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

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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?

Dr. Steve Martinez
312 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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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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).

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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.

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.

No: Cancer of the thyroid is rarely ever seen in a moltinodular goiter The malignant lesion starts as a solitary adenoma that is cold on scan. If such a lesion noted, even if benign there is a 30% conversion to carcinoma. It is recommended that all cold solitary nodules be removed and pathology defined at the time of removal, not by needle bx. Goitres that are multinodular are never biopsied.

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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.

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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!

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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

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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.

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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.

Dr. Franklyn Gergits
354 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. Creighton Wright
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