Enlarged Thyroid Gland

Hypothyroidism is an endocrine disorder characterized by low production of thyroid hormone. This is sometimes called thyroid hormone deficiency. It greatly affects women more than men, usually at ages between thirty five and sixty; however, it can occur in all ages at different stages of life. Women sometimes develop hypothyroidism after pregnancy, a condition called postpartum hypothyroidism, and is believed to be associated with postpartum depression.

Thyroid hormone is produced by thyroid gland. It circulates throughout the human body, and it plays an essential role in developing and differentiating all cells of the body. There are different types of thyroid hormones, all of which function mainly in regulating the metabolism.

Postpartum hypothyroidism develops within 4 to 12 months after childbirth and typically resolves without treatment. However, when symptoms are persistent, you must consult your doctor for proper medication. There is no need to worry though as this condition is not life threatening. The signs and symptoms to watch for include goiter or swelling of the thyroid gland, weight gain, hoarseness of voice, constipation, increased cold sensitivity, muscle cramping, fatigue, and depression.

During pregnancy, human gonadotropin (hCG) and estrogen levels increase. The hCG produced as the conceptus implants into the uterine lining rises in the early stage of pregnancy. This hormone stimulates the thyroid gland to generate more thyroid hormones. On the other hand, estrogen produced mainly by the placenta also increases, which in turn generates higher levels of thyroid-binding globulin. This protein acts as a carrier of the thyroid hormone into the bloodstream. This mechanism normally happens during pregnancy to aid in the babys development.

One to eight months after delivery, the mother is said to be in the preliminary hyperthyroid state wherein there is very high level of thyroid hormones in the blood. The normal functioning of the gland usually goes back to normal after this. However, in the case of lymphocytic thyroiditis, the gland enters into a hypothyroid state. Lymphocytic thyroiditis is an autoimmune disease wherein there is inflammation of the thyroid gland due to the lymphocytes infiltrating into the gland. It then alters the function of the gland, thus producing less thyroid hormones.

Since the main function of the thyroid hormone is to regulate metabolism, less amount of it leads to low energy among women who just gave birth. Thus, they may be sleeping too much but still wake up feeling unrefreshed. Hypothyroidism after pregnancy also causes the new mothers to gain more weight even with proper diet and exercise because their bodies are no longer able to process the extra calories. As a result, their moods may be affected. Due to the degree of mood change and fatigue experienced by women after delivery, they may end up being in a depressed state characterized by feelings of sadness and hopelessness, sense of worthlessness and guilt, lack of interest in taking care of the baby, appetite disturbance, mood swings, and anxiety.

Women experiencing the aforementioned signs and symptoms of postpartum hypothyroidism should consult their doctors to undergo diagnostic testing such as blood tests. In some cases, they may undergo an ultrasound to determine the presence of an enlarged thyroid gland. The treatment depends on the underlying cause and the severity of the condition. In mild cases, it would just resolve on its own after 4 months to a year. However, hormone replacement therapy may sometimes be needed. In severe cases, permanent hypothyroidism after pregnancy may occur if the thyroid gland is too damaged to regain its normal function. Therefore, ongoing monitoring and lifelong treatment will be required.

Frequently Asked Questions

  1. QUESTION:
    What does an enlarged thyroid gland mean?
    I went to the doctors this week for bronchitis. He mentioned that I had an enlarged thyroid gland. What does this mean? What causes this? How can it affect me? I have an appointment for a physical at the end of the month. I will ask my doctors these questions as well. I just wanted to see what others had to say about this.

    • ANSWER:
      The medical term for this is a Goiter. This can be cause by a generlized enlargement or asymmetric ( nodular)
      There are a number of factors which may cause the thyroid to become enlarged. Common cause of goiter is an increase in thyroid stimulating hormone (TSH) in response to a defect in normal hormone synthesis within the thyroid gland. The thyroid stimulating hormone comes from the pituitary and causes the thyroid to enlarge. This enlargement usually takes many years to become manifest.

      Your doctor will probably run a variety of tests on you. Starting with Blood work. They will measure your T4 T3 and TSH levels (thyroid hormones)
      He may choose to send you for a ultrasound as well. Depending on the results of those tests, it could lead to others.
      Alot of times people have goiters and not even know it.

      Educate yourself on the thyroid and disease of it. I’ve provided some links that might aid you in this.

      Best of luck to you…

  2. QUESTION:
    If you had an enlarged thyroid gland, and it effected your weight gain, how much weight would you gain in one ?
    If someone had an enlarged thyroid gland, and it happened to effect your weight gain, how much weight would you gain in a day?

    I am just curious

    • ANSWER:
      I don’t know about in a day how much one would gain. I do however have enlarged thyroid. and how I have managed it was buying “iodized” “red cross” salt. I cook my food etc with it and so far it hasn’t bothered me in all these years. The reason I did this is because I overheard my mother say the doctor said to use iodized salt. My mother had her thyroid removed during the operation and they found cancer in and all around in there. By the way they didn’t tell her they removed the thyroid. Prior to the operation she had protruding eyes. swollen under the brow area, and the protruding neck area. Taking a crazy guess I would say you might accumulate 8 lbs in a day. But its not really in a day, it may look or feel that way. Any way thyroid messes with your metabolism. Good luck

  3. QUESTION:
    . Jane lives in Appalachia and suffers from hypothyroidism. Her thyroid gland is enlarged, her body temperatur?
    . Jane lives in Appalachia and suffers from hypothyroidism. Her thyroid gland is enlarged, her body temperature is low, and her hair and skin look brittle and dry. Blood tests show very low levels of circulating iodine, T3, and T4, but high levels of TSH. What is your diagnosis? Why did this occur? What treatment would you recommend?

