Doctor insights on:
Thyroid Goiter Difficulty Swallowing
Difficulty swallowing is complex. One could have decreased saliva which will make the food thick and viscous and harder to swallow. Food or liquids may be difficult to swallow and feel like they are getting "stuck" in the throat. One may also "choke" on liquids or foods during the swallow, before , or after the swallow depending on the problem ...Read more
Can hyperthyroidism cause inflamed thyroid and cause difficulty swallowing, coughing, and choking sensation?
Yes: Hyperthyroidism can result from inflammation of the thyroid (subacute thyroiditis). There will be pain and swelling of the thyroid that can feel like a sore throat, and cause trouble swallowing. If the thyroid is large enough, you can also have a choking sensation. Treatment for this condition is different than the usual treatment for an overactive thyroid. ...Read moreSee 1 more doctor answer
Maybe vocal cords: This is a broad question but the vocal cords would be the first thing i would look at. If one has vocal cord (vc) paralysis or a vc lesion, this can cause hoarseness. With vc paralysis, swallowing may be difficult due to choking or loss of sensation in the larynx. A vc lesion may give a sense of difficult swallowing as well. An ENT can look at your larynx and proceed w/ the next step. ...Read moreSee 1 more doctor answer
Hashimotos &on synthroid (thyroxine).Still feel pressure in throat from goiter.Us said no nodules but reactive lymph nodes.Can you have thyroid removed for goiter?
Hushimotoes thyroid: Size usually goes down with thyroid supplement but check with your dr for the glands. If you have trouble swallowing you have pressure symptoms. See your dr. ...Read more
Have thyroid goiter and inflammation. No nodules. Feel lump in throat. On Synthroid (thyroxine) 75mcg for hashimotos. Can you have thyroid cancer with no nodules?
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
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
Nodules hypothyroid: The most common cause of low thyroid is autoimmune Hashimoto's thyroiditis. The lumps in the thyroid can and do exist with the Hashimoto's but don't cause the underlying problem. It is possible that a thyroid gland can become so full of thyroid nodules that it becomes unfunctional, but this is unusual. ...Read moreSee 1 more doctor answer
Very unlikely: If this is your sole problem, the cause is NOT MS, and you need to search for other reasons. But, if you have MS, and it is indeed poorly managed and controlled, you could be worsening and/or suffering a relapse. Would start with a gastroenterologist, but might also involve neurology. ...Read moreSee 1 more doctor answer
High wbc, chronic fever(low), fatigue, adrenal innsufficiency, thyroid disease, nodules on thyroid.Had biopsy, hard to eat, swallow, breathe, 20yrs chronicwbc?
You have a lot of Sx: Have you discussed all these symptoms with your doctor and are you on treatment. Trouble swallowing after biopsy of thyroid could indicate some significant swelling or bleeding in the nodule especially if symptoms not there before. F/u with your endocrinologist. Also are you on treatment for adrenal insufficiency, if not d/w your doctor why not. ...Read moreSee 1 more doctor answer
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
Thyroid nodules. 17x10x14mm Hoarse voice. Microcalcification w/ mild increased vascularity. Hoarse voice. Labs normal. FNA next week. Cancer? Thanks
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