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Doctor insights on: Thyroid Nodule Pulsing With Carotid Artery

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Can a 3 mm thyroid nodule cause carotid artery occlusion?

Can a 3 mm thyroid nodule cause carotid artery occlusion?

No: That is a very tiny thyroid nodule and would not cause any symptoms and would not be able to be felt by yourself or on an exam. Read more

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Dr. Hirenkumar Italia
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Artery (Definition)

Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more


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I have a malignant thyroid nodule (papillary) right next to my carotid artery. What risks are there?

I have a malignant thyroid nodule (papillary) right next to my carotid artery. What risks are there?

Minimal: The thyroid gland lives near the jugular vein and carotid artery but those are rarely at risk. Generally total thyroidectomy with I-131 is curative most of the time. The most common risks are to the voice box nerves and calcium glands next to the thyroid. Long term surveillance is appropriate. Read more

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Carotid artery ultrasound but no thyroid nodules reported although nodules were detected on a prior scan. Can I trust the scan was done correctly?

Carotid artery ultrasound but no thyroid nodules reported although nodules were detected on a prior scan. Can I trust the scan was done correctly?

Yes, with caveat: A carotid artery ultrasound is typically done with different technique and goals than a thyroid ultrasound. The carotid scan was probably done properly but if you need to re-evaluate a previously seen thyroid nodule I would suggest a thyroid ultrasound. Read more

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How common is it to see carotid arteries pulsing through your neck?

How common is it to see carotid arteries pulsing through your neck?

It can be.: If you are able to see your carotid artery pulse in your neck, you're likely quite thin. Rarely a prominent, pulsatile carotid artery in the neck is a sign of a carotid artery aneurysm, an abnormal englargement of the artery which can lead to problems such as stroke or rupture/bleeding. This would be rare in a 43 year old without a history of trauma. See a vascular surgeon to be sure. Read more

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Stand up and neck start pulsate super strong, do the carotid arteries expand or narrow? Took BP and was normal, shouldn't it be high?

Stand up and neck start pulsate super strong, do the carotid arteries expand or narrow? Took BP and was normal, shouldn't it be high?

Pulsate: With blood flow and pressure, the artery walls will expand with each heart beat, then relax and deflate a bit, and the cycle continues with each heart beat. When you stand up, people can sometimes get a low blood pressure, due to the positional change, and the heart may try to compensate by increasing its heart rate, and therefore, this may be more noticeable in your neck. Read more

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You answered a question a while back about 2 thyroid nodules that were found last year. As 1 is lying too deep and near a Artery they were unsuccessful getting a clear sample using FNA. They are going monitor me 6 monthly intervals and do ultra sound scan

Probably benign: We are concerned when there is a solitary cold nodule of the thyroid. This usually represents an adenoma with a potential for malignant transformation. When there is more than one nodule this most likely is multinodular goiter. Aspiration is not always correct in terms of interpretation. If the scan does not show enlargement then on can probably wait with follow up scan Read more

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12 year old had throbbing, pain, and discomfort on the left side of neck for 2 weeks. Doctor than found 2 thyroid nodules. What caused the pain??

Mass effect: Pain is usually a clue that something in your anatomy isn't working quite as it should. The nodules can cause pain due to the mass effect of the increased size of the nodules. It needs to be evaluated Read more

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I am 19, under stress. Is it normal to get fast twitching, pulsing sensation between chin and the carotid artery?

I am 19, under stress. Is it normal to get fast twitching, pulsing sensation between chin and the carotid artery?

Yes: Stress can mimic anything and may cause any symptoms. TrBIOFEEDBACK: Avoid drugs for sleep, weight loss, nervousness, anxiety and wait gain. Usually try behavior modification, punctuality in sleeping, read a book and warm milk if u like. Avoid caffeine, drinking, TV in room. Do regular exercise and get busy with ur studies or work. Don’t dx yourself. Read more

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Thyroid cancer in June. No Rai stage 1. Now feel lump or something else on carotid artery on same side where tc was Lump is movable. 23 years old.

Thyroid cancer in June. No Rai stage 1. Now feel lump or something else on carotid artery on same side where tc was Lump is movable. 23 years old.

Probable met: Thyroid ca is a common lesion with significant chance of nodal involvement. Where originally neck dissection employed with thyroidectomy for Ca, if nodes noted at procedure they are locally removed and RAI utilized. With a lump near carotid, its probably anterior jugular and needs local resection. If Ca determined then RAl and dissection limited to + site. Under 30, even with nodes, cure high. Read more

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Dr found swelling or possible mass above my thyroid. Said it could be carotid artery bulb. Followup in 2wks. Should I be concerned? What's going on?

Dr found swelling or possible mass above my thyroid. Said it could be carotid artery bulb. Followup in 2wks. Should I be concerned? What's going on?

Hard to say?: If you are not acutely ill, wait on the testing and trust your doctor to find all of this out. Concerned? Yes. Worried? Probably not. I would not know what is going on and that is what your doctor is attempting to do. Try to not let anxiety get the best of you here and be patient and wait for the further testing. Read more

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When doing doppler of carotid arteries, do u see the arteries up to the level of the cheekbones? Can u c everything that u can pulsate with ur hand?

When doing doppler of carotid arteries, do u see the arteries up to the level of the cheekbones? Can u c everything that u can pulsate with ur hand?

Not normally: A carotid duplex scan or ultrasound normally examines the carotid arteries from just above the collarbone to the angle of the jaw below the ears. The carotid artery does travel by the cheekbone if by that you mean the maxilla. Read more

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If I have had an ultrasound of my carotid artery and it's unremarkable, what could a pulsating lump in my neck be?

If I have had an ultrasound of my carotid artery and it's unremarkable, what could a pulsating lump in my neck be?

Also: Could also be a tortuous (curved) carotid. This may have not been reported out on the report if it otherwise looked like a normal variant. Read more

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Could the carotid arteries clear themselves or with massaging my neck?

Not likely: A stenosis of the carotid arteries as in any other artery is a process that takes years to develop and is referred to as plaque. Plaque that has developed in the artery does not go away on its own. It can be removed reliably and safely with endarterectomy of the carotid artery. Massaging the carotid arteries will likely not help the situation and may dislodge unstable plaque making it dangerous. Read more

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Can 30% plaque in your carotid artery cause pain in the carotid/neck area?

Can 30% plaque in your carotid artery cause pain in the carotid/neck area?

Not a sign of plaque: 30% block in your carotid artery will not cause pain in your neck area. It is an indicator that it can compromise the blood flow to the brain if gets worse. One has to control the LDL levels in blood and bring it down with statins and diet.If it it prgresses to 60% or more, than you will need endarterectomy and reduce the chances of it leading to stroke. Read more

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Nodule (Definition)

Any growth or deposit in the body or on its surface may be casually termed a nodule until its character is determined by the familiarity of the physician with it or by the results of a biopsy if it is not so obvious. The term is casual ...Read more


Carotid Arteries (Definition)

The carotid arteries start in the chest and progress up the sides of the neck. About mid neck they split and one branch supplies blood to the face the, the other continues without branches into the skull and supplies ...Read more