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Suggest Treatment For Multiple Thyroid Nodules
Question: thyroid nodules. After many tests
Brief Answer:
Farther tests needs to be done....
Detailed Answer:
Hello and thank you for asking Healthcaremagic.
It would be great if you could provide me more information about this thyroid nodule.
Before taking any time of treatment for this nodule,farther tests need to be done.
One of the most important ones are the hormonal level of T3,T4 (thyroid hormones) and TSH.
If the levels of the hormones are normal,than this nodule is not affecting the thyroid fynction.
I assume that you have done the ultrasound of your neck since you know that you have a thyroid nodule.
At this point there are two options:
1-fine needle biopsy to see if the nodule is benign or malign anf the right type of cells present in the nodule
2-nuclear thyroid scan. Usually this exam is done when we have hyperthyroidism because with the ultrasound and the fine needle biopsy we take all the necessary information about the nodule.
If the the result of the biopsy is benign,than it is advised to be watched with ultrasound each 6 or 12 months and if it tends to grow,than do a surgery.
If the results of the biopsy are malign that surgery is the only option.
If you have another question,don't hesitate to ask me.
Wish you good health.
Dr.Endri Katro
Farther tests needs to be done....
Detailed Answer:
Hello and thank you for asking Healthcaremagic.
It would be great if you could provide me more information about this thyroid nodule.
Before taking any time of treatment for this nodule,farther tests need to be done.
One of the most important ones are the hormonal level of T3,T4 (thyroid hormones) and TSH.
If the levels of the hormones are normal,than this nodule is not affecting the thyroid fynction.
I assume that you have done the ultrasound of your neck since you know that you have a thyroid nodule.
At this point there are two options:
1-fine needle biopsy to see if the nodule is benign or malign anf the right type of cells present in the nodule
2-nuclear thyroid scan. Usually this exam is done when we have hyperthyroidism because with the ultrasound and the fine needle biopsy we take all the necessary information about the nodule.
If the the result of the biopsy is benign,than it is advised to be watched with ultrasound each 6 or 12 months and if it tends to grow,than do a surgery.
If the results of the biopsy are malign that surgery is the only option.
If you have another question,don't hesitate to ask me.
Wish you good health.
Dr.Endri Katro
Above answer was peer-reviewed by :
Dr. Raju A.T
I'm sorry I did not send you a full question. The complete question was this..My thyroid as many nodules, the biggest is 15cm. The smallest, I think is around 3cm. The approach has been to take a wait and see course. I was told when the largest reaches 30cm, then further testing would be done. My health is declining, I've lost close to 90 lbs in 22 months, I am fatigued, depressed, experience extremely painful gut problems, I have scaly scalp and skin, bowel issues, my nails are ridged and thin plus much more. I've had an ultra sound and the picture looked like Swiss cheese. I am a cancer survivor and had a PET scan recently which was fine. Not quite sure what I should do. Any suggestions? Thanks!
Brief Answer:
Thyroid hormonal imbalance...
Detailed Answer:
Hello again.
I have gone through your symptoms and my answer is as follows:
-according to the nodes of your thyroid there must be a mistake. If the nodes are 15 cm the bigest and 3 cm the smallest than surgery needs to be done as soon as possible because with such enlarged thyroid,it risks to compress your airways.
It doesn't make any sense to wait. So either the nodes are 15 mm (1.5 cm) and 3 mm (a mistake in typing by your doctor or you) or you need to have a second opinion and do the surgery.
The rest of the symptoms correlates with thyroid hormonal imbalance. To be more acurate with overactive thyroid (hyperthyroidism)
In this condition the thyroid produces too much hormone and the body uses energy faster than it should. The main symptoms that you describe correlate with this condition:
-irritability or nervousness
-rapid heartbeat
-more frequent bowel movements
-weight loss
-and sometimes problems with the skin
If i was your caring doctor i would suggest to do the blood tests to check the hormonal balance of T3,T4,TSH and have a seccond opinion by an endocrinologist.
Wish you good health.
Dr.Endri Katro
Thyroid hormonal imbalance...
Detailed Answer:
Hello again.
I have gone through your symptoms and my answer is as follows:
-according to the nodes of your thyroid there must be a mistake. If the nodes are 15 cm the bigest and 3 cm the smallest than surgery needs to be done as soon as possible because with such enlarged thyroid,it risks to compress your airways.
It doesn't make any sense to wait. So either the nodes are 15 mm (1.5 cm) and 3 mm (a mistake in typing by your doctor or you) or you need to have a second opinion and do the surgery.
The rest of the symptoms correlates with thyroid hormonal imbalance. To be more acurate with overactive thyroid (hyperthyroidism)
In this condition the thyroid produces too much hormone and the body uses energy faster than it should. The main symptoms that you describe correlate with this condition:
-irritability or nervousness
-rapid heartbeat
-more frequent bowel movements
-weight loss
-and sometimes problems with the skin
If i was your caring doctor i would suggest to do the blood tests to check the hormonal balance of T3,T4,TSH and have a seccond opinion by an endocrinologist.
Wish you good health.
Dr.Endri Katro
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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