, but the fluid in the cyst often comes back. If the goiter is big and compressing airway or esophagus, surgery may be needed. ...Read more
I recently was diagnosed with a 2.2 CM multinodular goiter on the right lobe of my thyroid. Does thyroid affect the immune system?
Thyroid sono results:"heterogeneous gland suggesting multinodular goiter -no discrete dominant masses observed"-what does this mean?
Lumpy!: Opinions vary, but... Especially for women, thyroid nodules are very common. These are sometimes familial or inherited and are sometimes more common later in life. There is little to worry about, especially without a specific "dominant" nodule over ~1cm. You should get thyroid blood work and a followup ultrasound within a few months. If the gland is huge, you may need treatment. ...Read more
Recently was diagnosed with a 2.2 CM multinodular goiter on the right lobe of my thyroid. Does your thyroid affect the immune system?
Sonar images: Ultrasound uses the variation in the 2 dimensional images produced by scanning the thyroid like a fisherman uses sonar to find a school of fish under his boat. Enough thyroid us's have been done to develop pictures of how big each part of the gland should be at a given age in a given condition. ...Read more
How often should a thyroid sonogram be repeated? Sono done 1 year ago showed heterogeneous multinodular goiter.
It depends: Upon a variety of factors, such as clinical changes, palpation by physician, prior ultrasound and lab findings, biopsy findings (if biopsy was done), personal and family history etc. Check w/your physician who should be able to tell you. Brand name T4 replacement is more reliable than your generic. ...Read more
I have multinodular goiter with two nodules measuring 10 mm and 11 mm on each lobe, then there are scattered ones throughout my thyroid. Biopsy?
Depends: The decision to biopsy is made between you and your treating physician. It depends on your level of comfort, what it looks like on ultrasound and whether or not it had changed from previous ultrasounds. Your choice right now is to undergo biopsy or do another ultrasound in 1 year and biopsy only if changes are seen. Both choices are reasonable. ...Read more
Thyroid sono showed heterogeneous gland with multinodular goiter (positive hashimoto's diagnosis;on synthroid)-follow up sono when?
Sono showed dominant nodule is a heterogeneous nodule. Evidence of hypoechoic on left and right lobes. Multinodular goiter with all nodules over 1cm. Can this be thyroid cancer.
Is mild upper back (just below neck) discomfort during chronic sinusitis flare ups and unrelated to cardiovascular issues due to the sinusitis itself?
I have pharyngitis and bronchitis and chronic sinusitis and I have swollen lymph nodes is my neck and groin is that bad?
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
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?
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
Could a swollen face caused due to chronic sinusitis disappear for a month post an abortion? I have heard infections disappear\increase after pregnanc
Yes: The last three or four teeth in the upper jaw have roots that are in close relationship to the floor of the maxillary sinuses. It is not uncommon for patients with chronic sinusitis to have pain radiate into the maxillary teeth. Likewise, patients with dental problems in the maxillary teeth that lie in close contact with the floor of the sinus can refer pain to the sinuses. ...Read more
Terrific question: In general, auto-immune diseases are not commonly associated with sinusitis. On the other hand, it is possible that sinusitis itself can be an autoimmune disease. If an auto-immune disease is associated with some immunological deficiency, then any cavity in the body may be susceptible to infection. ...Read more
Is there any consensus in the cause of chronic sinusitis being related to molds as a 1990's study showed? I have a postnasal drip 24/7.
Allergies: So there is a good consensus at this time that chronic sinusitis is caused by inflammation of the lining of the nose and sinuses that often leads to sinus infections with bacterial build-up. This inflammation can be caused be anything that inflames the nasal and sinus mucosa, like allergies to mold, dust, animal dander etc., smoking, toxic fumes, viral illnesses, inhaled drugs, and others. ...Read more
How do you cure chronic sinusitis with massive post nasal drip that causes. Pnemonia in a patient with myocarditis and less then 20 percent output.?
Can nasonex (mometasone) cause infection in the lungs? I suffer from chronic sinusitis and this seems to have occurred after using, stopped its use due to cough.
Will swimming in chlorinated water make my chronic sinusitis worse? During the summer months I work with kids at camp. My condition has gotten better but I fear that the chlorine in the water will cause symptoms to reoccur.
It's possible: The sinuses are connected to the eyes and ears, so it's not uncommon for them to be affected in chronic sinusitis. An eye md (ophthalmologist) can tell you exactly what the issues are causing the redness and rx appropriate therapy, but it's important to get your sinusitis under control as well. Nasal saline irrigation as well as nasal sprays can help. ...Read more
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