Doctor insights on:
Thyroid Goiter Eye Puffiness
Eye checkup Dr said eyes dry. Asked about Thyroid. My mother hypo. My GM was goiters. Is it Hypothyroidism or Hyperthyroidism that would give dry eyes?
Uptake scan shows overactive thyroid but tests are normal. Bulging eyes, fatigue, goiter, insomnia, dry skin. Tsh, t4, t3 (liothyronine) normal, whats causing symps?
I have noticed myself having puffiness around my eyes and legs swellings especially on waking up in the morning.Can this be signs of thyroidism?
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 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
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 moreSee 1 more doctor answer
Need more info: Not sure what you mean by "test results" but u cannot know that u have multinodular goiter from a blood test. A thyroid ultrasound can give u this diagnosis in which case u will need a blood test called TSH to know what to do next. No thyroid scan needed unless the TSH is low. Thyroid ultrasound vs. Biopsy might be needed depends on the size and characteristics of the nodules but need more info. ...Read moreSee 2 more doctor answers
Gland needs iodine: Iodine deficiency can be seen in underdeveloped countries in the world, it is rare in developed countries such as the us. In us there is too much iodine and a higher incidence of autoimmune thyroid disease. Goiters in the us are familial or autoimmune related. Iodine deficiency causes goiter because the thyroid requires iodine to make thyroid hormone. Without it, thyroid enlarges due to high tsh. ...Read more
It depends: It depends on the individual and their level of pain perception/discomfort. ...Read more
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