thyroid nodules

[kitten o]

hello i am new.
i have multinodulars goiters
i had blood  test and all came back normal.
my neck is severely swollen and my endo. will not do anything.
i have 3mm nodule in rite lobe and 2mm in left lobe. are these big?
my red blood cells are up slitly.
i have severe sweating all day and worse at nite.
should i get a 2nd. opinion.
what test are done for hodgkins disease?
i need help.
thanks

[kitten o]

my ultrasound results
right lobe measures 4.9x1.4x1.4
in the midportion of the right lobe, there is a 3mm hypoechoic nodule
which is suspected to be a small cyst
the left lobe measures 5x1.1x1.4 cm
in th lower pole of the left lobe there is an additional
2mm hypoechoic, possibly cystic nodule. the isthumus
has a maximal diameter of 2mm.

Bilateral tiny hypoechoic nodules or cystics.
should i go for a secound opinion?
my neck and collar area is so swollen.
is there 2 different kind of endoc. doctors?
thanks again kitt

[ChitChatNine]

They are small which is good .. but do you have the ultrasound findings?  What did they say they were .. the characteristics?

WELCOME to the Community!

C~

[kitten o]

did not make it to my dr. today, here are more test are more test results.
tsh 2.30
pth 55
t4 0.97
urine volume-24 hr. 2105
norepinephrine 21
epinephine 7.2
dopamine 116
are there other tests i should have had?
also is there 2 different endoc. drs?
thanks all for your help
kit

[kitten o]

thank you for your reply.
i do have and small tumor on my left adrenal gland. the endo. i saw said all was
fine with my adrenal gland and my blood work was ok.
he told me to come back in nine months, i am seeing my pc dr. tomorrow.
i want a secound opinion. my neck and collar bone is so swollen, the endo
is the one who saw it, he scared me and said my lymph nodes were all
swollen around my neck, now my 2nd visit he can not tell me why.
or why i sweat so badly. i thank you once again.
kitt

[sidneythyroid]

I have looked up and put information that would help you! After reading your email I think you might have Hashimoto's/Hyperthyroid and Ardrenal fatigue. below is general the Optmal Range is normal witch we arn't. I hope this helps in some small way. Please ask the doctor here that is good at answering people's questions. I just wanted to add some study but he could really help you. I for one don't think you have Hodgkins itchy stuff! You would most likely know quick.


Test Lab   Low   Optimal Range Lab High
TSH         0.5      1.3-1.8           5.0
Free T4    0.8      1.2-1.3           1.8
Free T3   230       320-330         420
Free T3* 2.3 3.2-3.3 4.2
*Some labs divide FT3 results by 100 thus 230 is the same as 2.3, etc.

Hashimoto’s Thyroiditis is a common autoimmune condition in which one develops an allergy to one’s own thyroid gland. In the early phase when there is destruction of thyroid gland and spillage of thyroid hormone (T4), there is a hyperthyroid effect. In an effort to lower the T4 level in the blood, the pituitary gland decreases the amount of TSH it secretes producing a low TSH. The hyper-metabolic state that occurs usually stresses the adrenal glands and causes adrenal fatigue. When enough destruction has occurred and the thyroid gland can make only a small amount of T4, one goes into a hypothyroid phase. Now one has hypothyroidism and adrenal fatigue. Autoimmune antibodies, Anti Thyroglobulin Antibodies (ATA) and Thyroid PerOxidase Antibodies (TPO), are almost always present on blood testing. The body can eventually counter the hyper-metabolic state by reducing the conversion of T4 to T3 (and increasing T4 to RT3 conversion). Thus metabolically, this is like stepping on the brakes in a car that’s going too fast.

Grave’s Disease is an autoimmune disease in which an antibody is produced that mimics TSH. It signals the thyroid gland to make T4. As the T4 level rises, the pituitary tries to reduce the T4 level by reducing TSH levels and we get a low TSH. Typically we find elevation of Thyroid Stimulating Immuneglobulin or TSI. Most labs consider a level of 130 or higher as evidence of Grave’s Disease. In reality, we often see the signs of hyperthyroidism begin to appear in a subtle way at a level of 90. At 110 the symptoms are easier to see. By the time we get to 130 the symptoms are usually severe. Unlike Hashimoto’s Thyroiditis, in Grave’s disease the T4 goes into high conversion to T3. This is like driving a car too fast and stepping on the accelerator. This is extremely stressful to the adrenal

[kitten o]

BUMP

[kitten o]

HERE ARE MY LABS IT IS LONG.
WBC 6.9           SODIUM 137             ALT.   L 13                   FREE 4 0.97
RBC 5.16           POTASSIUM 4.1        CORTISOL URINE 10
HEM H- 15.5       CHLORIDE 104         URINE VOL. 2020
HEMA H- 46       CO2 28                     HYDROXY D2  59
LYM 35              ALKALINE 76
MONO 9           PRO. TOTAL 7.1
EOS 3               AST 18
BASO 0             GLOBULIN 2.9
ABSOLUTE NEUT. 3.6
ABSO. LYMPHCYTE 2.4
ABSO. MOMO 0.6
ABSO. EOSIN. 0.2
ABSO. BASOPHIL 0.0     THANKS AGAIN I AM SEEING MY MD TOMORROW.
HERE ARE MY LAB RESULTS.        KITT

[laura1967]

Get a copy of your recent labs and post the results here with ranges. Did your dr run a TSH, Free T3, Free T4 and ALL the antibody tests for Graves and Hashimotos? It sounds like you are hyperthyroid....but I am not a dr and do not even know what your blood test results are. Just because a dr says they are normal doesn't mean anything with the thyroid, unless he specializes in the thyroid. There are just too many variances in ranges. Also he may have not run the PROPER tests. I feel for you. Just try to hang in there.
ALways get copies of your lab work....always. Let us know when you get these. :)  :)

[JLWH]

Sounds like you need to find yourself another endo who will pay attention to your symptoms.

It seems like he/she is taking your ultrasound and blood tests results and dealing with them but, not necessarily, listening to the rest of your symptoms.  If he/she doesn't feel that it's a thyroid problem, perhaps he/she could have given another alternative to seek answers out in but, doesn't seem to have done that.  

3mm and 2mm are relatively small nodules from my understanding.  Did he/she recommend any further watching of those nodules or explanations as to your neck swelling?  Any unexplained fevers?  

Perhaps, going back to your family doc and asking for a referral to another endo for at least a second opinion is warranted here.  Certainly, having unexplained weight loss is something (even if it has nothing to do with your thyroid) to be looked at.

I'm sorry that I don't know how Hodgkins is diagnosed but, certainly, asking at least your family doctor about this possibility will likely get the necessary tests done to rule it out.  You don't necessarily need an endo for that.  

Hopefully, others in here will be able to respond better.  There are many experienced members in here who are most helpful!

Best of wishes!

[kitten o]

i forgot to add i have been lossing weight, for the passed months.
i dropped 7 lbs. in 2 months, with out trying.
thanks again