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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Pain In Neck And Difficulty In Swallowing Due To Graves Disease?

I m 33 yrs old female, and was diagnosed a week ago with acute toxic multinodular goiter and was about to go to the hospital for thyroid scan i just want to know if this is also grave s dse and is there like feature changes specially on my neck or eyes? a month ago i was having tremor and excessively sweating losing of weight and diarrhea specially after drinking milk and feverish along with sorethroat but now this symptoms has been reduced for somehow but still i was having difficulty in swallowing and still a little pain on the neck.
Wed, 28 Jan 2015
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Endocrinologist,  's  Response
Hi,
Welcome to HCM. I have gone through your question and understand your concerns.

There could be 3 reasons for your symptoms and thyroid function suggesting hyperthyroidism:

1. Graves disease - entire thyroid is hyper functioning - there can be associated eye changes like protrusion of eye balls

2. Toxic multinodular goiter - here there are multiple nodules in neck - some nodules are hyper functioning

3. Thyroiditis - here thyroid is destroyed and thyroid hormones are released in blood.

By doing a thyroid uptake scan (technitium scan) we can differentiate these different types. Treatment depends on the cause. Pain in the neck and sudden symptoms are more in favor of thyroiditis.

Please share with us the thyroid scan reports, so that we can explain the treatment option to you.

Hope I have answered your query. If you have any further questions I will be happy to help
With warm regards,
Dr Ajish TP (MD,DM)
Consultant Endocrinologist.
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Is Pain In Neck And Difficulty In Swallowing Due To Graves Disease?

Hi, Welcome to HCM. I have gone through your question and understand your concerns. There could be 3 reasons for your symptoms and thyroid function suggesting hyperthyroidism: 1. Graves disease - entire thyroid is hyper functioning - there can be associated eye changes like protrusion of eye balls 2. Toxic multinodular goiter - here there are multiple nodules in neck - some nodules are hyper functioning 3. Thyroiditis - here thyroid is destroyed and thyroid hormones are released in blood. By doing a thyroid uptake scan (technitium scan) we can differentiate these different types. Treatment depends on the cause. Pain in the neck and sudden symptoms are more in favor of thyroiditis. Please share with us the thyroid scan reports, so that we can explain the treatment option to you. Hope I have answered your query. If you have any further questions I will be happy to help With warm regards, Dr Ajish TP (MD,DM) Consultant Endocrinologist.