    • ANSWER:
      Iodine deficiency….
      Her Thyroid Stimulating Hormone is good, her thyroid gland is working hard, hence it is enlarged; but it doesn’t have the necessary raw materials.
      She lives far from the ocean, so it would be easy to lack iodine in the diet.
      Treatment: iodine supplementation.
      Once she gets better, iodized salt in the kitchen might be enough to keep her thyroid healthy.

  4. QUESTION:
    Can someone with enlarged thyroid gland be granted visa to work abroad?
    Status: growth not advancing for 5 years by taking thyroxine hormone regularly(for hypothyroidism), not interferring with swallowing and not visible except on x ray examination. Have work on supervisory level as farm manager abroad already for 8 yrs without it causing a problem. I beleive having it operated on to remove it is not even the solution because the fact that it is hormonal the defeciency of thyroxine will still be there.

    • ANSWER:
      Shouldn’t be an issue

  5. QUESTION:
    What did your vet say about enlarged thyroid / goiter / grass gland?
    I’ve heard different things that vets have said about enlarged thyroids in horses (also known as goitres/goiters/’grass gland’)

    If your horse has had it, what did your vet tell you about it? To treat or not to treat?

    Just interested to hear different opinions from vets.

    • ANSWER:
      Enlarged thyroids are almost always non-pathogenic (of little or no significance) in older horses, caused by a thyroid adenoma. In cats enlarged thyroids are usually associated with hyperthyroidism (over-active thyroid), however in horses this is virtually unheard of. So in an older animal (over 7 years) I would leave well alone unless the growth is so large that it is pressing on other local structures eg trachea or larynx.

      In younger horses (especially under 2) an enlarged thyroid can be associated with a dietary imbalance of iodine, in which case I would suggest investigation starting with diet and a blood sample. Ultrasound of the region can also be helpful to confirm the location of the enlargement. These cases do require treatment according to the cause, as thyroid adenomas are not seen in such young animals.

  6. QUESTION:
    enlarged thyroid gland but normal levels?
    I recently had a baby and my thyroid glads were enlarged but the doc said thats normal with pregnancy and it should go away. but now my son is 5 months old and my glads are still enlarged. my hair has also been falling out and i have awful weight gain. I had blood work done. t4 and t3 free and tsh and they were all in normal range (i have a copy of the blood work) I had a thyroid ultrasound but im not sure what the doctor is looking for…is there a disease that can cause enlarged glands but have normal levels? anybody been in the same boat as mee?

    • ANSWER:
      “tsh and they were all in normal range ” Are you sure? Look @ your report … TSH ‘norm’ should be .3 – 3 (w/ most feeling best at < 2) but would not matter if ANTIBODIES are present. Indicative of Hashimoto’s Autoimmune Thyroiditis…main cause of HypOthyroid & is worse (...OR Graves Disease - HypERthyroid).

      WARNING: Doctors seem not to want to find/treat thyroid disease. You may have to go to more than one doctor before you get the right tests, interpretation, and treatment. Best wishes.

      Ck these:

      http://thyroid.about.com/bio/Mary-Shomon-350.htm

      http://www.stopthethyroidmadness.com/

      http://www.thyrophoenix.com/index.html

      God bless

  7. QUESTION:
    enlarged thyroid gland but normal blood results (10 points)?
    i have been having discomfort in my throat. i keep feeling like im choking on my food.
    my doctor examined me and said that my thyroid gland is enlarged so sent me for blood test, the thing is it came back normal and now it feels even worse.
    why am i feeling so tight in my throat all the time, its driving me mad and im sick with worry.
    please help

    • ANSWER:
      You could be me. I had that and blood tests were normal but now I’ve been diagnosed with hypothyroidism. Remember ‘normal’ is a range and the medical profession deems one size fits all.
      I also had chronic consitpation (eat more fruit said the doctor) and exhaustion (perhaps you have depression have some antidepressants. No thanks.)
      Eventually my bloods matched up with the official designation of hypo and I was given levothyroxine.
      I can’t tell you the relief!
      I still get the choking feeling a bit, especially if I eat chips, but the relief of no more constipation and mind numbing tiredness is so great. I’m just waiting for my hair and nails to catch up. My nails are coming away from the nail bed and before my diagnosis my GP decided I had a fungal infection and prescribed Lamisil – without actually testing my nails I might add. Which of course didn’t work.

      If you’re still worried about your enlarged thyroid ask to be referred for a scan.
      If that turns out to be ok you might just have to wait for your bloodwork to match the medical criteria.

  8. QUESTION:
    Thyroid gland enlarged?
    I’m 20 years old and just found out that my thyroid gland is enlarged my dr told me that it probably was from giving bitrth 10 month ago but it never happened with my first child that I was aware off. She didn’t tell me much but sent me to have blood test and ultra sound. I don’t understand much about this cause I’ve never really known about it, I knee mum used to get enlarged thyroid glands but she does t anymore and I’ve only found out 2 days ago that 2 of my family member died from thyroid cancer. WhAt does it do?

