Doctor insights on:
Enlarged Thyroid Fullness
Cause?: Depends upon whether it's large because of inflammation (thyroiditis), nodules, over or under function. Check w/your doctor.
Large Thyroid: It could mean anything from a viral infection to cancer. An enlarged thyroid should be evaluated by you physician.
Exam and ultrasound: First see your doctor who will examine the gland. He can then oder thyroid bllod test and order an ultrasound if he thinks it is indicated.See 1 more doctor answer
Multiple causes: Most are benign goiters, but sometimes thyroid enlargement is caused by cancer or hyperthyroidism. Treatment varies related to symptoms and cause. Most goiters do not need any treatment, but you need to see a doc to have it checked. You don't want to miss a curable cancer or suffer unnneccessarily if you have hyperthyroidism.
Yes, its possible: As a matter of fact, most goiter presentations here in the US occur in the absence of thyroid symptoms! The enlargement usually is due to multi-nodular goiter (MNG), early stages of Hashimoto's or Graves' disease (the latter is the most likely to present with symptoms).See 1 more doctor answer
Usually none!: Usually a sign of both hypothyroidism, or grave's disease, which causes overactivity. However, both thyroid nodules and malignacy can do this. You need some blood tests, and ultrasound of your thyroid, and perhaps a thyroid biopsy, if indicated. Women are more prone to goiters, usually caused by autoimmune issues!See 1 more doctor answer
Enlarged Thyroid: An enlarged thyroid is called a goiter. I'd be interested to know if you have any nodules on your thyroid. You don't say what was abnormal about your thyroid studies and if you are talking about a lab, a biopsy, or a sonogram or scan. If you have low thyroid activity, hypothyroidism, then you need thyroid medication. I encourage you to give more details on the abnormalities.
Autoimmunity: Goiters, or enlarged thyroids, may be associated with high, low, or normal thyroid levels. Often, if the thyroid levels are normal, there is no need to do anything but keep an eye on things. Autoimmunity, where the immune system makes antibodies against someone's own proteins, is the cause for most thyroid problems in the US, including goiters and nodules as well as high & low thyroid levels.See 1 more doctor answer
Depends: What do you mean by "thyroid symptoms? " if your thyroid functions are normal there could be something else causing those symptoms.
Many possibilities: An enlarged thyroid (goiter) has many causes. Are thyroid blood levels (tsh, ft4) normal? If not, then one thinks about hyper/hypothyroidism, graves disease, hashimotos, etc. Is the goiter nodular or smooth? This may require an ultrasound, with biopsy of suspicious nodules. In younger people, hashimotos is very common. Low grade inflammation, eventual hypo. There's no way to avoid this.
See details: Most people with enlarged thyroids have normal thyroid function. Have an ultrasound of the thyroid done as a first step.
Your PCP!: Most doctors can adequately assess your thyroid concerns, and make an appointment with an endocrinologist if needed. The tests I recommend are free t3, (liothyronine) tsh, antithyroid antibodies. If you have a goiter, you may need an ultrasound. If thyroid disease is common in family members, it increases your likelyhood of having issues.See 1 more doctor answer
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