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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Multinodular Thyroid
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.
Multinodular Thyroid
by whitetiger99, May 22, 2007 12:00AM
So, the doctor says my thyroid is functioning properly, but I have the "nodules" on both sides of my thyroid now, since 2003 (which was the last time I had a checkup). In 2003, I had only one nodule on my left side, well now it has gotten bigger and I have them on both sides!! My doctor prescribed Synthroid 0.025mg...the lowest dosage since my thyroid is functioning properly. She stated to me that the medication is supposed to "shrink" the nodules! I have been taking them for about 2-3 weeks now and she told me the side affects. What I have had is dry mouth, (which makes me bite my mouth inside) and phlegm throughout the day. Is this a normal side affect from the medication??? Should I inform my doctor about this?? Will the Synthroid really shrink the nodules???? I have to go back in July, to do the blood tests again and see if the nodules have shrunk, also have an ultrasound done again.
Doctor's Answer
by Mark Lupo, M.D., May 23, 2007 12:00AM
, May 23, 2007 12:00AM
The most recent ATA guidelines on thyroid nodules does not recommend starting medications to 'shrink' the thyroid nodules. The dose required that may shrink the nodule (and this has not been proven to be very helpful in N. America based studies) will result in mild hyperthyroidism and the risk of bone loss and cardiac problems outweighs and decrease in the size of the nodule.
The nodule really needs an FNA biopsy if it is >1cm.
The nodule really needs an FNA biopsy if it is >1cm.