    • ANSWER:
      Thyroid can be enlarge from pregnancy, postpartum thyroidism is common. However pregnancy can cause Hashimoto/graves to arise as well.

      Go for the ultrasound if there is any noodules. Even if there are nodules dont panic, less then 10% are cancerous and it is VERY rare for thyroid cancer to cause death unless you leave it untreated and it spreads to other origins. Thyroid cancer and nodules grow slow so you would have plenty of time to deal with it before it becomes more serious. Many adults have nodules in their thyroid some have hypo/hyper thyroidism and others have no effects from them at all. I have 4 nodules 3 in one side of my thyroid and 1 in the other! If you have a nodule bigger then 1cm they can do a FNA (Fine needle aspiration) to determine if it is cancerous or not but many times they dont get an accurate anser if the nodule is small so they will just monitor its growth if it grows to big and causes problems with breathing/swallowing then they will remove all or part of the thyroid.

      Do research on the thyroid use google and check out all kinds of sites buy a book etc, you want to keep your thyroid as long as possible it is an important and impressive organ!

  9. QUESTION:
    enlarged thyroid gland?
    The last couple of days i have been having a wierd feeling in the throat when i swallow food or burp. It feels like there is already something in my throat when the food passes. Or if you ever have taken too big of a sip of water and it hurts going down thats what it feels like at one spot on my throat. Someone told me that this could be an enlarged thyroid gland. Does anyone know the symptoms of this or if what i’m describing could me anything else. Thanks.

    • ANSWER:
      thyroid is located in lower neck and unless grossly big does not cause difficulty with swallowing.
      you have a throat problem.consult a ENT doctor and get your throat examined.

  10. QUESTION:
    i had surgery to remove an enlarged thyroid gland?
    i decided to stop taking my thyroid medicine. is that bad? i’m 32

    • ANSWER:
      Do you have any part of your thyroid left at all?? If you don’t, that is a unwise decision because you will become very hypothyroid which will make everyday tasks difficult, eventually your organs will start to fail, you’ll go into a coma and die. I suggest you take your medicine.

  11. QUESTION:
    Thyroid gland enlarged?? What does this mean?
    I’m 20 and just found out my thyroid gland is enlarged my dr said it’s probably happened after having my baby. What does the thyroid do when it’s enlarged? My dr didn’t explain it really but sent me to have an ultra sound test and blood test.

    • ANSWER:
      Thyroid is very important it creates hormones TSH T4 T3… All are important to your body if they are low/high you can have symptoms like dry skin dry hair, hair loss, brittle nails, depression, anxiety, weight gain or loss, high blood pressure…. etc….

      How long ago was your baby born? many post partum thyroid conditions go away on their own some others you will have life long and be on hormone replacements (if levels are not right) for the rest of your life.

      Since your doctor has kept you in the dark you need to do lots of research on your own first you need to make sure that your doctor is having your TSH Free T4 and Free T3 levels check these will tell you if your thyroid is over active or under active or if the hormones are just fine. If your doctor is not up to date he/she will only care about your TSH levels and that is not the correct way to diagnose or treat thyroid disorders. Also the CORRECT range for TSH is now .3-3.0 but many doctors and labs have yet to start using the correct labs. If you have Hypothyroidism your or an underactive thyroid not producing enough hormones your TSH will be high while Free T4 and/or Free T3 will be low. If you have Hyperthyroidism or an overactive thyroid too much hormones your TSH will be low and Free T4 and or Free T3 will be high.

      If your labs come back out of range then you need to have your doctor check for thyroid antibodies to see if you have Hashimoto or graves. They are Auto immune disorders Graves is Hyperthyroid Hashimoto is Hypo thyroid. Both can be responsible for an enlarged thyroid gland.

      I recommend if you have hypothyroidism to read Dr. Datis Kharrizian’s book and check out his website as well. He is FANTASTIC!

      http://drknews.com/

      Also check out this website LOADS of info!
      www.stopthethyroidmadness.com

  12. QUESTION:
    I have an enlarged thyroid gland (goiter), would taking Synthroid be right for me?
    When I was a child, I got tests done on my thyroid functions and they came back saying I had tested positive for Hashimoto’s antibodies. Ever since then every time I’ve seen a doctor they’ve pointed out that my thyroid glands feel very enlarged. Recently I’ve had problems with hypertension, anxiety, insomnia and depression and I was referred to an endocrinologist by my physician, he said my TSH, T3, T4 and all other hormone levels were normal and that I didn’t have Hashimoto’s thyroiditis or hypothyroidism, but he did say that if I wanted I could take Synthroid to try to decrease the size of my goiter. I’m unsure whether it will actually help my situation due to the fact that I’ve read some of the main side effects are anxiety and insomnia. I’m worried about the side effects of this drug and whether the benefits will outweigh the consequences for me. If anyone’s used this drug for treatment of a goiter I’d really like to hear whether you’d suggest it or not. Thanks in advance.

    • ANSWER:
      curious that you exhibit the signs and symptoms of HYPERthyroidism but that your thyroid hormone levels have returned normal after testing. but even more curious is the fact that you are exhibiting HYPERthyroid symptoms at all: Hashimoto’s thyroiditis (or, autoimmune thyroiditis) can sometimes manifest as hyper thyroid function in the very acute stage of inflammation (auto-immune antibodies attacking the thyroid and the thyroid releasing much of it’s pre-made thyroid hormone) but once the indolent stage of the disease sets in it typically results in a HYPO thyroid state, that may or may not be accompanied by goiterous enlargement of the gland itself.

      unusual.

