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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Can a thyroid nodule cause these problems?
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.
Can a thyroid nodule cause these problems?
by jillire1981, Jul 02, 2009 02:30PM
In January I saw my regular physician because I was not feeling well. My heart was pounding, I was having night sweats, I had a slight tremor in my hands, my blood pressure was elevated and my hear was poinding and I just felt bad. After a series of tests, I was found to have excess androgens as well as testosterone and put on spironolactone for it. My calcium levels, white cell count and carbon dioxide levels were also slightly abnormal and my cholesterol was high. My thyroid tests were all normal, but my TSH had gone from .79 to 2.27 in about 5 months and my doctor thought it would be something to watch. He felt my problems were likely endocrine related and referred me. I saw an endocrinologist in April who also felt it would be a good idea to repeat the thyroid tests 6 months from the last test as well as increase the dose of spiro and come back in 8 weeks for a follow up. In May, I noticed a lump in my throat when I swallowed that wasnt there before and went I went for my follow up in early June, spoke to the endocrinologist about it. He recommended that I have an ultrasound and possibly a biopsy on it, which I am scheduled to do in a few weeks as well as have another set of tests done for my thyroid, an a1c, lipids, sex hormone and complete metabolic panel. He said based on those results he may have a diagnosis of metabolic syndrome for me. In the last two weeks I have had a few other things come up that worry me. The tremor in my hands has come back, I have no appetite but am not losing weight, I sweat a lot and wake up nightly because I am wet and my hair seems to be falling out more than usual. Can all of these problems be caused by the thyroid nodule even though my thyroid levels are within normal limits? Could it be a cancerous nodule due to the fact that it grew so fast?
Doctor's Answer
by Mark Lupo, M.D., Jul 03, 2009 06:30PM
, Jul 03, 2009 06:30PM
If the thyroid levels are normal, your general symptoms would not likely be due to thyroid disease. The ultrasound is important -- this will confirm if there is a nodule that require FNA biopsy. It is not likely thyroid cancer, but 5-10% of nodules are malignant.
Would keep working with the general endocrinologist as this may be PCOS and/or another endocrine problem as well.
Would keep working with the general endocrinologist as this may be PCOS and/or another endocrine problem as well.
My question is, what is abnormal calcium? Was it in the tens or higher? If so, then I hope your endo is looking into your parathyroid, too. Have they measured your parathyroid hormone? I know that hair falls out with parathyroid disease usually in people older than 50 - www.parathyroid.com . Also, what's this lump like? Is it always there? I feel one sometimes, too, but I'm starting to think it's related to GERD.
Good luck and keep us posted!
Tamra
Tamra