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Doctor insights on: Mechanism Of Thyroid Enlargement

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Dr. Steve Martinez
311 doctors shared insights

Thyroid Enlargement (Definition)

Thyroid enlargement refers to a thyroid gland that is larger than normal. The thyroid gland is located in the front of the neck, below the Adam's apple, and may become enlarged due to hyper or hypo-thyroidism. An enlarged thyroid is also ...Read more


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Possible thyroid enlargement / who do I tell?

Possible thyroid enlargement / who do I tell?

Your PCP!: Most doctors can adequately assess your thyroid concerns, and make an appointment with an endocrinologist if needed. The tests i recommend are free t3, (liothyronine) tsh, antithyroid antibodies. If you have a goiter, you may need an ultrasound. If thyroid disease is common in family members, it increases your likelyhood of having issues.

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Possible thyroid enlargement I think. Dr says no. What now?

Possible thyroid enlargement I think. Dr says no. What now?

Thyroid: Its called goiter. Ask for a thyroid ultrasound. Minimally ask for an antibody test that can detect inflammatory agents causing the enlargement. Thyroid function test as well. If you've got a family history of thyroid disease in first-degree relative, you should be screened anyway.

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Is thyroiditis (based on u/s that showed borderline thyroid enlargement /goiter) related to thyroid cancer? If no nodes were seen? Have globus symptom

Is thyroiditis (based on u/s that showed borderline thyroid enlargement /goiter) related to thyroid cancer? If no nodes were seen? Have globus symptom

Globus: You started with a globus sensation which may be due to an anxiety disorder. You had a thyroid U/S done which sounds to be NORMAL. thyroiditis is not diagnosed on ultrasound, its based on hormone levels. You have no goiter or nodules. You have a normal exam. You need to address the globus. You can get an ENT exam with laryngopharyngoscopy and talk to your doctor about treating anxiety or OCD.

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My Daughter has thyroid enlargement. sym were Neck bulge & Cough, trouble swallowing, tired.Ultrasound said thyroid enlarged no mass, what causes this?

Several causes.: Enlarger thryoid is called a goiter, and in many countries is caused by lact of iodine in the diet, but that is rare in the US. More likely, since no masses or nodules are seen on ultrasound, it is caused by Graves disease or hyperthyroidism or inflammation of the gland often called Hashimoto's. Blood tests for T3, T4 and antibodies are helpful. See http://www.mayoclinic.org/diseases-conditions/goiter/symptoms-causes/dxc-20264595

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I am experiencing thyroid enlargement. The following also describe me: Neck lump or bulge, Throat tightness, and Difficulty breathing. Last may 5 201?

Head & Neck Surgeon : You have a goiter that is pressing on your pharynx and even compressing your trachea (your airway). You need to have it removed surgically ASAP! Go see MD (not a nurse practitioner) and don't let them dilly dally around. Get an Ultrasound or a CAT scan of your neck done to verify the source of the mass, and get a referral to a Head and Neck Surgeon ASAP!!!

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I am experiencing thyroid enlargement. The following also describe me: Neck lump or bulge, Hoarse voice, and Cough. What should I do? T4 results 4.32 and TSH 0.006.

I am experiencing  thyroid enlargement. The following also describe me: Neck lump or bulge, Hoarse voice, and Cough. What should I do? T4 results 4.32 and TSH 0.006.

Inconsistency: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your T4 and TSH results do not comport with each other. You should discuss it with the doctor who ordered the tests or see and endocrinologist.

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What causes the enlargement of a thyroid gland with a goiter or hyperthyroidism?

What causes the enlargement of a thyroid gland with a goiter or hyperthyroidism?

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!

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Can you have a goiter without it being visible? Meaning you do not see neck enlargement?Thank you

Can you have a goiter without it being visible? Meaning you do not see neck enlargement?Thank you

Goiter: Yes. It depends on the size of your neck and the thyroid. Many multinodular goiters in US and Europe are subclinical on visual inspection and may only be appreciated on careful palpation or ultrasound.

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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.

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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?

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.

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I have thyroid goiter, pain, how can I treat this?

Thyroiditis: You may have thyroiditis. There are several forms: some resolve by themselves, and others go on and need treatment. Symptomatic treatment may help (eg. Ibuprofen) but it is important to get to the cause, and you should see an endocrinologist.

Dr. Jan Lei Iwata
13 doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more