Doctor insights on:
Thyroid Goiter And Hoarseness
I looks and feels like I have a goiter. Feeling like something in throat with voice hoarsness. Thyroid bloods show normal. What to do?
Hoarseness is having difficulty producing sound when trying to speak, or a change in the pitch or quality of the voice. The voice may sound weak, very breathy, scratchy, or husky. Hoarseness is usually caused by a problem in the vocal cords. Most cases of hoarseness occur with swelling (inflammation) ...Read more
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.
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.See 1 more doctor answer
Size matters: If the size of your thyroid is causing you symptoms of compression (pressure, pain, difficulty breathing or swallowing), then I would recommend that you have your thyroid removed. If any nodule is > 1cm then it should be biopsied. Otherwise, just observe with yearly or every other year ultrasound.See 1 more doctor answer
Not realted: You have three relatively common conditions. They are not related to each other.
Can thyroid hormones be slightly low one day and normal the next and if so what does this indicate with goiter?
Thyroid: There is some variability about lab data. And slightly low and normal are both OK. What do you know about the goiter? Is it large? Has it been biopsied? Let me know if you can.
What is the difference between thyroid nodules (thyroid normal size with several nodules on left an right side) and goiter?
I fell down the stairs and I hit my neck, where my thyroid goiter is and it hurts despite taking paracetamol, what should I do?
Throat pain: While I seriously doubt that this would affect your thyroid levels you do need to be evaluated if the pain continues. Questions that I would ask would include does the pain stay in your neck or doesn't radiate into your shoulders or into your arms. Also are you having difficulty swallowing. If the answer to any of these questions is yes you should seek help immediately.
I got thyroid goiter nodules on my right side and the size is 1.2x 3.2mmand now this over 2 year so please advice me for the further treatment?
Goiter: You may need to have this checked again soon by your doctor. You probably should have blood test, including a TSH, Free T4, and Free T3, (liothyronine) as well as have your doctor order another ultrasound of your thyroid, to see if the nodules are bigger or mores suspicious, or to see if you now have nodules on the left side as well.See 1 more doctor answer
Does a goiter result from over-active or an under-active thyroid. Had baby a year ago, endo says hormones will be unstable for a while. Have hypo.
Goiter: Goiter or thyroid nodules are either toxic or non toxic. This means that they either produce too much hormones or not. Very rare they're from underactive thyroid. Your thyroid hormone can be normal with replacement, they just need to be adjusted and taken properly (empty stomach and without other meds).
I have a 2cm complex cyctic multinodule goiter on my right thyroid and a 4 CM one on my left side no calcifications what are the chances its cancer?
Cancer risk: Each nodule has a 5% chance of cancer. Your nodules are large and should be evaluated (biopsy). Keep in mind that the bigger the nodule, the higher the risk that the biopsy will come back negative (benign) although the cancer is still there (false negative). You are very young and if the nodules are causing some compressive symptoms now, surgery might be a good option for you.
What could happen if a nontoxic goiter is left untreated? Is it always something that needs treated? I had blood taken and my thyroid levels are fine
It might eventually: Get larger! .....if thyroid hormone producing tissue is replaced by fibrous tissue or in the case of Hashimoto's disease (one cause of non toxic goiter) with inflammatory tissue. If your goiter has multiiple nodules (NTMNG) there is a small but definite chance of thyroid cancer developing!! In short I would recommend treatment! Hope this helps! Dr Z
I have hypothyroidism, goitered thyroid, and a nodule on my thyroid. Dr sending me for riut to see if nodule is hot or cold. Is this the right procedure?
Usually not: Goiters usually grow out, not in, and do not affect vocal cords, trachea, or esophagus. Sometimes, big nodular goiters in the elderly can do this, but not usually. However, if the goiter is producing either hyper or hypothyroidism, that can certainly affect the vocal cords. Hypothyroidism could turn you from an alto into a tenor.... Or more.
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.
To some extent: If a goiter is due to primary hypothyroidism then levothyroxine allows TSH to come down thereby removing one source of goiter. However, patients with hashimoto's also have lymphocytic infiltration of the gland which contributes to goiter development also. That takes time to go down. We see this in patients with nl thyroid function also. Grave's antibodies stimulate thyroid growth mimicking tsh.
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