      Endocrinologists are pretty smart peeps so maybe give it a try. I’m not personally aware of Synthroid being able to shrink the thyroid gland itself.

      I do know that radioactive Iodine (either the costly I-123 or cheaper and more abundant I-131 radio-isotopes) can effectively shrink an enlarged thyroid, but the long term effect of this is almost always a hypo thyroid state (that is to say, after taking the radio active Iodine then you will need Synthroid for life in the future in order to stave off symptoms of having too little thyroid hormone). It’s a very cheap treatment and comes in a pill form. You go visit the doctor and he gives you the radioactive pill to swallow, you go home, and he follows your thyroid levels for life and eventually places you on Synthroid medication to take for life.

      Surgical treatment of thyroid goiter is not ideal in most people, especially since it can be treated medically.

  13. QUESTION:
    how quickly does an enlarged thyroid gland grow?

    • ANSWER:
      My thyroid was normal for the first 24 years of my life, then went from the size of a marble to the size of a raquetball in about 2 years. It was very overactive and would have kept growing if I hadn’t had it taken out.

  14. QUESTION:
    is once enlarged thyroid gland will go back to its original shape…means if harmonal levels normalises. it go?
    it goes back to its original shape or cosmetic surgery is must

    • ANSWER:
      Thyroid gland if is enlarged moderately, like in case of mild goitre, pregnancy, puberty, Thyroiditis etc.. I mean to say grade 1 to 3 enlarged thyroids in medical terms.. Will regress most of the times to its normal size after that period of stress… If these are the causes, do not worry… They even go back to norml size, if u are suffering from a hypothyroidism if u are initiated on the treatment with Elthroxin or Thyronorm etc…

      But if its a solitary nodular enlargement, or a multinodular goitre, they regress, but cannot dissapear completely even after treatment… For these surgery might be required..

      If its a diffuse enlargement and u are on treatment, than wait.. These regress on treatment.. But takes sometime, may be 6 months to 1 year…

      Do not worry……….

  15. QUESTION:
    once your thyroid gland is enlarged is it possible it will ever go back to its normal size?
    mine is slightly enlarged i ahve hyperthyroid with hyperthyroid medication can it bring it back to its normal size or once its enlraged it can enver go back to its normal size?? ok thnks

    • ANSWER:
      Yes, most goiters shrink once the underlying disease is treated, and the thyroid is brought back to normal.

  16. QUESTION:
    just found out i have a enlarged thyroid gland and a cyst on it. i need more help to understand it?

    • ANSWER:
      There’s are many good websites on thyroid. I’ll put a few of them below in the source section.

      Are you having symptoms of hypothyroidism? They include; weight gain or the inability to lose weight, fatigue, depression, constipation, muscle & joint aches, headaches, sensitivity to light, dry skin, dry thining hair, brittle finger nails that often have ridges in them, ibs with constipation

      Many times if one id hypothyroid and put on thyroid medication the nodules shrink from the added thyroid hormone. I suggest you learn as much as you can about the thyroid so that you get the best care.

  17. QUESTION:
    Enlarged thyroid gland?
    I have a bump in the side of my neck that is smaller at the bottom and larger at the top, like an upside down pyramid. It is only on the left side, and I don’t feel anything strange in the middle or right side of my neck. The bump is always painful if I apply pressure. I was wondering what this was and whether I should see a doctor.
    I went to the doctor because I did have enlarged lymph nodes a few weeks ago. This bump is larger though, about 1 inch at its longest. Also, I have not been feeling sick lately.

    • ANSWER:
      Your thyroid is not on the side of your neck, it’s below your adam’s apple. It sounds like you have a swollen lymph node, especially since it’s painful. If you had an illness or infection recently, that would most likely be the reason for it. If it doesn’t go away within a few weeks or gets bigger, see your doctor.

  18. QUESTION:
    Enlarged pituitary gland and enlarged left thyroid?
    Recently was told I have both but most tests have come back normal…what can this mean?

    • ANSWER:

  19. QUESTION:
    i have slightly enlarged thyroid glands with diffuse parenchymal disease, what does it mean?
    is diffuse parenchymal disease a serious illness? cos whenever i research the net, all i get is about thyroid cancer related answers

    • ANSWER:
      Hi Jo-ann. My advice to you would be to call your doctor and ask this question. I would want to find this information out from someone with medical knowledge, not somebody on Yahoo answers. I have Thyroid disease, and i have never even heard of Parenchymal Disease. Don’t scare yourself by things you read on the net. Ask your doctor so you can get the correct information. Good luck :-)

  20. QUESTION:
    Is there any connection with a slightly enlarged thyroid and a head cold?
    I noticed this week for the first time that my lower neck was slightly swollen (where my neck meets my collar bone). Soon after I developed a sore throat and symptoms of a head cold. Just wondering if these two things might be connected. I plan on seeing a doctor if the swelling continues in what I assume to be my thyroid gland (uniform swelling, very slight).
    Actually, the thyroid is in front of and on the sides of the trachea. And, the swelling is in my lower front neck, not my lymph nodes or tonsils…

    • ANSWER:
      Yes there could be a connection. If you neck area is enlarged then it is very possible that you have an enlarged thyroid, or goiter. Often, a goiter is associated with thyroiditis which can not only cause your thyroid hormones to fluctuate, but cause a fever as well. The “cold like” symptoms can be an inflammatory response to the inflamed thyroid. If you are having other thyroid symptoms such as difficulty swallowing, tenderness in neck, increased/decreased energy, insomnia, heart palpitations, dry hair and skin, increased arthritic pains, or weight gain or loss…then it is very possible that there is a thyroid issue and you should see your doc. Hope this helps.

