Doctor insights on:
Thyroid Goiter And Ketosis
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 moreSee 1 more doctor answer
Ketosis describes a state of increased ketone bodies in the blood stream. Ketone bodies are generated from the breakdown of lipids (fat) when there are low levels of blood sugar or cells are not able to absorb the blood sugar present, as in diabetic ketoacidosis. Some diets which limit carbohydrates cause low blood sugar and may also result in ketosis. Ketone bodies disrupt the acidity of blood and when dangerously elevated can overwhelm the buffering ability of the body and ...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 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. ...Read more
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
I have 5 "nodules" in my thyroid, 2 of which have grown their own vascular rims. How serious is this? I have 5 "nodules" "goiters" or whatever word d'jour pops up. Two of these growths have grown their own vascular rim, and no one is doing anything. I
Multinodular goiter: Multi nodular goiter (mng) is likely what you are describing. This condition often times does not cause thyroid hormone problems but if it does, then the term functional or toxic mng is applied. In either scenario, the options including just monitoring nodular size by us versus thyroid removal, either surgically or via radioactive iodine. Seldom that use of thyroid hormone therapy will be helpful. ...Read moreSee 1 more doctor answer
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
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