Doctor insights on:
Fast Growing Thyroid Goiter
How did a thyroid goiter and nodules grow so fast. 5 months! Was just diagnosed 6 days ago with hyperthyroidism?
Toxic nodular Goiter:
Toxic nodular goiter can hide a 10-20% risk of thyroid cancer. Need a beta-blocker like propranolol to control some symptoms like rapid heart rate to prevent heart failure.
http://www. Thyroid. Org/patient-thyroid-information/ct-for-patients/vol-6-issue-11/vol-6-issue-11-p-6-7/
http://www. Endocrine. Niddk. Nih. Gov/pubs/Hyperthyroidism/
http://www. Nlm. Nih. Gov/medlineplus/ency/article/000317.htm ...Read more
Does a single solid thyroid nodule grow rapidly if it is benign? The nodule is not a goiter. Tsh levels are normal.
Yes: Goiter is simply the term for an enlarged thyroid. Usually it is bilateral (both sides) but you can have marked difference from one side or the other. One sided masses of the thyroid are more concerning for a thyroid cancer, and so should be evaluated at least with an ultrasound, and perhaps with a needle biopsy. ...Read more
Good Question: Impossible to answer why in this forum. You should see a thyroid specialist- either an endocrinologist or a thyroid surgeon to help answer this question. ...Read more
I have had a goiter since 6 years. It has always been stable. Since 8 months it is growing. I feel unconfortable breathing laying down at night ans feel pressure on my neck in certains positions. What should I do?
See Endocrinologist: You’d need to visit with an Endocrinologist at this point for blood testing and treatment options. ...Read more
I have 5 "nodules" in my thyroid, 2 of which have grown their own vascular rims. How serious is this? I have 5 "nodules" "goiters" or whatever word d'jour pops up. Two of these growths have grown their own vascular rim, and no one is doing anything. I
Multinodular goiter: Multi nodular goiter (mng) is likely what you are describing. This condition often times does not cause thyroid hormone problems but if it does, then the term functional or toxic mng is applied. In either scenario, the options including just monitoring nodular size by us versus thyroid removal, either surgically or via radioactive iodine. Seldom that use of thyroid hormone therapy will be helpful. ...Read more
Usually not: Goiters usually grow out, not in, and do not affect vocal cords, trachea, or esophagus. Sometimes, big nodular goiters in the elderly can do this, but not usually. However, if the goiter is producing either hyper or hypothyroidism, that can certainly affect the vocal cords. Hypothyroidism could turn you from an alto into a tenor.... Or more. ...Read more
Cause??: If a goiter is the result of anti-thyroid antibodies and your thyroid function is normal, there isn't much to be done. It will eventually go down on its own as long as thryoid function is kept normal. If from over/under active thyroid, medication may help. Multinodular goiters are more complicated and may need surgery. Other reasons also, so please discuss cause/treatment options with doctor. ...Read more
It might...: Goiter is simply an enlarged thyroid. A goiter may or may not produce a normal amount of thyroid hormone. A simple lab test can tell if your thyroid levels are normal or not. If your lab results are normal, then your goiter is probably not affecting your weight. On the contrary, a normal sized thyroid can also run high or low and affect your weight. ...Read more
Goiter: Thyroid nodules and goiters are slow growing and take years to grow. However, there could be a more rapid increase in size due to tumors, inflammation, pregnancy, bleeding within the nodules, or thyrotoxicosis (hyper functioning gland). For this reason, once diagnosed, most physicians recommend thyroid nodules/goiters be monitored with annual examination and thyroid ultrasound. ...Read more
Diagnosis: Were you diagnosed by GP or Endocrinologist? If so, did the prescribe a course of effective treatment? If not, make an appointment now. If the homeopathic you are taking is not working, why do you continue to take it? ...Read more
My friend seen I specialist and was told she had multiple small goiters on her thyroid and dr's did nothing why?
Small nodules: Thyroid nodules are quite common. If they are small and not causing swallowing or breathing problems, you can monitor them with periodic ultrasound and biopsy if they grow or changing significantly. Most likely your friend nodules are still small so the specialist opted to just follow them. ...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
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. ...Read more
Not at all: In CD your body makes antibodies that attack the gut tissue. These antibodies do attack the thyroid & do not cause goiter. The fact that you have CD makes you more prone to quirks in your immune system such as an immune attack on your thyroid gland. People should never self label as CD, but have the tests done and medical follow up because of the added risk of other autoimmune diseases or cancer. ...Read more
No: It can cause you to put on weight only if it also affects the ability of the thyroid to make hormones. Frequently, a thyroid goiter will have no affect on thyroid's function, in which case, it should not cause weight gain. See your doctor to have your thyroid function tested if you are worried. ...Read more
Is it normal for a thyroid goiter to throb? I have been unable to determine what sets it off. Thyroid goiter
Confused with my thyroid. Does a goiter mean you are making too much thyroid, or mean you don't have enough thyroid?
Either: A goiter is a term used to describe the enlargement of the thyroid gland. There are many reasons why a thyroid will be enlarged. Sometimes, the enlargement will cause hyperthyroid (too much), sometimes hypothyroid (not enough) and sometimes it has no effect on the function of the thyroid at all. You need a blood test to know what the enlargement (goiter) is causing. ...Read more
If a person had their thyroid burnt out at least 30 years ago because of a goiter, wouldn't it be obilterated? What if the person had a u/s done and it showed throid tissue that was abnormal? What would the indications be?
Depends: You said your "thyroid burnt out" so I suspect you had radiation therapy. Such treatment will not "obliterate" your tissue completely so you will have remnants of your thyroid remaining. The current ultrasound might have just picked up those tissues. If you didn't have thyroid cancer 30 years ago and your thyroid level is current ok, you might just follow this and biopsy if it changes in time. ...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
Goiters/thryoid - thyroid function tests (blood work), and thyroid ultrasound.
Tx: thyroid meds.
Sinusitis- culture and swab, sometimes sinus ct or even sinus mri.
Treatment - typically oral course of antibiotics. In extreme case, an ENT doc does surgery, inserts a trocar into your sinuses, and manually irrigates and evacuates the infection from your sinuses. This is the ultimate treatment. ...Read more
What does asymmetric thyroid means. I just had an echography, everything was normal, no goiter present, but asymmetric size of glands.?
No worries: Asymmetry is no problem if no nodules are seen. Most things in our body are not symmetric. Just the way we are. ...Read more
Had ultrasound on neck, diagnosis as goiter. Thyroid tests came back normal. This was year ago. Should I follow up with the goiter situation?
Yes you need to: Goiter needs follow up at least once a year to see if it is changing in size. Since it can grow or change into cancer, most thyroid specialistsd (endocrinologists) would advise removal with thyroid surgery. So go see one and find out your options to solve this problelm. ...Read more
I had a large goiter removed but left the thyroid because it was healthy. I now have a new lump but in a different area. Can you get a new goiter.?
I have multiple nodules like around 20 and a large goiter in my thyroid. Last biopsy was three years ago. Unable to get follow up due to no insurace?
Follow up when u can: I assume the biopsy 3 years ago was benign (negative)? The risk of thyroid cancer is low, with each nodule having an apprx. 5% chance of cancer. Odds are good that u are dealing with a benign process but u should followup as soon as you can get insurance to have this re-evaluated. Look around to see what's available to u. There are clinics that give deep discount for self-pay or free at med school. ...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