Top
30
Doctor insights on: Could Chronic Sinusitis Be Causing Thyroid Multinodular Goiter

Share
1

1
Why does chronic sinusitis cause a stiff neck?

Why does chronic sinusitis cause a stiff neck?

Not sure: No direct correlation I can think of. Maybe the sinus condition is forcing you to sleep in an awkward position? ...Read more

Dr. Steve Martinez
314 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


2

2
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.

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

3

3
Test results are multinodular goiter so radionuclide thyroid scan?

Test results are multinodular goiter so radionuclide thyroid scan?

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

4

4
Can size of thyroid multinodular goiter be reduced?

Can size of thyroid multinodular goiter be reduced?

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

5

5
I recently was diagnosed with a 2.2 CM multinodular goiter on the right lobe of my thyroid. Does thyroid affect the immune system?

Generally not: Not unless it's not functioning properly, which is different that it it has a nodule. If the nodule itself is 2.2 cm, then it needs to be biopsied. ...Read more

6

6
Thyroid sono results:"heterogeneous gland suggesting multinodular goiter -no discrete dominant masses observed"-what does this mean?

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

7

7
Recently was diagnosed with a 2.2 CM multinodular goiter on the right lobe of my thyroid. Does your thyroid affect the immune system?

Recently was diagnosed with a 2.2 CM multinodular goiter on the right lobe of my thyroid. Does your thyroid affect the immune system?

Autoimmune diseases: A goiter does not make you more susceptible to infections, if that is your question. But a common cause of goiter is hashimoto's thyroiditis, which is an autoimmune dysfunction of your thyroid. In most people with hashimotos, only the thyroid is affected. ...Read more

8

8
How is thyroid ultrasound used to diagnose a multinodular goiter?

How is thyroid ultrasound used to diagnose a multinodular goiter?

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

9

9
Why do the nodules of a multinodular goiter not show up on a i-123 thyroid uptake scan?

Why do the nodules of a multinodular goiter not show up on a i-123 thyroid uptake scan?

Scan shows activity: A thyroid scan looks for functioning thyroid tissue. Much of a multinodular goiter can be nonfunctional and thus not show up well or will blend into the background thyroid tissue. ...Read more

10

10
How often should a thyroid sonogram be repeated? Sono done 1 year ago showed heterogeneous multinodular goiter.

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

11

11
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

12

12
Thyroid sono showed heterogeneous gland with multinodular goiter (positive hashimoto's diagnosis;on synthroid)-follow up sono when?

Thyroid sono showed heterogeneous gland with multinodular goiter (positive hashimoto's diagnosis;on synthroid)-follow up sono when?

10---15 days: You have autoimmune hypothyroidism and need to to be seen by an endocrinologist, who want to be sure cold or hot nodules and act accordingly and adjust synthroid (thyroxine). ...Read more

14

14
Is mild upper back (just below neck) discomfort during chronic sinusitis flare ups and unrelated to cardiovascular issues due to the sinusitis itself?

Is mild upper back (just below neck) discomfort during chronic sinusitis flare ups and unrelated to cardiovascular issues due to the sinusitis itself?

Viral infection: Many acute flare-ups of chronic sinusitis are due to viral infections. Many viruses can also cause muscle aches, so they may well be related, although the sinusitis doesn't cause the back pain. ...Read more

15

15
I have pharyngitis and bronchitis and chronic sinusitis and I have swollen lymph nodes is my neck and groin is that bad?

I have pharyngitis and bronchitis and chronic sinusitis and I have swollen lymph nodes is my neck and groin is that bad?

? Viral infection: You should see your doctor to be evaluated and have CBC, EBV, CMV test and if negative and nodes are growing bigger then you should have biopsy. ...Read more

17

17
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

18

18
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

19

19
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

20

20
Could a swollen face caused due to chronic sinusitis disappear for a month post an abortion? I have heard infections disappear\increase after pregnanc

Could a swollen face caused due to chronic sinusitis disappear for a month post an abortion? I have heard infections disappear\increase after pregnanc

Seems unlikely: It does not seem likely that having an abortion would have significantly impacted your chronic sinusitis. Pregnancy can worsen sinus problems due to hormonal changes in the mucosal tissue. Seek treatment for the sinusitis. ...Read more

21

21
Can chronic sinusitis cause severe upper molar pain?

Can chronic sinusitis cause severe upper molar pain?

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

22

22
Does untreated chronic sinusitis cause sinus cancer?

Does untreated chronic sinusitis cause sinus cancer?

No: But untreated chronic sinusitis can make you feel miserable. It can give you chronic runny nose, reduced smell and pressure like pain. ...Read more

23

23
What autoimmune diseases can cause chronic sinusitis?

What autoimmune diseases can cause chronic sinusitis?

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

25

25
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

26

26
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.?

ENT: This is a question for an ENT who deals with severely ill patients and is able to assess the risks of surgery vs potential beneficial outcome. Curing chronic sinusitis is problematic under the best of circumstances and attempts at medical control might be a more viable option. ...Read more

27

27
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.

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.

Unlikely: The absorption of Nasonex (mometasone) is low, and it going to the lung is also low. What can happen is if used more than necessary, it can cause fungal infection at the site of use and that can be inhaled or can spread. ...Read more

29

29
Can chronic sinusitis cause mild leukopenia?

Can chronic sinusitis cause mild leukopenia?

Usually not: Leukopenia could cause by medications, chemotherapy, radiation therapy, lupus, lymphoma, some cancers or autoimmune disease (hiv or aids), sepsis and other reasons. ...Read more

30

30
Is it possible for chronic sinusitis to cause chronic conjunctivitis?

Is it possible for chronic sinusitis to cause chronic conjunctivitis?

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

Dr. Franklyn Gergits
356 Doctors shared insights

Chronic Sinusitis (Definition)

A common condition in which the cavities around nasal passages (sinuses) become inflamed and swollen for at least 12 weeks. Also known as chronic rhinosinusitis, this condition interferes with drainage ...Read more


Dr. Stephen Scholand
8 Doctors shared insights

Sinusitis (Definition)

A condition caused by an inflammation or swelling of the tissue lining your sinuses. Acute sinusitis usually starts with coldlike symptoms such as a runny, stuffy ...Read more