  21. QUESTION:
    Enlarged thyroid problem?
    A month ago, I had an enlarged thyroid gland (more than an inch big in circumference) and it was very noticeable. I went to the doctor about it, but since then it has shrunk down to less then a centimeter big and its not even noticeable. Is it ok if I just leave it alone for now or will it cause future health problems?

    • ANSWER:

  22. QUESTION:
    Thyroid Gland …. 15 yrs old.? Please answer ♥?
    Hi my name is Pinny and I am 15 years old.

    I noticed my neck was swollen from the center and both sides and i went to my family doctor. And he told me to get a ultrasound. I went to the Hospital got and ultrasound done and then as soon as my family doctor got the report. My doctor immediately made an appointment at one of the largest childrens hospital in My city. I went there yesterday. And the doctor said i have an enlarged thyroid gland with increased vascularity. and my report said ” findings may reflect thyroiditis, of uncertain etiology. And in the right thyroid lobe, there are 2 predominately cystic nodules. and in the left thyroid lobe there is a predominantly cystic nodule.

    Should I be worried ? please let me know I asked the doctor questions but he said he couldnt let me know anything until he got my report.

    -Pinny.

    • ANSWER:
      Well you can technically live without your thyroid but you must take medication for the rest of your life. It is possible that they might just remove the cysts and you’ll be back to normal but if you’re thyroid is releasing too much or too little of the hormones, you’ll have to take medication. As long as they are not cancerous, then you should be ok.

  23. QUESTION:
    my 13 year old female cat has enlarged thyroid glands?
    vet wants to remove them at the cost of 00 and there would be a very high risk that my cat could die and then there is medication that she can be put on for the rest of her life that costs per month. the vet really wants to do the operation instead and we can’t afford it but we can afford the pills.

    • ANSWER:
      While the surgery is the optimal correction for this procedure, many owners choose to manage hyperthyroid by medication. That is just fine as long as its controlling your cats symptoms. You may also want to call around town and find out if any of the vets in your area are liscenced to do radioactive iodine treatments, those usually work very well for these cats. Im not sure what the cost would be, definetly cheaper than surgery. If your have a exclusively feline practice in your area they could probably refer you to someone who could tell you more.

  24. QUESTION:
    Can thyroid disease cause an enlarged heart?
    I have recently been diagnosed with an enlarged heart. I also have two large nodules on my thyroid gland. Can there be a connection ?

    • ANSWER:
      yes thyroid disease can cause an enlarged heart but i think you should talk to your doctor about it for more information

  25. QUESTION:
    Why do you think the thyroid gland enlarges in response to a deficiency of iodine in the diet?

    • ANSWER:
      Understanding Thyroid Problems — Treatment

      WebMD Medical Reference

      The Basics | Symptoms | Detection & Treatment

      How Do I Know If I Have Them?

      A doctor can diagnose hyperthyroidism and hypothyroidism by testing the levels of thyroid hormones in your blood. Doctors measure hormones secreted by the thyroid itself, as well as thyroid-stimulating hormone (TSH), a chemical released by the pituitary gland that triggers hormone production in the thyroid.

      When you are hypothyroid, higher quantities of TSH are circulating in your blood as your body attempts to foster increased production of thyroid hormones. The reverse is true with hyperthyroidism, in which TSH levels are below normal and circulating thyroid-hormone levels are high.

      To determine the cause of hyperthyroidism, doctors often use radioactive iodide uptake tests, which track the amount of iodide absorbed by the thyroid gland. Iodide, obtained from the foods we eat, is a key ingredient in the manufacture of thyroid hormone, so the amount of iodide the thyroid absorbs is a reliable indicator of how much hormone the gland is producing. For this test, you must swallow a small amount of radioactive iodide in liquid or capsule form. After a predetermined wait, the doctor places an instrument over your neck to measure how much of the radioactive iodide has gathered in your thyroid.

      If the results of this test suggest that the gland is collecting excessive amounts of iodide, the doctor may then conduct a radioactive iodide uptake scan. In this test, the doctor uses a special film to create a picture that shows the exact location of the radioactive iodide in your thyroid gland. The scan will reveal, for example, if the iodide is collecting in adenomas, indicating that the nodules are responsible for the excess hormone. If the scan shows that the iodide is spread equally throughout the tissue, the whole thyroid is involved in the excess production.

      Some doctors believe that blood tests may not be sensitive enough to detect milder forms of hypothyroidism. Instead, they advocate monitoring your body’s basal (resting) temperature. To track your basal temperature accurately, you must closely follow certain guidelines: Shake the thermometer below 95° F at night and place it where you can reach it without getting out of bed. The following morning, before you get out of bed, take your temperature via your armpit for 10 minutes while staying as still as possible. Keep records of your temperature for at least three days. (Women should do this during the first two weeks of the menstrual cycle, as their basal temperature may rise during the latter half.) Normal basal body temperatures fall between 97.4° F and 97.8° F. If your basal temperature is consistently low, you could be mildly hypothyroid.

