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, what's 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 more
These nodules can: Sometimes be reduced in size by taking a small amount of Thyroid medicine. This requires some expertise. See an Endocrinologist for the best care. ...Read more
Yes: Thyroid cancers especially in adults must be resected. Younger patients do better even if tumor has spread to nodes. Goiters getting large can obstruct the breathing passages and may need surgery, but a small solitary adenoma of the thyroid that is benign but cold in terms of isotope uptake should be removed because of the high conversion rate to malignancy over time. ...Read more
Thyroid function?: You need to know your thyroid function level (free t4, tsh). If these are normal, the nodules are small (<1 cm), and you have no neck compressive symptoms from the goiter, usually observation is recommended. If a nodule is > 1cm and/or has suspicious characteristics on ultrasound, a fine needle biopsy may be needed. ...Read more
Could it happen that a doctor remove your thyroid gland without you having could it happen thatcer or a goiter?
Depends: Thyroidectomy can be performed for various reasons including: suspicious thyroid nodules, biopsy proven thyroid cancer, large thyroids (goiters) causing symptoms, treatment of hyperthyroidism. Typically there is a good reason why a doctor has recommended removing the thyroid since there are risks with any type of surgery. ...Read more
How did a thyroid goiter and nodules grow so fast. 5 months! Was just diagnosed 6 days ago with hyperthyroidism?
Toxic nodular Goiter:
Toxic nodular goiter can hide a 10-20% risk of thyroid cancer. Need a beta-blocker like propranolol to control some symptoms like rapid heart rate to prevent heart failure.
http://www. Thyroid. Org/patient-thyroid-information/ct-for-patients/vol-6-issue-11/vol-6-issue-11-p-6-7/
http://www. Endocrine. Niddk. Nih. Gov/pubs/Hyperthyroidism/
http://www. Nlm. Nih. Gov/medlineplus/ency/article/000317.htm ...Read more
I'm starting to have rashes on my neck, where my thyroid goiter is, it's very painful and itchy, what cream can I use?
See a dermatologist: It is difficult to make a proper diagnosis since I am not there to see the condition. I recommend seeing a dermatologist so that they can make a proper diagnosis and give you something to get rid of the condition or relieve symptoms. ...Read more
I recently was diagnosed with a 2.2 CM multinodular goiter on the right lobe of my thyroid. Does thyroid affect the immune system?
Is it possible to have something wrong with your thyroid like nodules, goiter or cancer if blood tests show thyroid levels are ok?
Thyroid sono results:"heterogeneous gland suggesting multinodular goiter -no discrete dominant masses observed"-what does this mean?
Lumpy!: Opinions vary, but... Especially for women, thyroid nodules are very common. These are sometimes familial or inherited and are sometimes more common later in life. There is little to worry about, especially without a specific "dominant" nodule over ~1cm. You should get thyroid blood work and a followup ultrasound within a few months. If the gland is huge, you may need treatment. ...Read more
Recently was diagnosed with a 2.2 CM multinodular goiter on the right lobe of my thyroid. Does your thyroid affect the immune system?
I have a mass that is benign and a 3.5 Goiter on my thyroid that is benign. Doctor wants to remove my thyroid. I am neither hypo or hyper. So is there?
Thyroid: I feel that these are commonly benign findings in females and would be more concerning in males. I recommend obtaining a second opinion from a surgeon who is highly experienced in head and neck surgery. Your endocrinologist would collaborate with this surgeon who is skilled in thyroid surgery. Proper follow-up will also be obtained. ...Read more
US shows Multinodular thyroid (.6 cm, . 4 cm)goiter but predominate solid nodule is 3.2cm has new calcific and increased vascularity what does this mean?
Needs further workup: Any nodule over 1cm should undergo at the very minimum a fine needle aspiration biopsy. A recommendation may also be made to bypass the needle biopsy and proceed to thyroidectomy given the new calcifications which place the nodule in a higher risk category. Discuss these and other options with your primary care physician and/or specialist. ...Read more
I have been treated for osteoporosis 4 years ago. Now my hips i-e greater trochanters hurt when I lay on my sides. I also have a small goiter diagnosed as enlarged thyroid. Plz prescribe
Diagnoses needed.: Osteoporosis is not painful unless a fracture is present. Pain in the hips could be arthritis or tendonitis. X-rays and examination by an orthopaedic surgeon or rheumatologist would be helpful. Thyroid blood tests and possibly an ultrasound examination of the thyroid should be obtained. Bone density testing would be useful in determining the need for osteoporosis treatment. ...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
It might...: Goiter is simply an enlarged thyroid. A goiter may or may not produce a normal amount of thyroid hormone. A simple lab test can tell if your thyroid levels are normal or not. If your lab results are normal, then your goiter is probably not affecting your weight. On the contrary, a normal sized thyroid can also run high or low and affect your weight. ...Read more
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 more
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