Doctor insights on:
Why Is Goiter Not As Rare In The United States
Not true: Good old fashioned iodide deficient goiters are no longer seen in the US. However, when imaging studies are done for other reasons, we are beginning to ascertain incidentally generous sized thyroid glands (and nodules within the gland) more often. If the function of the gland is normal, and there are no antibodies against the gland in a person without any compressive symptoms, this can be ignored. ...Read more
Define goiter: Hi. Strictly speaking, goiter only refers to an abnormal size and/or shape of the thyroid. Therefore, goiter can be diffuse, multi-nodular, or uni-nodular. Underlying causes can be autoimmunity, neoplasia (benign or malignant), and drugs (e.g., lithium, amiodarone). So, a lot to causes. ...Read more
Goiter: Some goiters are present in several family members and some are not. If you are concerned about getting it yourself because others in the family have been diagnosed with this in the past. Have your PCP check your thyroid (physical exam) and order appropriate lab studies and if it is OK don't worry but get the same labs done annually. ...Read more
Variable: Goiter simply means a growth in the thyroid. Three things: 1) what are your thyroid function tests? Hyperthyroidism is managed differently from goiters with normal or low function. 2) usually an ultrasound is done to look for nodules suspicious for cancer - with biopsy if needed, 3) goiters are sometimes removed if they are enlarging significantly or cause swallowing or breathing issues. ...Read moreSee 2 more doctor answers
Depends on cause: If it is a diffuse goiter, it may be caused by high tsh, which can arise in hypothyroidism or iodine deficiency (rare in usa, as salt is iodinated) or excessive goitrogens in susceptible ppl (like cauliflower). Treating the hypothyroidism can slow growth, if the above is the cause. If enlarging modules is the cause, surgery. Depends on cause, radioactive iodine may help. ...Read moreSee 1 more doctor answer
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