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Doctor insights on: Diffuse Thyrotoxic Goiter

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Dr. Eric Orwoll
Board Certified, Endocrinology
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Dr. Steve Martinez
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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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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 ...Read more

Dr. Eric Orwoll
Board Certified, Endocrinology
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What is the best treament for diffuse toxic goiter?Im a hyperthyroidtism

I131 or pills: Most endocrinologists recommend radioiodine, but some like to use pills. Unfortunately the pills rarely give you a permanent cure. Radioiodine does, but can result in hypothyroidism. Discuss with an endocrinologist. ...Read more

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I have graves disease and diffuse goiter.. Is there a possibility that my goiter will disappear after my hormones back to normal?

I have graves disease and diffuse goiter.. Is there a possibility that my goiter will disappear after my hormones back to normal?

Graves Disease: It is possible for your thyroid to shrink once your hormone levels are corrected, but it is not very probable. Typically, once thyroid levels are corrected, it usually keeps the thyroid from continued growth. ...Read more

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What are the foods good for diffuse goiter? And what are the food to to avoid?

What are the foods good for diffuse goiter? And what are the food to to avoid?

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

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Have graves disease and diffuse goiter.. Is it permanent?

Have graves disease and diffuse goiter.. Is it permanent?

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

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Can anyone tell me is toxic goiter and hyperthyroidism the same ?

Can anyone tell me is toxic goiter and hyperthyroidism the same ?

Generally yes: Hyperthyroidism refers to the thyroid over-producing thyroid hormone leading to higher-than-normal thyroid hormone levels in the blood. "toxic" in the case of toxic goiter is short for thyrotoxic (having higher-than-normal thyroid hormone levels in the blood, and toxic goiter means that in addition to high thyroid hormone levels, the thyroid is enlarged. Often if you have one, you have both. ...Read more

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How to control a goiter?

How to control a goiter?

Depends on cause: If it is a diffuse goiter, it may be caused by high tsh, which can arise in hypothyroidism or iodine deficiency (rare in usa, as salt is iodinated) or excessive goitrogens in susceptible ppl (like cauliflower). Treating the hypothyroidism can slow growth, if the above is the cause. If enlarging modules is the cause, surgery. Depends on cause, radioactive iodine may help. ...Read more

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Does lithium cause goiter?

It can: Lithium use is most commonly associated with a thyroid goiter with normal thyroid hormone levels. More rarely, hyperthyroidism may occur. ...Read more

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Dr. Eric Orwoll
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