Doctor insights on:
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 swelling. Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test-normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?
Hard to say: Ive yet to have anyone NOT have elevated TPo but I havent sent many. The standard answer would be that it likley is GRAVES disease starting but if there arent a lot of symptoms and the labs are normal you wouldnt give treatment. Retesting if symptoms and at about every 3 months. ...Read moreSee 1 more doctor answer
Will thyroid hormones or antithyroid medications interfere with a tc99m pertechnetate thyroid scan?
Not usually: Technetium is usually trapped by thyroid gland and used to determine in young children and infants the configuration of thyroid gland, hypoplasia, absence, or increased size or hyperplasia, or abnormal location. Radioactive iodine is used in older patients for determine function of thyroid gland, increased function or hyperthyroiidism or decreased function, hypothyroidism. ...Read moreSee 2 more doctor answers
Normal tsh function normal tsi but >1300 TPO. Ultrasound heterogenous thyroid parenchyma..Cold hands low body temp fatigue dry skin muscle aches HELP
Thyroiditis: Hello Maria . It seems that you have Hashimoto"s thyroiditis . No need for therapy untill TSH goes up or free T4 becomes low. If your symptoms persist please get repeat TSH and free T4 . Also you will need cortisol level To check adrenal gland function . and hemoglobin level . ...Read more
4-21-14 Thyroidectomy r/t thyroiditis, goiter. On Synthroid (thyroxine) 137 mcg- hypo s/s returning have felt great for months. Would adding Cytomel help?
Not specific: The signs & symptoms of hypothyroidism are not specific for hypothyroidism (not a single one). Recheck your thyroid labs. If they're normal, your symptoms are due to something else. Having said that, I'm happy to do a trial of Cytomel with the Synthroid (thyroxine) in patients who want to try as long as I don't make them hyperthyroid. Some people report feeling better with comparable labs taking a little T3. ...Read moreSee 1 more doctor answer
Thyroid nodule: The thyroid nodule is not likely to be caused by pregnancy. Transient mild hyperthyroidism can sometimes be seen in the first trimester but should resolve as long as it is not an underlying problem that has not been diagnosed. Would suggest repeating labs for thyroid function at 16-18 weeks. Should talk to your doctor. ...Read more
Normal or sub clinical? Many symptoms/ fan history of hashi
Anti thyroid- .9
Thyroid antibody- 2.2
Looks normal: Hard to tell your units, but your labs look normal. Sub clinical hypothyroid would require your TSH to be abnormal. Your doc could consider repeating a TSH in a few months if there were continued concern of thyroidal illness. ...Read more
Thyroid Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?have Hypo symptoms
Elevated: TPO levels are associated with autoimmune thryroid disease/thryoiditis, for example Hashimoto disease. The thyroid US findings are also consistent with thyroiditis. Talk to your doc about next steps. ...Read more
In subclinical hypothyroid with normal antibody tpo.Who gland responsible for sh pituitary or thyroid.
Usually not: In the distant past, thyroid hormone was used to 'shrink' nodules. More recent studies with ultrasound monitoring has shown that most nodules do not shrink with thyroid hormone treatment. Because thyroid cancer is the fastest increasing cancer in women, it is important to follow most thyroid nodules with ultrasound. With hashimoto's thyroiditis, there can be false or pseudonodules. ...Read moreSee 1 more doctor answer
Depends on problem: 3 major categories of potential health issues caused by thyroid nodules: a) large size affecting swallowing, breathing, voice ; b) over active production of thyroid hormone (hyperthyroid) ; and c) ~5% of nodules are cancer. Methimazole and ptu (propylthiouracil) are pills that block thyroid hormone production, treating b) above. Radioactive i-131 can shrink/destroy nodule, treating a) and b). Need surgery for c). ...Read moreSee 2 more doctor answers
Yes: Depending on how much thyroid tissue is removed, patients may need thyroid hormone replacement after surgery. Sometimes only half of the gland is removed, for example if there is concern a nodule is a cancer. These patients may not need thyroid hormone replacement. Also with goiter sometimes some of thyroid gland is left behind on purpose. More recently the entire gland is frequently removed. ...Read moreSee 1 more doctor answer
Will a surgeon remove thyroid nodules 3.0cm heterogeneous solid ifwith diffussly enlarged thyroid if fna comes back ok. I have hashimoto thyroiditis?
If the FNA: Is definitively "negative" not just inconclusive, many endocrinologists would just observe and follow-up at a later date w/repeat lab, exam and ultrasound. There are other factors as well, and best discussed with your endocrinologist. ...Read more