Doctor insights on:
Low Cortisol Thyroid Nodule
Had bx of thyroid multiple nodules. Low cortisol. 01, low acth 3, trbl swallowing, sore throat, &breathing @times, high white count chronic. Possibly cx?
Could 4mm lung nodule cause fatigue&muscle loss for 1year? Tested positive on early cdtlung blood test. Sodium slight low cortisol slight high. Advice?
See an oncologist: Now is the time to find out if that nodule is, indeed, cancer, and a specialist's recommendations are the way to go. If so, that could be causing your fatigue. The muscle loss may be due to de-conditioning (not using the muscles enough), due to your fatigue. If it IS cancer, you are catching it at a very small size and there is a much better chance for a cure! ...Read more
Hi can OTC diet pills affect cortisol levels. I'm overweight with low cortisol since dec. Never taken any steroids. Thyroids good. Like to know why this.
Need further eval: The low TSH needs to be addressed as it can cause problems for you. In the presence of thyroid nodules, you will need a thyroid uptake and scan to make sure the nodules are not producing too much thyroid hormones. Treatment then would be antithyroid drugs, radioactive iodine, or surgery. You should not be doing nothing with a low tsh. ...Read more
Low fever 99.2 -99.8 for last week. 3mm thyroid nodule, low vitamin d, clean X-ray occasional thyroid swelling, night sweats, itching. Mold allergy?
I have a numerous thyroid nodules, benign in 2009. My TSH is extremely low, not on meds. Why this rash over my thyroid & occasional dizziness?
Are thyroid nodules always thyroid cancer? I have a thyroid nodule and my levels of some thyroid hormone are low. My doctor wants to do more tests, but I don’t really understand what he said. Do I have cancer, or could it be something else?
Over: Over 95% of thyroid nodules are benign. Therefore the risk of cancer is low, but can be increased in younger or older people, people with a family history of thyroid cancer, or people who have been exposed to radiation (x-rays do not count). Sometimes benign thyroid nodules can secrete extra thyroid hormone, more than your body needs. If your doctor is suspicious of this, they will order a nuclear study called a thyroid uptake and scan. If a nodule is over a centimeter, that is when we usually will perform a fine needle aspiration to get a sample of cells in the nodule. If nodules are under a centimeter and there is no evidence of over activity, we can simply monitor with serial ultrasounds. ...Read more
7mm hypoechoic thyroid nodule found 5 months postpartum. Tsh was also low. Did hyperthyroidism cause the nodule?
TSH very low, thyroid nodules stable, endo doesn't know why, T3-4 normal neg antibody, what could be cause? Cea is 5.9
What hormone imbalances can cause excessive face/head sweating? I have underactive thyroid, kidney disease, & low cortisol levels. Can these diseases?
High TSH (7.12) accompanied by low cortisol (1.0). T4 and T3 (liothyronine) normal. What causes this? Mom had thyroid cancer. What tests should be done?
Thyroid nodule: follicular lesion, T4 free is low, T3 (liothyronine) free is low, and TSH 3rd generation is now low. 60 mg of armour thyroid, 50 mcg levothyroid why?
Stop Armour: There is no way to check your levels or keep your thyroid in control in your current regimen. Armour thyroid is ground up pigs. Switch to brand name T4 only and get it regulated. Also, have repeat thyroid biopsy with afirma test and consider surgery to remove nodule depending upon lab and ultrasound. ...Read more
Work up for hair loss and dizzy sitting to standing and tired. Labs ferritin 6 iron saturation 5 wbc 2.8 rbc 2.9 hgb 9.0 crit 26.8 monocytes low 182 total iron 21 thyroid nodules benign?
Need Hematologist: Women often see hair loss when their iron stores are low (as yours are). Dizziness on standing is often related to dehydration (volume depletion). But I am concerned about your low white count, red count, and hematocrit. You may need to be evaluated to see if you are losing blood somehow - or if you are not producing enough red cells (and white cells). I think a hematology opinion is in order. ...Read more
I have 3 hyperechoic heterogeneous thyroid nodules, normal thy levels, high c reactive protein level and vitamin d low, what is this seeing enod soon?
No: D deficiencies common this time of year in northern latitudes, the cyst are likely benign and CRP come high frequently in many. ...Read more
I have low t3, (liothyronine) weight gain, fatigue. Mri for something else showed prominent pituitary. Have thyroid nodules. Both never looked into. Should I go to dr?
Pituitary / Thyroid: You should defiantly be checked out. It could be a benign pituitary mass. These tomors are rarely cancer but as the grow they can slowly compress the pituitary and throw off your hormones is numerous ways... See an endocrinologist who can check out your hormones and determine what's wrong. ...Read more
Hasinmoto's 15 years. Synthroid (thyroxine) 20 years 175 mcu. Low cortisol 1.2. Severe sweating head & neck, cold hands, cold feet, excessive bruising. What to do?
Exam: Physical, thyroid function studies, ultrasiund and nuclear thyroid scan- for starters ...Read more
Less than 1cm hypoechoic thyroid nodule disappeared one month later. Dr said 1st ultrasound wasn't overread. How'd it disappear?
Thyroid nodule: Thyroid cysts can certainly come/go. The quality of ultrasounds, the interpretation, and the definition of a "nodule" can vary. Hashimoto's can cause a patchy pattern that can look like a nodule. Certainly a small nodule that is so transient is not something to worry about. An endocrinologist should be able to interpret things. ...Read more
Images: "hot" or "cold" is a term related to the appearance on nuclear medicine imaging. A "hot" nodule is one that is too active, and secretes hormone, but benign. A cold nodule takes up less tracer. About 20% of these are malignant, and so they are biopsied. Cysts will also show up cold as they are fluid rather than tissue, so this study should be interpreted along side an ultrasound. ...Read more
Generally not: Look for other causes. One uncommon cause is vocal cord dysfunction, which can feel just like an asthma attack, but is not relieved with inhalers. Esophageal spasm is another cause. Getting stuck on a preconceived diagnosis prevents the proper one from being made. See your doc, and describe your symptoms in detail to him, in order for the proper diagnosis to be made. ...Read more
Depends on type:
If cancer, surgical removal and then treatment, possibly with radioactive iodine. If benign, but causing hyperthyroidism, then treat with radioactive iodine, antithyroid medicines, or possibly surgery.
If benign and not causing symptoms, can watch closely (after benign biopsy) or use thyroid medicine to suppress growth of the nodule. If it causes symptoms (trouble swallowing), surgery. ...Read more
Variables: Radioactive Iodine treatment for hyperthyroidism tends to have a much higher success rate than medications. Depending on the dose of radioactive iodine chosen, and the disease under treatment (Grave's vs toxic goitre, vs hot nodule etc), success rate in achieving definitive resolution of the hyperthyroidism may vary from 75-100%. A major expected side effect of radioactive iodine in hypothyroidism ...Read more