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Doctor insights on: Hashimoto S Thyroiditis Swollen Glands

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Should surgery be doneof enlarged gland due to hashimoto thyroiditis?

Should surgery be doneof enlarged gland due to hashimoto thyroiditis?

Big thyroid: From your description, it appears that the underlying problem is Hashimotos, and you have already had ultrasound and biopsy of nodules. Therefore, no suspicion of cancer. You should be on adequate thyroxine to keep TSH normal. In time, your thyroid will probably shrink some. The only reason for surgery is if the gland is so big that it interferes with breathing/swallowing. ...Read more

Dr. Quang Nguyen
1,040 Doctors shared insights

Inflammation Of The Thyroid (Definition)

Several common forms of thyroiditis. Subacute thyroidits is from a virus. Your thyroid is tender, transient hyperthyroidism, but then resolution. Hashimotos thyroiditis is usually without pain, eventually causes hypothyroidism, but can coexist with graves hyperthyroidism. Two other forms are post partum thyroiditis and "painless" thyroiditis; transient hyper followed by ...Read more


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Can Hashimoto thyroiditis be hereditary?

Can Hashimoto thyroiditis be hereditary?

Likely: There is generally thought to be a genetic hereditary component to Hashimoto's thyroiditis. However, there are likely other causes to include a hormonal component, exposure to radiation, and iodine intake. ...Read more

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Anyone familiar w/ hashimoto thyroiditis treatment?

Anyone familiar w/ hashimoto thyroiditis treatment?

Most PCPs and endo: Most internists and endocrinologists are familiar with the disorder. It is an autoimmune disorder that often leads to an under active thyroid. It is the most common cause of low thyroid hormone levels. There is no treatment for hashimotos per se, but the thyroid hormone levels can be kept normal with medication. ...Read more

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I have Hashimoto Thyroiditis, and Hypothyroidism. Would it be in my best interest to have a specialist along with my primary doctor?

I have Hashimoto Thyroiditis, and Hypothyroidism. Would it be in my best interest to have a specialist along with my primary doctor?

YES: A Board Certified ENDOCRINOLOGIST should evaluate you once year (if all is "going well")!


Hope this helps!

Dr Z ...Read more

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What is the condition hashimoto thyroiditis?

Autoimmune disease: Hashimoto thyroiditis is an autoimmune disease which affects the thyroid gland and can cause either hypo- or hypethyroidism. ...Read more

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Anyone know of a treatment for hashimoto thyroiditis?

Anyone know of a treatment for hashimoto thyroiditis?

Meds.: It depends on the actual function of the thyroid gland. If you are euthyroid than no treatment is needed, if you are hypothyroid than you will be treated with thyroid hormones and if you are hyperthyroid than you will be treated with anti-thyroid drugs. ...Read more

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In hashimoto thyroiditis why is there an initial increase in thyroid levels?

In hashimoto thyroiditis why is there an initial increase in thyroid levels?

Mechanism: The thyroid has 2 months of thyroid hormones stored inside it. When it gets inflamed (thyroidtis), it can't hold on to the thyroid hormones and the hormones leak out into the blood stream. That's why you have high level at the beginning. Once all the hormone is leaked out, there is no hormones left and the body has to make the hormone again which is why you become low. ...Read more

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Can hashimoto thyroiditis happen with hyperthyroidism?

Can hashimoto thyroiditis happen with hyperthyroidism?

Yes: The initial stages of hashimoto's is an over active thyroid which over stimulates the heart leading to atrial fibrillation. ...Read more

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Is the risk of thyroid carcinoma increased with diagnosis of hashimoto thyroiditis when multiple thyroid adenomas are present. Tyab 2470?

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

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What weight supplement or fat burner can I take that's safe with hashimoto thyroiditis, eat healthy but still struggle losing the weight?

What weight supplement or fat burner can I take that's safe with hashimoto thyroiditis, eat healthy but still struggle losing the weight?

Exercise: Exercise regularly (both aerobic and strength) will help you burn off fat. Of course one must control the diet intake especially re to carb. If your thyroid replacement dose is appropriate, your weight gain has nothing to do with the thyroid. It is also not just how "healthy" but how much you ear compared to the energy expended. ...Read more

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What is hashimoto thyroiditis?

