multinodular goiter and pain?

[beenewt3]

hello i have a multinodular goiter the biggest nodule being 3cm..i was dianosed hypo 10mths ago tsh is very suppressed dr took me off synthyroid he says im hyper now..the question i have is recently ive been having sever pain in my jaw that radiates down to the side of my neck is or can this be from my goiter?..thankyou in advance........b

[Mark Lupo, M.D.]

Yes, pain can come from your nodular goiter.
At this point, it is important to confirm the cause of the hyperthyroidism as toxic nodule(s) by doing an I-123 uptake/scan (IF TSH still low at least 6-8 weeks after stopping synthroid) and comparing it to the ultrasound.  Any nodule that is not "hot" may require FNA biopsy.  I-131 treatment or surgery are the treatment options for toxic nodular goiters requiring therapy.

[beenewt3]

thankyou so much for that very important info..!!!...i did have an uptake scan about a year ago and it did show  cold nodules  i had an fna and it came back inconculsive..but the dr felt i didnt need another at that time..again thankyou very kindly..i have a better understanding that this severe pain i get is normal and not something else going on...have an awesome day...and thankyou again....b