Doctor insights on:
Diet To Shrink Enlarged Thyroid Goiter
refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
Usually not: In the distant past, thyroid hormone was used to 'shrink' nodules. More recent studies with ultrasound monitoring has shown that most nodules do not shrink with thyroid hormone treatment. Because thyroid cancer is the fastest increasing cancer in women, it is important to follow most thyroid nodules with ultrasound. With hashimoto's thyroiditis, there can be false or pseudonodules. ...Read moreSee 1 more doctor answer
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
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
To some extent: If a goiter is due to primary hypothyroidism then levothyroxine allows TSH to come down thereby removing one source of goiter. However, patients with hashimoto's also have lymphocytic infiltration of the gland which contributes to goiter development also. That takes time to go down. We see this in patients with nl thyroid function also. Grave's antibodies stimulate thyroid growth mimicking tsh. ...Read more
Hashimotos &on synthroid (thyroxine).Still feel pressure in throat from goiter.Us said no nodules but reactive lymph nodes.Can you have thyroid removed for goiter?
Hushimotoes thyroid: Size usually goes down with thyroid supplement but check with your dr for the glands. If you have trouble swallowing you have pressure symptoms. See your dr. ...Read more
Will a surgeon remove thyroid nodules 3.0cm heterogeneous solid ifwith diffussly enlarged thyroid if fna comes back ok. I have hashimoto thyroiditis?
If the FNA: Is definitively "negative" not just inconclusive, many endocrinologists would just observe and follow-up at a later date w/repeat lab, exam and ultrasound. There are other factors as well, and best discussed with your endocrinologist. ...Read more
Big thyroid: From your description, it appears that the underlying problem is Hashimotos, and you have already had ultrasound and biopsy of nodules. Therefore, no suspicion of cancer. You should be on adequate thyroxine to keep TSH normal. In time, your thyroid will probably shrink some. The only reason for surgery is if the gland is so big that it interferes with breathing/swallowing. ...Read more
Have thyroid goiter and inflammation. No nodules. Feel lump in throat. On Synthroid (thyroxine) 75mcg for hashimotos. Can you have thyroid cancer with no nodules?
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