What is hashimoto thyroiditis?

Autoimmune: For reasons we don't fully understand, the body makes antibodies against the thyroid. This causes a very low grade inflammation which over time can disrupt thyroid function. ...Read more

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What can be cause of solitary nodule in hashimoto thyroiditis patient?

What can be cause of solitary nodule in hashimoto thyroiditis patient?

Hashimoto's nodule: Hashimotos thyroiditis involves inflammation of the thyroid. Often there can be patches of inflammation, and inflammation then leads to scarring (fibrosis). This scarring creates the appearance of nodules. The likelihood of cancer in these nodules is very low, and frequently these "nodules" do not require biopsy. ...Read more

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Please share the risks for rejections of dermal fillers by a person with hashimoto thyroiditis and dermal fillers?

Please share the risks for rejections of dermal fillers by a person with hashimoto thyroiditis and dermal fillers?

Ask Rheumatologist: An occasional patient or two have reported exacerbation of autoimmune disease symptoms weeks/months following collagen injection. Difficult to state definitively but patients suffering from these conditions should proceed only after discussing with their rheumatologists and getting their ok. ...Read more

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Does hashimoto thyroiditis have anything to do with discoid lupus or sle?

Does hashimoto thyroiditis have anything to do with discoid lupus or sle?

In a way: Lupus and Hashimoto's thyroiditis are both autoimmune diseases. Often the presence of one autoimmune disease makes a second one more likely to occur. These two conditions are treated separately. ...Read more

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If you have hashimoto thyroiditis will it mess with the results of a fna or blood work?

If you have hashimoto thyroiditis will it mess with the results of a fna or blood work?

Unlikely: I am not sure what you mean by mess with the results, but hashimoto's is the most common cause for hypothyroidism in the us. It will not affect test results, other than thyroid levels (low thyroid). Fna can show some abnormalities, such as lymphocytes, hurthle cells, sometimes some atypia, but most of the time, one can tell malignancy when present. ...Read more

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How long can a chronic urticaria last? Apparentely it is related with hashimoto thyroiditis. Any idea? Its been 1year of hives and angioedemas.

How long can a chronic urticaria last? Apparentely it is related with hashimoto thyroiditis. Any idea? Its been 1year of hives and angioedemas.

Can be a long time: The association with hashimoto's thyroiditis is generally just thought to be that people who make antibodies to one thing inappropriately (thyroid) are more likely to make antibodies to other things inappropriately (mast cell receptors which can be a cause for urticaria). Most chronic urticarias last 2 weeks to 2 months, but 10-20% can last more than 2 years. ...Read more

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I've been put on 50mcg of Synthroid (thyroxine) for hashimoto thyroiditis. How long before I see any results?

Recheck: It is customary to recheck your thyroid levels within 2 to 4 weeks of starting treatment to guide you. Starting with a low dose and working upwards is the proper treatment but symptoms may not improve until you reach therapeutic doses which often are higher than 50mcg. ...Read more

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I have hashimoto thyroiditis. I want to know if gluten has some interaction on this disease because I have seen many american articles about this?

I have hashimoto thyroiditis. I want to know if gluten has some interaction on this disease because I have seen many american articles about this?

Explanation: So far no reliable scientific facts to connect Hashimoto thyroiditis with gluten - gluten intolerance or sensitivity. Something that may be confusing you that both condition have autoimmune component in their development. But NO relations between them. ...Read more

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Can symptoms of hashimoto thyroiditis return even after treatment?

Not really: The most common symptoms of hashimotos are hypothyroid symptoms. These are fatigue, cold intolerance, weight gain, hair loss, constipation, depression, puffy skin...As long as you are on the right thyroid replacement dose (levothyroxine or synthroid) and you don't forget your pills then the symptoms should not be an issue. ...Read more

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Is there a new medicine for auto-immune hashimoto thyroiditis or a permanent cure?

No: There is no cure for hashimotos, but the consequence (under active thyroid) is manageable. ...Read more

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What can b d cause of solitary nodule with very high vascularity at initial stage of hashimoto thyroiditis?

