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Doctor insights on: Thyroid Enlargement

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Dr. Steve Martinez
314 Doctors shared insights

Thyroid Enlargement (Overview)

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 known as a goiter.


Dr. Steve Martinez
314 Doctors shared insights

Thyroid Enlargement (Overview)

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 known as a goiter.


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Multinodular goiter dx. Us biopsy of thyroid- benign. What's the treatment for goiter? History of cancer- can't I just get it removed prophylacticly?

Multinodular goiter dx. Us biopsy of thyroid- benign. What's the treatment for goiter? History of cancer- can't I just get it removed prophylacticly?

Why?: Unless it represents a danger like cancer, or is a severe physical or cosmetic problem, why remove an organ "prophylactically"/ if that were true, why not also "prophylactically" remove your nose, breasts, external ears, toes, one kidney......And all the other parts of your body you don't really need that could potentially cause trouble in the future? ...Read more

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How can I prevent thyroid isthmus enlargement?

How can I prevent thyroid isthmus enlargement?

Careful monitoring: Serial ultrasounds and physicial exams, coupled with thyroid function studies, Make sure to obtain antithyroidantibodies to rule out thyroiditis ...Read more

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I have celiac disease and had my thyroid removed (benign goiter). Do I need to go for genetic testing before getting pregnant?

I have celiac disease and had my thyroid removed (benign goiter). Do I need to go for genetic testing before getting pregnant?

Counselling helps: I think anyone who has concerns about planing a pregnancy should consider consulting a geneticist. Every pregnancy has about 4% risk of an unexpected event, that includes prematurity, cleft lip, & others. Within your family tree there may be issues on either side that deserve discussion. With that data in hand you can approach the process with less worry on most occasions. See www. Nsgc. Org for list. ...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. ...Read more

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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. ...Read more

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I am a 43 year old female with unilateral thyroid enlargement. Been obvious for at least 6 months. Am absolutely terrified. Any advice?

Don't worry: See a thyroidologist to determine why one side is bigger. Is it a nodule or cyst? Have him/her check it out. ...Read more

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Can a thyroid enlargement impinge upon your nerves and cause neck pain?

Can a thyroid enlargement impinge upon your nerves and cause neck pain?

Possible, but: Unlikely. Have a checkup with your doctor if you have neck pain. ...Read more

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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. ...Read more

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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 ...Read more

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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!!! ...Read more

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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. ...Read more

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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! ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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What can I do to reduce a thyroid goiter?

Cause??: If a goiter is the result of anti-thyroid antibodies and your thyroid function is normal, there isn't much to be done. It will eventually go down on its own as long as thryoid function is kept normal. If from over/under active thyroid, medication may help. Multinodular goiters are more complicated and may need surgery. Other reasons also, so please discuss cause/treatment options with doctor. ...Read more

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What is a goiter on the thyroid caused by?

What is a goiter on the thyroid caused by?

Iodine deficiency,,,: By far, the most common cause of goiter is iodine deficiency, to the extent of 90% of cases. Diseases, like hyper and hypo thyroidism are also causes. ...Read more

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What happens if I have a goiter on my thyroid?

What happens if I have a goiter on my thyroid?

Needs to be checked: Goiter is due to enlargement of the Thyroid Gland and can be associated with Hyperthyroidism.Hypothyroidism, Normal Thyroid Functions. Nodular Goiter can sometimes be due to Cancer ...Read more

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Does having a thyroid goiter affect your weight?

Does having a thyroid goiter affect your weight?

It might...: Goiter is simply an enlarged thyroid. A goiter may or may not produce a normal amount of thyroid hormone. A simple lab test can tell if your thyroid levels are normal or not. If your lab results are normal, then your goiter is probably not affecting your weight. On the contrary, a normal sized thyroid can also run high or low and affect your weight. ...Read more

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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. ...Read more

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Does having a thyroid goiter affect your child's weight?

Does having a thyroid goiter affect your child's weight?

No: An underactive thyroid can have some mild impact on a child's weight until it's treated. However, a goiter itself does not affect weight. ...Read more

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I have a thyroid goiter so can this make you put on weight?

No: It can cause you to put on weight only if it also affects the ability of the thyroid to make hormones. Frequently, a thyroid goiter will have no affect on thyroid's function, in which case, it should not cause weight gain. See your doctor to have your thyroid function tested if you are worried. ...Read more

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Thyroglobulin is 234 and other thyroid tests are normal but I have a goiter?

Thyroglobulin is 234 and other thyroid tests are normal but I have a goiter?

Thyroidologist: Since all your other thyroid parameters are within normal range, your elevated thyroglobulin level may simply be related to your enlarged gland. A thyroidologist or endocrinologist can evaluate and advise you best. ...Read more

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Is it normal for a thyroid goiter to throb? I have been unable to determine what sets it off. Thyroid goiter

Is it normal for a thyroid goiter to throb? I have been unable to determine what sets it off. Thyroid goiter

Thyroid throb: May be an unusual carotid or other artery in area bumping against it. Ask Dr. To examine an listen. ...Read more

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Can thyroid goiter be prevented?

Can thyroid goiter be prevented?

Some are caused: By iodine deficiency, which is a reason for iodinized table salt...Those lacking seafood in the midwest and near west used to be so afflicted. Taking exogenous thyroid hormone (thyrolar, synthroid) may turn off TSH stimulation and reduce/diminish growth, but that is treatment rather than prevention. ...Read more

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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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Can size of thyroid multinodular goiter be reduced?

Can size of thyroid multinodular goiter be reduced?

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

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Having a goiter that has grown over years could be sub sternal thyroid?

Having a goiter that has grown over years could be sub sternal thyroid?

Possibly: It could be or it could just be an enlarging goiter. A thyroid u/s is the first test to evaluate this. Other tests can follow but you usually will know the seriousness of this with a thyroid ultrasound. Good luck. ...Read more

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What is the cause to have goiter if the blood work is normal for thyroid?

Familial/autoimmune: Iodine deficiency is very rare in the us. Most goiters are either familial, or due to underlying autoimmune thyroid disease. Goiter simply means you have an enlarged thyroid. The function of the thyroid may be normal, high, or low regardless of the size. ...Read more

Dr. James Krick
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