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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Goiter and nodules
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.
Goiter and nodules
by aquacapsak, May 15, 2006 12:00AM
I have been diagnosed with a mild goiter (I can't see any malformation in my throat) and two nodules. I don't have coughing, trouble breathing, swallowing or any hoarseness in my voice. My TSH is borderline low at a little over 9 and my T3 and T4 are normal. What would be the best form of treatment as the only tests that have been done is a physical examination of my throat, an ultrasound and blood work. I also have experienced 2 miscarriages (Jan and March 2006) and was wondering if they could have anything to do with my goiter. I know my diet is lacking salt because my husband complains about the lack of salt in my cooking all the time.
Doctor's Answer
by Mark Lupo, M.D., May 15, 2006 12:00AM
, May 15, 2006 12:00AM
Check thyroid antibodies and have a thyroid expert do an ultrasound in his/her office to determine if any of the nodules need fine needle aspiration biopsy. If the TSH is a little over 9 then the thyroid is LOW -- would repeat to confirm then treat with synthroid or levoxyl to keep the TSH around 1.0. The miscarriages may be due to underactive thyroid and/or thyroid autoimmune disease - or may be unrelated to thyroid but the key is to control any possible variable.
Member Comments (4)
by aquacapsak, May 17, 2006 12:00AM
To: M.D.-ML
I went to my GP yesterday and was told that my TSH, T3 and T4 are now normal. I don't have a goiter but instead have antibodies which have inflamed my thyroid gland. I've been fighting off cold germs from my daughter and husband over the past couple of weeks. I don't have any simptoms of hypo or hyper. I called my endocrinologist and her secretary told me that the blood work came back normal. What should I do now? Also, I'm in the middle of having another miscarriage. Very stressed!
by Mark Lupo, M.D., May 18, 2006 12:00AM
, May 18, 2006 12:00AM
You seem to have hashimoto's -- this is associated with inc'd miscarriage rate. Would treat to keep the TSH 0.5-1.5.
by Mark Lupo, M.D., May 19, 2006 12:00AM
, May 19, 2006 12:00AM
You seem to have hashimoto's -- this is associated with inc'd miscarriage rate. Would treat to keep the TSH 0.5-1.5.