FNA biopsy: Hi. It sounds like the nodule needs a fine needle aspiration (FNA) biopsy to make sure it's not cancer. I recommend you talk with your doctor about that. Good luck! ...Read more

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Hello I am 52y/o I have hashimoto thyroiditis I take 100mcg levothyroxine for 4 days and 50mcg for 3days of week. Tsh=0.1 T3 (liothyronine) =110 t4=10 is that ok?

Hello I am 52y/o I have hashimoto thyroiditis I take 100mcg levothyroxine for 4 days and 50mcg for 3days of week. Tsh=0.1 T3 (liothyronine) =110 t4=10 is that ok?

Recommendation: Not knowing how you feel or your current symptoms, from the labs above, you are mildly hyperthyroid. Currently you are taking approximately 78 mcg/day of levothyroxine (550 mcg/7 days). A reasonable change would be to just take 75 mcg/day. This way, you don't have to take two different doses or cut the pills. This is again based solely on labs. Your doc who knows you best should evaluate you. ...Read more

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Is there a relation between myasthenia gravis and hashimoto thyroiditis? Experiencing irregular periods and rapid weight gain. I have myasthenia gravis

Is there a relation between myasthenia gravis and hashimoto thyroiditis? Experiencing irregular periods and rapid weight gain. I have myasthenia gravis

Autoimmune diseases: Both myasthenia gravis and hashimoto's thyroiditis are autoimmune diseases, and they often occur together. Your doctor should check out your thyroid tests (tsh, ft4) and treat with levothyroxine if you are hypothyroid. Other autoimmune diseases are more common also. These include adrenal failure (addison's), premature ovarian failure, and others. ...Read more

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What does it mean I had thyroid cancer and I had a thyroidectomy had radiation therapy was diagnosed with hashimoto thyroiditis now I have 2cm growth?

What does it mean I had thyroid cancer and I had a thyroidectomy had radiation therapy was diagnosed with hashimoto thyroiditis now I have 2cm growth?

Biopsy: If you have hashimoto's thyroiditis, then your thyroglobulin antibodies are elevated making it harder to use thyroglobulin to monitor for thyroid cancer recurrent. With a new growth, you will need a biopsy to make sure the cancer is not coming back. At this point, you should have an endocrinologist, a surgeon and possibly a radiation oncologist on your team. Good luck. ...Read more

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Will a surgeon remove thyroid nodules 3.0cm heterogeneous solid ifwith diffussly enlarged thyroid if fna comes back ok. I have hashimoto thyroiditis?

Will a surgeon remove thyroid nodules 3.0cm heterogeneous solid ifwith diffussly enlarged thyroid if fna comes back ok. I have hashimoto thyroiditis?

If the FNA: Is definitively "negative" not just inconclusive, many endocrinologists would just observe and follow-up at a later date w/repeat lab, exam and ultrasound. There are other factors as well, and best discussed with your endocrinologist. ...Read more

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Should I be concerned w/swollen lymph nodes at elbow and side of neck? Have hashimoto and extremely fatigued. + to epstein barr in past.

Should I be concerned w/swollen lymph nodes at elbow and side of neck? Have hashimoto and extremely fatigued. + to epstein barr in past.

Maybe: I would definitely see a doctor to find out if they think these lymph nodes are increasing in size or could be infected. ...Read more

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How does hashimoto's thyroiditis develop?

Variable: Hashimoto's thyroiditis develops when the immune system misclassifies one or more thyroid proteins as foreign (not belonging to that person) and begins making antibodies that target the protein (s). This can cause the thyroid to become enlarged (form a goiter), develop regional growths, or nodules, or make too little thyroid hormone. Once in a while, it can result in too much thyroid hormone. ...Read more

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Is recovery from hashimoto's thyroiditis possible?

Is recovery from hashimoto's thyroiditis possible?

Absolutely: With appropriate treatment there is no reason full recovery would not happen within a short period of time. ...Read more

Dr. James Krick
201 Doctors shared insights

Tender Lymph Nodes (Definition)

Lymph nodes are small structures that filter lymphatic fluid & contain white blood cells. They are part of our immune system & help to fight infections. When inflamed they can feel ...Read more


Dr. Steven Ginsberg
990 Doctors shared insights

Swollen Glands (Definition)

Swollen glands = inflamed lymph nodes (doesn't actually ...Read more