      If you have one or more adenomas, your doctor will want to keep careful records of when they were first found and how they develop, since not all adenomas produce excess thyroid hormone. In fact, most of these nodules are not malignant, especially if they remain the same size over long intervals. (Cancerous tissue, by contrast, will undergo noticeable growth.) Nodules that appear suddenly are typically fluid-filled cysts and are often benign. They can be evaluated with a noninvasive ultrasound exam. If blood tests indicate that the nodules are producing excess thyroid hormone, and if you have other symptoms, your doctor will treat you for hyperthyroidism.

      In any case, you should receive periodic checkups if you have a nodule on your thyroid gland, since you may become hyperthyroid in the future. If your blood tests show elevated hormone levels, your doctor may recommend other tests, including radioactive iodide uptake tests and scans that indicate whether the nodules are “hot” or “cold.” Hot nodules, or those that are actively trapping iodide and producing too much thyroid hormone, are rarely cancerous. But cold nodules — those showing low iodide concentrations — indicate a possible malignancy and need to be investigated further.

      One type of thyroid cancer can be diagnosed through a simple blood test that measures levels of a hormone involved in bone formation. In most cases, however, doctors check for thyroid cancer by performing an aspiration, or biopsy, which involves drawing cells from the suspect nodule with a fine needle to determine if the tissue is malignant.

      What Are the Treatments?

      For thyroid disorders stemming from the over- or underproduction of thyroid hormones, both conventional and alternative treatments offer varied methods to restore hormone levels to their proper balance. Conventional treatments rely mainly on drugs and surgery. Alternative treatments attempt to relieve some of the discomfort associated with thyroid problems, or to improve the function of the thyroid gland through a variety of approaches ranging from diet supplements and herbal remedies to lifestyle changes and special exercises. You should always receive a professional evaluation for any thyroid disorder; most of these conditions require a course of treatment beyond the scope of home care alone.

      Conventional Medicine
      Treating hyperthyroidism requires suppressing the manufacture of thyroid hormone, while hypothyroidism demands hormone replacement. Conventional medicine offers extremely effective techniques for lowering, eliminating, or supplementing hormone production. Before deciding which treatment is best for you, your doctor will make an evaluation based on your particular thyroid condition as well as your age, general health, and medical history.

      Thyroid hormone production can be suppressed or halted completely with a radioactive iodide treatment, antithyroid medication, or surgery. If your doctor decides that radioactive treatment is best, you will be asked to swallow a tablet or liquid containing radioactive iodide in amounts large enough to damage the cells of your thyroid gland and limit or destroy their ability to produce hormones. Occasionally, more than one treatment is needed to restore normal hormone production, and many patients actually develop hypothyroidism as a result of this procedure. This is the most common therapy for hyperthyroidism in the United States.

      If you start using antithyroid medications such as propylthiouracil or methimazole, which are usually administered in tablet form, your hyperthyroid symptoms should begin to disappear in about six to eight weeks, as hormones already in your system run out and the medication starts to impair the thyroid’s hormone production. However, you will need to continue taking the medication for about a year. After that time, you will also need to receive periodic medical exams to make sure that the condition has not returned.

      Surgery is often recommended for people under 45 when their hyperthyroidism is due to toxic adenomas, since these nodules tend to be resistant to radioactive iodide. Once the tissue is removed surgically, hormone levels typically return to normal within a few weeks.

      Although subacute thyroiditis can bring on temporary hyperthyroidism, this condition usually does not require medical treatment. Any pain associated with the inflamed thyroid can generally be relieved with acetaminophen or aspirin. If over-the-counter drugs don’t help, a doctor may prescribe prednisone or dexamethasone — powerful anti-inflammatory drugs — for a short period of time. Since both of these drugs may encourage the development of stomach ulcers and the loss of bone mass, however, ask your doctor if you should also be taking calcium supplements.

      Hypothyroidism calls for a lifelong regimen of thyroid replacement. No surgical techniques or conventional drugs can increase the thyroid’s hormone production once it slows down. Although hormones from animal extracts are available, doctors generally prescribe synthetic forms of thyroid hormone, such as levothyroxine. Side effects are rare, but some people experience nervousness or chest pain while taking these drugs; usually, adjusting the levels of medication will alleviate any unpleasant effects. However, if you are also taking tricyclic antidepressants, estrogens, the blood thinning drug warfarin, the heart drug digitalis, or if you have diabetes, make sure that you and your doctor discuss any possible interactions or other complications. If you take calcium supplements, it is also recommended to take it 4 hours apart from levothyroxine, as calcium inhibits its absorption.

      Thyroid cancer is usually treated by surgically removing either the cancerous tissue or the whole thyroid gland, a procedure known as a thyroidectomy. If the cancer has spread beyond the thyroid, any other affected tissue, such as the lymph glands in the neck, will also be removed.

      Alternative Medicine
      Thyroid problems are usually easily corrected with conventional medicine. Consult your endocrinologist about complementing your conventional treatment with alternative therapies, which aim to cleanse the system, restore immune function, and balance hormone production and release.

