Doctor insights on:
Toxic Uninodular Goiter
A nodule: Hi. A non-toxic uninodular goiter means you have a nodule in the thyroid that is NOT autonomously over-producing thyroid hormone. There is a risk the nodule is a thyroid cancer, so your doctor will probably send you to an endocrinologist to get a fine needle aspiration biopsy. If the nodule is benign, you leave it alone; if it's cancer, you head down that path (most are benign). Good luck. ...Read more
I just got results from a thyroid uptake scan it says they found a toxic uninodular goiter and unspecified goiter I also have itp is there a connection and what exactly is a toxic uninodular goiter also my thyroid is enlarge
Get thyroid labs: You most likely already have your thyroid levels checked. If not, you need to get thyroid labs drawn. From the uptake and scan above, your TSH should be low, which indicates hyperthyroidism. The treatment is 1)antithyroid drug, 2)i-131 ablation, 3)surgery. With itp, maybe hold off on surgery for now. Please discuss all of this with your doctor. Good luck. ...Read moreSee 2 more doctor answers
Goiter: Goiter is simple enlargement of the thyroid gland. Most often, it's due to insufficient dietary iodine or familial inheritance. Non-toxic means that you are not producing an abnormal amount of thyroid hormone. Uninodular would specifically mean that you have a single nodule within the thyroid. Usually a solitary nodule should be evaluated with needle biopsy or followed closely with ultrasound. ...Read more
Exam, lab and US: In order to know if you have a goiter ( a swelling of the thyroid gland) a simple hands on exam is adequate. To know if it is toxic one would need a review of symptoms and a lab test (tsh). To know if it is diffuse one could use history and exam pretty reliably or obtain an ultrasound definitively ...Read more
Get treated: Diet matters little or noting. You have graves disease or less likely one or more hot nodules. This will first make your life totally miserable and then kill you unless you accept definitive treatment (surgery, radioactive iodine) and until then the medication that will control it. Despite what you may read on the internet, diet and supplements aren't the key in managing life-threatening disease. ...Read moreSee 1 more doctor answer
Hyperthyroidism: Inappropriately high thyroid hormone, causes tachyarrhythmias, proptosis, weight loss, feeling hot all the time, etc. The treatments can be medical, radiotherapeutic, or surgical. Despite being a radiation oncologist, I do not know if i-131 treatment is ever used in pediatrics, but i suspect not. ...Read more
Thyroid function: Hi. With a toxic multinodular goiter (MNG), the patient is hyperthyroid, whereas with a non-toxic MNG, the patient has normal thyroid function, so thyroid function is the difference. Some (statistically a minority) of non-toxic nodules are thyroid cancer, and may need fine needle aspiration biopsy to evaluate based on nodule size and other ultrasound characteristics. Good luck! ...Read more
Sonar images: Ultrasound uses the variation in the 2 dimensional images produced by scanning the thyroid like a fisherman uses sonar to find a school of fish under his boat. Enough thyroid us's have been done to develop pictures of how big each part of the gland should be at a given age in a given condition. ...Read more
Options: The "best" way will depend on your current clinical, and social circumstances. Your options include1) antithyroid pill to control the thyroid level, 2)radioactive iodine and 3) surgery. Choice 2 and 3 are considered curative options but you need to discuss the pros and cons of these options with your own physician who knows you best. Good luck. ...Read more
I have a diffuse toxic goiter or also known as grave's disease. Currently, I am under medication. What food should I eat and avoid? Thank you!
I have non toxic goiter'and im taking levothyroxine almost 1 year,why still now my goiter nothing change...
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