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. ...Read more
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 an 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
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. ...Read more
Not realted: You have three relatively common conditions. They are not related to each other. ...Read more
Can thyroid hormones be slightly low one day and normal the next and if so what does this indicate with goiter?
What is the difference between thyroid nodules (thyroid normal size with several nodules on left a 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. ...Read more
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. ...Read more
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 many 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). ...Read more
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. ...Read more
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 ...Read more
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. ...Read more
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 as well. That takes time to go down. We see this in patients with nl thyroid function as well. Grave's antibodies stimulate thyroid growth mimicking tsh. ...Read more
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
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
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
Goiters/thryoid — thyroid function tests (blood work), and thyroid ultrasound.
Tx: thyroid meds.
Sinusitis- culture and swab, sometimes sinus ct or even sinus mri.
Treatment — typically oral course of antibiotics. In extreme case, an ENT doc does surgery, inserts a trocar into your sinuses, and manually irrigates and evacuates the infection from your sinuses. This is the ultimate treatment. ...Read more
What does asymmetric thyroid means. I just had an echography, everything was normal, no goiter present, but asymmetric size of glands.?
No worries: Asymmetry is no problem if no nodules are seen. Most things in our body are not symmetric. Just the way we are. ...Read more