      Naturopathy and TCM
      A naturopath may treat your thyroid condition with homeopathic mixtures, herbs, preparations based on traditional Chinese medicine (TCM), and acupuncture.

      TCM considers thyroid disease to result from emotional distress and frustration. These block the life force energy (qi) in the liver and spleen; herbs and acupuncture release the qi. Acupuncture can reduce palpitations, irritability and insomnia.

      Naturopaths are authorized to treat thyroid disease in some states; in others it is illegal. Check with your doctor or local health authority to see if your state allows naturopathic interventions.

      Body Work and Nutrition
      Chiropractors and osteopaths use spinal manipulation to treat thyroid disorders by reducing muscle tension and improving blood circulation.

      A diet rich in protein, calcium, magnesium, and iodine supports thyroid function. You want to be sure you are receiving enough of all the B vitamins, vitamin A, vitamin C and selenium.

      Avoid these products if you suffer from thyroid disease:

      * The herb ephedra, found in herbal formulas, and its extracts ephedrine and pseudoephedrine, found in over-the-counter cold remedies, which can cause nervousness, insomnia, headache and high blood pressure.
      * Alkaloids, including substances such as caffeine, morphine, and quinine, which increase blood pressure and heart rate.

      Medically reviewed by Tracy Shuman, MD, August 2005.

      SOURCES: American Academy of Family Physicians. The American Thyroid Association. EndocrineWeb.com, The Norman Endocrine Surgery Clinic. Community Health Care Medicial Library. Johns Hopkins University. US Food and Drug Administration Center for Food Safety and Applied Nutrition. Mary Shoman, patient Advocate – About.com. T WebMD

  26. QUESTION:
    Enlarged thyroid + breathing problems?
    My thyroid gland is enlarged. I can’t exhale very well, which is weird, but it doesn’t feel like something is stuck in my throat or windpipe. It feels like my windpipe is smaller or something. I haven’t been hungry, I’ve been tired, and I keep getting extremely hot or cold. I’ve also been losing hair. This was happening to me before, from the end of March until the beginning of June. I saw an endocrinologist at the beginning of June. However, most of my symptoms had subsided by then, which is when I had my hormone levels tested, and they came back fine. He wasn’t worried even though my neck still felt a little bigger than it used to (but not as bad as it had been) and the doctors found 2 nodules in my ultrasound. The nodules were really small so the doctors decided they weren’t causes of concern.

    Now that the symptoms are back, and have been for the last week or two, I’m concerned again. Is it possible for a thyroid gland to be active then inactive intermittently like this? If I do have a thyroid problem, would it be possible that my thyroid wasn’t secreting excess or a shortage of hormones at the time of my blood test, making my levels come back fine?

    • ANSWER:

  27. QUESTION:
    What does thyroid ultrasound with results of enlarged heterogeneous gland with nodules mean?
    I am not sure what to think of this. I have been diagnosed with hypothyroidism and do take medication for my thyroid. Dr ordered the ultrasound because I have been having difficulty swallowing…The doctor did not elaborate just said I needed to see an endocrinologist.

    Thyroid Ultrasound Results: Study demonstrates enlarged heterogeneous gland with the right lobe measuring 4.7 x 2.2 x 1.7 cm with a 5 mm cystic nodule and a 4 mm complex nodule.

    The left lobe measures 5.0 x 1.7 x 1.5 cm and is also heterogeneous without focal and mildly.

    Isthmus is normal measuring 3 mm without local amount.

    Impression: Enlarged heterogeneous gland with subcentimeter cystic nodule in the right lobe and a sub-centimeters complex nodule also in the right lobe.

    • ANSWER:

  28. QUESTION:
    I take 50mg thyroxine, can the thyroid gland enlarge for it as I notice a small bulge on the left of my throat

    • ANSWER:
      your needs for the amount of meds you take may have changed, if it has been a while since you had a blood test, it is probably time to get another. also, if you work with an endo, they may want to do an ultrasound and find out why it is growing larger. I would get it checked out.

  29. QUESTION:
    How big is the thyroid gland in grams and cm?
    I just had an ultrasound done today and my thyroid gland is 4.3cm. Is this normal or is it a little enlarged?

    • ANSWER:
      Normal depends on several things such as age, if you smoke, gender, etc., etc., but they are usually between 4-4.8cm. I have no idea how much they weigh.

  30. QUESTION:
    Explain why the thyroid gland enlarges in response to an iodine deficiency in the diet.?

    • ANSWER:
      The thyroid gland needs iodine to produce the hormone thyroxine.

      Lack of iodine means not enough can be produced. The thyroid glands reacts to this by enlarging in a doomed attempt to compensate for the lack of hormone by making more thyroid tissue.

  31. QUESTION:
    What hormone does your Thyroid glands produce?
    I know that the difficiency called Goiter enlarges the thyroid gland due to an iodine diffiency. The gland uses iodine to produce this hormone but what is the hormone and what is it used for. Thanks

    • ANSWER:
      The thyroid is very tricky gland. There is a hormone in every single cell in your body and the thyroid is responsible for making sure its where its supposed to be-it keeps the body in a state of homeostatsis and when its off-all hell breaks loose. A goiter is caused when a the gland overproduces or a cyst gets attached to the gland or a tumor also-The hormones help regulate everything from youyr heart to your digestive system to your metabolism-its not just one thing like most beleive-Hyperthyroid is when the gland does NOT produce enough and hypothyroid is when the gland is over producing-medication can usually bring the thyroid back to normal but its mostly a lifetime disease with no cure. Hope this helped-from a hyperthyroid person.

