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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Pain in nodule
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.
Pain in nodule
by NYCMARY, Sep 02, 2006 12:00AM
After seeing a new doctor for thyroid, TSH tests have come back normal. The odd thing was that the TSH level dropped when compared to the same test ran by my old doctor. For example the old doctor got a level of 3.7 and the new doctor three weeks later got a level of 1.5. What could cause this?
The doctor ordered my antibodies to be tested and advised me to take Advil for the pain in the nodule. I find that the pain is getting worse, it's not all the time but when it does occur it is a stabbing pain.
I will be seeing the doctor again in two weeks, if the antibody test is normal what could be causing this pain? Will I need further testing?
The doctor ordered my antibodies to be tested and advised me to take Advil for the pain in the nodule. I find that the pain is getting worse, it's not all the time but when it does occur it is a stabbing pain.
I will be seeing the doctor again in two weeks, if the antibody test is normal what could be causing this pain? Will I need further testing?
Doctor's Answer
by Mark Lupo, M.D., Sep 04, 2006 12:00AM
, Sep 04, 2006 12:00AM
There can be fluctuation in the TSH reading -- 3.7 to 1.5 is a bit more than I would expect however. I agree with the advil and checking antibodies. Painful thyroiditis is a possibility -- takes 4-6 weeks to resolve. If antibodies positive then painful-variant hashi is possible -- tough to predict the course of this condition. The pain may not be related to the thyroid. In some cases FNA biopsy of the thyroid can be helpful.
