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Doctor insights on: Diffuse Nontoxic Goiter

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What can cause nontoxic goiter?

What can cause 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.

Dr. Steve Martinez
311 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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What are the symptomsof nontoxic goiter?

What are the symptomsof nontoxic goiter?

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.

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How will nontoxic goiter affect the body?

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.

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Will nontoxic goiter affect children differently than adults?

Will nontoxic goiter affect children differently than adults?

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.

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How will an ultrasound diagnose nontoxic goiter?

How will an ultrasound diagnose nontoxic 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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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?

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.

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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

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

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What exactly does nontoxic uninodular goiter mean/?

What exactly does nontoxic uninodular goiter mean/?

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.

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What is the difference between a non toxic & toxic mulitnodular goiter?

What is the difference between a non toxic & toxic mulitnodular goiter?

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!

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Can a nontoxic uninodular goiter become cancerous?

Can a nontoxic uninodular goiter become cancerous?

May need biopsy: A solitary nodule in a goiter, that is "cold" on scan, needs to be biopsied by someone who is good at this. Although the likelihood of cancer is low, maybe 10%, but it needs to be checked out.

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What is a non toxic uninodular goiter?

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.

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I have non toxic goiter'and im taking levothyroxine almost 1 year, why still now my goiter nothing change...

I have non toxic goiter'and im taking levothyroxine almost 1 year, why still now my goiter nothing change...

Choice 4 goiter: Because one nodule has increased size and you have some compression you could be referred for surgery consult. At consult you would be evaluated and risk/benefit analysis would be offered. You have a choice. Take a friend or family with you to appointment. Be well.

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Hypothyroid since 2005, non toxic multinodulor goiter 5mm nodule lft thyroid. Bothersome

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.

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Nontoxic multinodular (2) goiter; one is 7x6x8 mm solid without: irregular border, calcifications, or blood flow. Risks?

Nontoxic multinodular (2) goiter; one is 7x6x8 mm solid without: irregular border, calcifications, or blood flow. Risks?

Nodules: More than one nodule generally suggests benign nodules, but I think an evaluation by a thyroidologist is the best approach to the diagnosis and follow-up of thyroid nodules.

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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.

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Is there a link between non toxic mulitnodular and goiters and lack of vitamin D?

Is there a link between non toxic mulitnodular and goiters and lack of vitamin D?

Vitamin D: Probably not. 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.

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US found 5mm nodule on left thyroid. Doctor says swelling face/neck not cause. No biopsy, too small. Why? Nontoxic multinodulor goiter as of 11/2014

Agree: 5 mm nodule is very small to biopsy. Nodules less than 1 cm have no significant risk of cancer. You need to have thyroid ultrasound every year to check and measure size of this nodule

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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?

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 at as treatment tool, may address some of the symptoms/issues but does not solve the cause. However, if the tool is working, stopping it may allow problem to recur & increase. Study & seek help worthy your trust.

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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

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

Radiclopayhy?: It is extremely rare to have radiculopathy in that region only. I wonder if you have muscular spasm, worsened by laying flat for a long time during and after surgery. I would think PT OT chiro maybe helpful in ur case as well as rehab doctor evaluation. Take care!

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How do you diagnose diffuse toxic goiter?

How do you diagnose diffuse toxic goiter?

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