You have a history of probems with the nodule.
It sounds like a large one, to me, and has ugly irregularities. But as I said, I know very little about it, and am not even sure my last sentence is correct.
I would push for therapy to solve the problem, rather than an ongoing patch that controls it intermitantly. I would discuss the options of RAI or surgery.
There again, I am in the dark on treating nodules. I would think RAI would affect the whole gland, not just the nodule. For that reason, I would persue surgery.
Others would feel differently, and that's fine. If you go through the whole FNA-is-it-cancer-or-is-it-not routine, you'll probably elect for surgery anyway, just to be safe.
It's a personal decision each of us has to make, and then sometimes the Endo over-rides your decision anyway.
To re-answer your question, I would discuss alternatives to the ongoing suppresion therapy.
So when I see the endo tomorrow, considering that this is the 3rd time the nodule has made the thyroid go hyper, panic attacks each time and decreased quality of life...should I push for radiation. I fear that she will only want to give me meds to decrease the hyperactivity, but then that means the nodule is still there and will do this again!!!!
Is radiation better than surgery? any thoughts?
Thansk
Do not leave hyperthyroidism untreated. Trust me when I tell you this thing can do some things to your body.
First of all your heart is affected and you do NOT want to go into a thyroid storm. Thyroid storm unfortunately can be fatal. SO please, please get treatment.
Untreated hyperthyroidism- you need to be careful about becoming dehydrated as
AR-10 stated. Most people who are hyper has unwanted weight loss, for me, I have weight gain which can be an issue. Some people have muscle wasting and it can occur in severe cases. Depression, anxiety, mood swings and brain fog can be a serious problem.
Your thyroid affects your entire body. Do not let this go untreated.
Hyperthyroid person.
Terri
If the nodule is "hot" the SMALL doses of I-131 is very effective for your condition (it will irradiate the nodule reducing hyper symptoms and the nodule size).
For the people over 45 y.o. such treatment was used in the past to treat multinodular toxic goiters.
The Metoprol should keep you out of the hospital.
Untreated hyperthyroidism- you need to be careful about becoming dehydrated. It happens very easily. Unwanted weight loss can be an issue. Muscle wasting can occur in severe cases. Depression and mood lability can be a problem. Muscle structure can change. It affects your whole body. You do not want to let it go untreated.
One tip I can pass long. I was drinking 4-6 Ensures a day for a while to combat weight loss and hunger. Then I found out it has 1/4 the daily requirement of iodine, and was feeding my thyroid iodine I did not need or want. Avoid foods high in iodine until you get things under control.
Avoid heavy physical activity for a while. Rest as much as possible.
Your Endo should send you home with a perscription to slow the thyroid down until a thorough assessment is done.
I won't comment on the nodule because I am ignorant regarding the subject.