Doctor insights on:
Diffuse Nontoxic Goiter
Some are caused: By iodine deficiency, which is a reason for iodinized table salt...Those lacking seafood in the midwest and near west used to be so afflicted. Taking exogenous thyroid hormone (thyrolar, synthroid) may turn off TSH stimulation and reduce/diminish growth, but that is treatment rather than prevention. Excess TSH and unregulated growth cause goiters. Toxic goiters produce excess thyroxine. ...Read more
Maybe no symptoms: A non-toxic goiter is simply a goiter - an enlarged thyroid gland. This may be metabolically hyperactive or hypoactive or you may be euthyroid - no change in activity. If very large, they can cause swallowing or breathing symptoms. If you think you have a goiter, you should be seen by your doctor. ...Read more
Goiters are: Quite noticeable, and cosmetic issues to a point. Very big goiters can compress airways and cause swallowing trouble and may require surgical removal. Usually (and tehy are unusual) they are more noticeable in kids. ...Read more
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
I have a nontoxic goiter. Should I be worried? It's not cAusing me any symptoms or issues. Also, what is the treatment for it?
Don't Panic, there: Are 3 main types of non-toxic goiter. Worldwide most common cause is iodine def, rare in US. Supplements/inc I in diet may shrink it. In older people in the US multinodular goiter is most common. If no sx's US & bx of any susp nods w tx if nec. Then follow w/US. Hashimoto's (autoimmune) thyroiditis is next. Can cause hypothyroid. Monitor TFT's, tx if nec. If not bothered, mon. If sx's tx exists. ...Read more
What could happen if a nontoxic goiter is left untreated? Is it always something that needs treated? I had blood taken and my thyroid levels are fine
It might eventually:
Get larger! .....if thyroid hormone producing tissue is replaced by fibrous tissue or in the case of Hashimoto's disease (one cause of non toxic goiter) with inflammatory tissue. If your goiter has multiiple nodules (NTMNG) there is a small but definite chance of thyroid cancer developing!!
In short I would recommend treatment!
Hope this helps!
Dr Z ...Read more
Goiter: Goiter is simple enlargement of the thyroid gland. Most often, it's due to insufficient dietary iodine or familial inheritance. Non-toxic means that you are not producing an abnormal amount of thyroid hormone. Uninodular would specifically mean that you have a single nodule within the thyroid. Usually a solitary nodule should be evaluated with needle biopsy or followed closely with ultrasound. ...Read more
Thyroid function: Hi. With a toxic multinodular goiter (MNG), the patient is hyperthyroid, whereas with a non-toxic MNG, the patient has normal thyroid function, so thyroid function is the difference. Some (statistically a minority) of non-toxic nodules are thyroid cancer, and may need fine needle aspiration biopsy to evaluate based on nodule size and other ultrasound characteristics. Good luck! ...Read more
38 yo female with a nontoxic multinodular goiter 5-6X bigger than normal. Could it stop growing or shrink on its own? Dx 20 years ago - slow growing
A nodule: Hi. A non-toxic uninodular goiter means you have a nodule in the thyroid that is NOT autonomously over-producing thyroid hormone. There is a risk the nodule is a thyroid cancer, so your doctor will probably send you to an endocrinologist to get a fine needle aspiration biopsy. If the nodule is benign, you leave it alone; if it's cancer, you head down that path (most are benign). Good luck. ...Read more
I have non toxic goiter'and im taking levothyroxine almost 1 year, why still now my goiter nothing change...
My son has a nontoxic multinodular goiter, the tyroid is functioning but the antibody tpo are higher than 1000.Should he just be monitored?
Yes: It would be prudent to consult an endocrinologist to ascertain the frequency of visits and tests. He is at risk of thyroid function disorder. ...Read more
These nodules can: Sometimes be reduced in size by taking a small amount of Thyroid medicine. This requires some expertise. See an Endocrinologist for the best care. ...Read more
Nontoxic multinodular (2) goiter; one is 7x6x8 mm solid without: irregular border, calcifications, or blood flow. Risks?
If I have a hemi thyroidectomy for nontoxic multinodular goiter, the other lobe that is already mild enlarged will grow faster and forms nodules?
Goiter: Yes, the other side of your thyroid may grow. If your doctor treats you with levothyroxine, it may not grow as much, but there is a risk of making you hyperthyroid. It sounds like the remaining lobe also has nodules. Presumably the removed thyroid was free of cancer; why was the surgery performed? You probably should see an endocrinologist. ...Read more
Go to your local store and buy vitamin D capsules in doses of either 1000 or 2000 units. They are much less expensive than vitamin D testing. ...Read more
I was diagnosed with non toxic goiter when I was 19, doctor prescribed me levothyroxine 50mg but I felt tightening of my throat so I stopped?
Careful SymptomsOnly: Clues, far from whole story of what is going on. Goiter (enlarged thyroid) driven by low iodine intake, increased TSH, antibodies which emulate TRH, etc. Levothyroxin only a molecule used as a treatment tool, may help some of the symptoms/issues but does not solve the cause. However, if the tool is working, stopping it may allow problems to recur & increase. Study & seek help worthy your trust. ...Read more
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
Exam, lab and US: In order to know if you have a goiter (a swelling of the thyroid gland) a simple hands on exam is adequate. To know if it is toxic one would need a review of symptoms and a lab test (tsh). To know if it is diffuse one could use history and exam pretty reliably or obtain an ultrasound definitively ...Read more
Thyroid hormone: For recemt goiters. If very old, no response. ...Read more
Please refocus: If you have a diffuse goiter, you need to find the cause. If you have graves' or are iodine deficient (does your town use iodized salt?), your health will be ruined without real, scientific treatment. If you are one of the many millions of folks who just has a big thyroid, diet's not going to affect it; if you / your dr feel it needs to be treated, scientific medicine once again can help. ...Read more
I have a diffuse toxic goiter or also known as grave's disease. Currently, I am under medication. What food should I eat and avoid? Thank you!
I have had a underactive diffuse goiter for 8 years, it seems to shrink and swell daily. Is this common with goiters. I am waiting on ultrasound?
Goiters: Goiters don't commonly swell and shrink daily. That's very unusual. ...Read more
Depends: Depends on the severity of the goiter and treatment choice you made to treat the graves' disease. If you choose radioactive iodine, the goiter will shrink but will not go away completely. If you choose anti-thyroid drug, the goiter might shrink even slower. Surgery will obviously take care of the whole thing. Talk to your doctor about your options. ...Read more