Doctor insights on:
Thyroid Nodules Thick Mucus Cough
Thyroid nodules: 35 F notes I have 8 small thyroid nodules and cough 5 months. Asks: Should I be concerned? ANS: I would think the two are not likely related. Depending on what you call small. If ones you can feel then may be related. So ask your Dr to investigate the cause of your cough. A common cause is what is called an ACE cough if you are taking an ACE inhibitor. ...Read more
Like material that functions to moisten and protect inner body surfaces. The viscous slippery substance that consists chiefly of mucin, water, cells, and inorganic salts and that is secreted as a protective lubricant coating by the cells and glands of the mucous membranes. The free slime of the mucous membranes, composed of secretion of the glands, various salts, ...Read more
Thyroid nodule is pushing on my throat, coughing, hard to swallow, feels awful. Dont know size yet, but what indications would it be removed?
Salty clear phlegm/ mucus with little bubbles . Similar mucus sometimes from nose. Thick mucus cough sometimes in the morning . No chest pain no fev.?
I have thyroid nodules and I'm having a lot of thick phlegm. Also I began having pain that goes down to esophagus and up to the ear. Is that normal?
Unrelated: Hi. Thyroid nodules and phlegm are unrelated. What is your thyroid function? I assume if you were hyperthyroid, you'd tell us. Pain to esophagus? That's not very specific. Some thyroid nodules are cancerous. The workup depends on several variables including size and echogenic characteristics. To directly answer your question, thyroid nodules, thick phlegm, and pain in esophagus are not normal. ...Read more
Dr said follow up u/s in one year for 7 mm hypoechoic thyroid nodule. Is this too long to wait? Or normal?
7mm thyroid nodule seen on u/s, then endo did own u/s and didn't see anything. Said i could get f/u u/s in 1 year? Too long to wait? Been 10 months.
Incidental thyroid nodule found measuring 7mm hypoechoic.1 month later thyroid specialist said there was no nodule. Do i need another u/s?If so, when?
Not necessarily: A 7 mm thyroid nodule is considered well under the 1 cm size at which we start to be more concerned. The endocrinologist didn't even see one when you followed up. I would not recommend any planned follow up with imaging. Other favors are important like your family history of thyroid problems, exposure to ionizing radiation, thyroid function tests, & thyroid antibodies. Ask endocrinologist. ...Read more
I've done a thyroid u/s. Dr. Called and said they found 2 thyroid nodules. Now i'm going for a thyroid uptake scan. What will this test do or show?
Hot or cold: Thyroid nuclear scan usually with iodine 123 will show whether nodule is active (hot, increased uptake, or nonactive (cold, decreased uptake).More cold nodules are cancer.For patients presenting with thyroid nodules greater than 1 cm. In diameter (up to 20% will be malignant). They should be carefully evaluated, and managed. If greater than 1 cm. Should be closely followed or biopsied. ...Read more
U/s confirmed thyroid nodules requires bx. More than a few&a couple over 1.5cm. Thyroid disease is that addison's?Highwbc, plate?On chance its cancer
Variable: Thyroid nodules are variable in their growth patterns. Some can grow quickly in size, particularly if there is a cystic component to the nodule. Your doctor will usually suggest an ultrasound to follow the growth of the nodule every 6 months to one year, depending on the level of suspicion. ...Read more
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 more
May need biopsy: The management of thyroid nodules depends on a number of factors. How big are they? What do they look like on ultrasound? Are they "hot" (take up radioiodine) or cold? Are they part of a multinodular goiter or hashimotos thyroiditis? The risk of a nodule being cancer is usually low, but big, solitary nodules are more worrisome. A biopsy is an easy procedure by someone trained in this. ...Read more
Several steps: 1) history and physical exam by doctor, 2) blood test to assess thyroid function. If hyperthyroid: needs treatment and usually a nuclear scan. 3) if thyroid function is normal or depressed usually a thyroid ultrasound is done 4) if nodule is solid or suspicious then fine needle aspiration. 5) if benign: follow-up - if malignant (or suggestive) refer to qualified surgeon. ...Read more
Very common problem: Thyroid nodules are very common. We do not know why they appear. They normally do not cause functional changes in the thyroid. Once they are found, thyroid labs are done and ultrasound is used to evaluate. Those over 1 cm often get biopsied with fine needle aspiration biopsy. Luckily, about 95% of nodules are benign. ...Read more
Depends on the cause: If a nodule is due to hashimoto's thyroiditis (inflammation caused by autoimmunity, where one's own immune system attacks one's proteins and tissues), then taking thyroid hormone pills can shrink it. If it's a tumor that's over-producing thyroid hormone, radioactive iodine can kill it, and make it smaller). Fluid-filled cysts can be drained with a needle, but may grow back. Cancer needs surgery. ...Read more
It could be a colloid cyst - an accumulation of thyroid hormone. It could be a benign adenoma - an area of thyroid gland that is growing slightly differently/faster than the rest of the gland.
Most physicians follow benign thyroid nodules to see if they are growing or changing, which may necessitate another biopsy. ...Read more
No: Not all thyroid nodules are cancerous. Depending on the evaluation which includes lab testing and radiologic tests, thyroid nodules can be determined fairly accurately as to whether they are cancerous or not cancerous. However, it is possible that surgery might be required in order to fully assess the nature of a thyroid nodule. Please see your doctor for the proper evaluation. ...Read more
Went in for followup u/s for left thyroid nodule. Came back as nothing on left but new nodule on right. Worried they got the sides mixed up. Possible?
Not likely: Ultrasound exams are performed by trained technicians and supervised by physicians on site, so a mix up is unlikely. It is, however, common for many people to have multinodular goiter, meaning many cysts on both sides of the gland. These are usually benign & require no further evaluation. If concerned, a needle biopsy can be performed. ...Read more
The cough reflex is a protective mechanism that uses muscles in your throat and chest to expel mucous and saliva that may contain pathogens that would otherwise possibly be inhaled via aerosol or to expel pathogens infecting the throat and respiratory system. Cough benefits the host by reducing load and benefits the pathogen which may then spread via aerosol. ...Read more
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