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Doctor insights on: Graves Disease And Methimazole

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Is everyone using ptu (propylthiouracil) for graves disease?

Is everyone using ptu (propylthiouracil) for graves disease?

No: There are essentially three approaches to managing hyperthyroidism: surgical removal of gland, radiation therapy to the gland, medication (tapazole, propylthiouracil) to block the gland from taking up iodine and forming too much hormone. The symptoms must be treated often first with beta-blocker. Treatment options need by discussed and tailored for each person, depending on age, other probs, etc. ...Read more

Dr. David Geffner
337 doctors shared insights

Graves' Disease (Definition)

An immune system disorder of the butterfly-shaped gland ...Read more


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What is the significance of radioactive iodine scan in various throid diseases like myxedema, hashimoto's thyroiditis and graves disease?

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

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Does subclinical hyperthyroid caused by graves always progress to hyperthyroid and is treatment necessary for subclinical hyperthyroid?

Does subclinical hyperthyroid caused by graves always progress to hyperthyroid and is treatment necessary for subclinical hyperthyroid?

Watch carefully: Eventually, you will likely develop either overt hyperthyroidism, or you could possibly become hypothyroid. But not always, and this could take years. If you feel well, and your heart/bones/psyche/ etc are ok, you and your doctor (best: Endocrinologist) could elect to watch this and not treat now, but watch carefully. ...Read more

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How is hashimoto's thyroiditis different from grave's disease?

Thyroid Levels: Hashimoto's and and graves' disease are both caused by autoimmunity (where antibodies attack one's own proteins). Hashimoto's more often results in low thyroid hormone levels. Where graves' disease almost always results in high thyroid hormone levels. ...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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Autoimmune thyroid disease is what?

Autoimmune thyroid disease is what?

Immune attack: An autoimmune disease is when the body's immune system mistakenly makes antibodies which are directed towards one's own healthy tissues. In terms of thyroid, antibodies are targeted against the thyroid - very similar in principle to rejecting one's own thryoid. That is, the body is rejecting it's own tissue. ...Read more

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I have graves disease which is under control. Tapazole (methimazole) 10 mg. daily. Does seasonal flu have serious effects on graves patients? Thanks

I have graves disease which is under control. Tapazole (methimazole) 10 mg. daily. Does seasonal flu have serious effects on graves patients?  Thanks

Flu: Your Grave's should be under control and not affected by flu. That said, you should see your doctor about your flu and also get labs to confirm that your thyroid is under control. ...Read more

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Graves disease (tsi 378) with anti-TPO 59 and tgab 514. Will this eventually lead to hashimoto's?

Graves disease (tsi 378) with anti-TPO 59 and tgab 514. Will this eventually lead to hashimoto's?

No: They are two different disease conditions but your chance of first having first an overactive thyroid followed by an under-active thyroid is highly likely. However it would not be from hashimoto's. ...Read more

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Can antibodies on graves disease disappear?

Rarely: The level can decline, but it rarely disappears. ...Read more

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With history of graves disease, and now TSH 7 and multinodular goiter, likelyhood of cancer?

With history of graves disease, and now TSH 7 and multinodular goiter, likelyhood of cancer?

Increased likelihood: Yes, likelihood of thyroid CA is increased with chronic thyroid disease like yours. It does not mean though that you already have or definitively will have CA, but you MAY develop it. You must be monitored to have a chance to catch CA early. At this time the only advise I give is to be consistent with your treatments and follow ups as it is recommended by your treating MD. ...Read more

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What is graves disease?

Over active thyroid: Graves' disease is an autoimmune disorder, meaning it is caused by antibodies against the thyroid. These antibodies "trick" the thyroid into making more thyroid hormone than it is supposed to. That leads to symptoms such as excess sweating, palpitations, tremors, frequent bowel movements and weight loss. ...Read more

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Can celiac disease cause thyroid goiter?

Can celiac disease cause thyroid goiter?

Yes: Celiac disease is an auto-immune condition. In other words, with auto-immune conditions, the body's immune system is responding incorrectly and attacking itself. In the case of celiac disease, the body's immune system is causing intestinal damage. Having celiac disease, will put you at risk of developing others, such as thyroid disease, type 1 diabetes and others. The opposite is also true. ...Read more

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Other than graves' disease, do cigarettes effect the thyroid?

See below: Cigarettes effect all tissues in the body, including the thyroid. If you smoke, see your doctor about tying to quit. ...Read more

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Why could I swing back & forth from hypothyroid and hyperthyroid (thyrotoxicosis)? Neg. antibodies for Hashi's and Graves'. Have multinodular goiter.

Why could I swing back & forth from hypothyroid and hyperthyroid (thyrotoxicosis)? Neg. antibodies for Hashi's and Graves'. Have multinodular goiter.

Thyroid: It often depends on when you take your medicine. I think it best to take thyroid medicine at bedtime. Give it a bit of time and your levels should be stable. Yes, they could be stable and high or stable and low. Once you have settled on that please see your doctor. ...Read more

Dr. Lawrence Kessler
80 doctors shared insights

Methimazole (Definition)

Methimazole is a thyroid ...Read more


Dr. William Singer
76 doctors shared insights

Tapazole (Definition)

Tapazole is a thyroid ...Read more