Doctor insights on:
Goiter Inflammation Of The Thyroid
Mild enlargement of the right thyroid lobe without discrete nodules. There is a homogeneous appearance to the echotexture of the thyroid gland. ????
Inflammation is the body's attempt at self-protection; the aim being to remove harmful stimuli, including damaged cells, irritants, or pathogens - and begin the healing process. Inflammation is part of the complex biological response of vascular tissues to harmful stimuli, such as pathogens, ...Read more
SymptomsHypothyroidi: Symptoms of the under active thyroid, symptoms of weight gain, intolerance to cold, dry skin, fatigue, puffy face, hoarseness, muscle weakness, irregular periods in women, slow heart rate, thinning hair, depression and impaired memory symptoms are variable and depend on the severity. ...Read more
Depends: Hi. Goiter (abnormal size/shape of thyroid) can occur with hyperthyroidism, hypothyroidism, and euthyroidism. Broadly, goiter results from autoimmunity, benign tumors, or cancers. If you see an endocrinologist, this will be sorted out. You have Dr. Michael McDermott right there at CU School of Med, a great doc. Good luck! ...Read more
What is the significance of radioactive iodine scan in various throid diseases like myxedema, hashimoto's thyroiditis and graves disease?
Hot vs. cold nodule: Iodine uptake by thyroid tissue depends on functioning cells. The most common use for thyroid scan is to assess if a nodule is functional or not. A functional/hot nodule may cause hyperthyroidism but is not likely to be malignant. See this site for more info. http://www.nlm.nih.gov/medlineplus/ency/article/003829.htm. ...Read more
Can hoshimotos automimmune disease of the thyroid make the submandibular glands enlarged? Or any salivary glands enlarged?
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
In hyperthyroidism, if part of the thyroid is removed, does this decrease the thyroid hormone in the body?
Maybe nothing : Autoimmune thyroiditis doesn't require treatment unless the thyroid is either over or under active. Acute thyroiditis which can cause fever and be painful because of bacterial infection is treated. It is uncommon, however. Patients with autoimmune thyroiditis are routinely monitored to follow thyroid function. ...Read moreSee 1 more doctor answer
Is the risk of thyroid carcinoma increased with diagnosis of hashimoto thyroiditis when multiple thyroid adenomas are present. Tyab 2470?
Not if they function: If the adenomas are "cold" or do not function, then they are likely to be malignant. They do not show up on radionuclide scan because they do not function. Otherwise they are unlikely to be malignant. However, since you have many of them, you likely need and should get further workup, like aspiration biopsy, etc., along with treatment for your hashimoto's. ...Read more
Could be: It is difficult to reliably sonographically differentiate hashimoto thyroiditis from other thyroid pathology. Ultrasound features can be variable depending of the severity and phase of disease. A diffusely enlarged thyroid gland with a heterogeneous echotexture is a common sonographic presentation. ...Read more
Thyroid gland is increased in vascularity suggestive of underlying thyroiditis.....
Tsh is normal?
Happens regularly: This picture is encountered relatively often. Think of it as if the thyroid is inflamed but still has enough reserve to produce adequate hormone. It can be seen in conditions like subclinical thyroiditis or in hashimoto's disease, after the thyroid is "burnt out" and doesn't produce elevated hormone, but before the hormone levels become low. See an endocrinologist for more information. ...Read more
Multifunctional: Very briefly, the adrenal gland can be divided between the cortex and medulla. The cortex makes a variety of hormones which control salt balance, cortisol, and androgens. The medulla primarily secretes norepinephrine and epinephrine. Functions of medulla and cortex are completely different as are the way their hormones are made and how they work. ...Read more
Multiple organs...: The thyroid hormones secreted by the gland affects almost every system, including basal metabolism, skin, heart, brain, bowel. The thyroid gland is controlled by a part of the pituitary/hypothalamus gland in the brain in a feedback mechanism (as with all glands). Increased thyroid hormone can be associated with 'poppy' eyes, racy pulse, moist skin, perspiring, diarrhea. See prior answer. ...Read more
Remove lobe: If one lobe of the thyroid is abnormal on thyroid scan and on ultrasound, and your doctoris worried about thyroid cancer, biopsy of the abnormal lobe is indicated. If your risk is low, some physicians just remove the diseased lobe and put you on full replacement thyroid hormone for the rest of your life. ...Read more
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