  32. QUESTION:
    What are some possible symptoms of thyroid cancer (or even any kind of cancer)?
    I am a 23 year old female, I have quite a large goiter (enlarged thyroid gland) and I am worried that it may be cancerous. Please help if you can, any information would be truly useful and most appreciated.

    • ANSWER:
      I am 27 and was just diagnosed with Papillary Thyroid Cancer. 80% of all masses (nodules) on the thyroid are benign. I actually didn’t notice anything. How they found it was I became diabetic with both my pregnancies and the endocrinologist found it in an ultrasound. Then they did blood tests which came back inconclusive. The next step was a radoactive iodine to determine that it was a cold nodule and not a goiter like you have. The final step was an FNA (fine needle aspiration) to determine if it was cancerous. It was so I had a total thyroidectomy. I’m in week 3 without my thyroid. Waiting until 6 weeks so I can start the radiation treatment. Then I’ll be on synthroid the rest of my life. Good news is that I feel good except for the off menstrual cycle and the tiredness. The scar is not large either. I really wish you well and hope that this is just a goiter. Most times medicine helps it or they’ll just remove it. That is for a doctor to decide. Here is a website that I found most informitive when I was diagnosed.

  33. QUESTION:
    SVT, Enlarged thyroid, Could I have thyroiditis?
    Im 18, I just had blood work done because 2 months ago I was diagnosed with SVT. It just randomly happened one day while I was driving and since then these are my symptoms. Elevated heart rate(about 90 to 95) A massive increase in my appetite, low grade fevers (sometimes i feel hot when nobody thinks I am) Excessive sweating, panic attacks, somewhat restlessness, fatiuge, tachycardia, altho I am not sure if it is SVT or not. I was told anythng 140 bpm and up is stv, but mine are anywhere from 110 to 130, headache, some days I have higher blood pressure and other days, here is an important symptom. Within 1 day and a half, I developed a pretty large thyroid gland, its fair hard and only a little painful. It is alittle hard to swallow and eat. My question is this- Could I have some form of thyroiditis, I have only had problems for about 2 months. What makes me think I could is how I devloped an enlarged thyroid in only 2 days. The symptoms also came on very suddenly too, i failed to mention that the very next day after i experienced my first svt attack, I started getting fevers, but i have only had low ones. I failed to mention i have had palpitations too. Anyone who has had any thyroid or svt experiences would be much appreciated. I would love to hear any storys or knowlege. Can it take me near 2 months to see an englarged thyroid because of thyroiditis?
    I did have blood test done today
    I did have blood test done today
    I did have blood test done today

    • ANSWER:

  34. QUESTION:
    is it possible to have a thyroid disease and not show up in the bloods?
    I have many symptoms to many to mention but my thyroid is painful at times.I am developing a goiter and my thyroid gland is definitetly enlarged.Yet i had two thyroid tests one before christmas and one recently but my doctors says its comeback normal again.This is so annoying as i feel sick and still know results.

    • ANSWER:
      What kind of blood test did you have? Did the doctor just do a TSH? If so that is not enough. You need to have your Ft4 and Ft3 checked. Also if you have a goiter you may be Iodine defincent. Check out the following web site.
      www.stopthethyroidmadness.com

  35. QUESTION:
    Thyroid. Enlarge????
    I’m 20 years old and just found out that my thyroid gland is enlarged my dr told me that it probably was from giving bitrth 10 month ago but it never happened with my first child that I was aware off. She didn’t tell me much but sent me to have blood test and ultra sound. I don’t understand much about this cause I’ve never really known about it, I knee mum used to get enlarged thyroid glands but she does t anymore and I’ve only found out 2 days ago that 2 of my family member died from thyroid cancer. WhAt does it do?

    • ANSWER:
      This probably means your thyroid isn’t producing enough hormone. It’s easy to fix–they’ll just give you thyroid supplements. When pregnant, you have stronger demands on your thyroid gland so this is a time when deficiencies could show up.

      Thyroid cancer was somewhat more common in the baby boomer and slightly earlier generation due to a particular medical procedure they used to do–when kids had enlarged lymph nodes, docs would irradiate their necks, which would cause the swelling to go down. Years later, some had thyroid cancer But thyroid cancer is not usually dangerous and it’s not something you should worry about.

  36. QUESTION:
    Im a teenager and I have an enlarged gland in my neck and IM FREAKING OUT!!?
    The doctor said something about the thyroid gland and now Im on th verge of tears. Its freaking me out! She told me to go to some lab for a check-up I asked her if I was going to die or some cancer or some abnormal enlargement f that area of my neck and she didnt rally answer that.

    I want to know what it might be. Im only 16 by the way.
    I have a poor diet, I know. Its because I skip breakfast and lunch because of all the stress in school.

    I really dont want to go to the doctor!
    Is this even NORMAL to happen to teenagers?
    anything I can do?
    please help!!

    • ANSWER:

  37. QUESTION:
    Thyroid surgery! What were your experiences?
    I’m having my second thyroid surgery in two weeks (total thyroid removed) my pervious surgery left lobe of thyroid was removed. I’m not hyper or hypo just have a very enlarged thyroid gland that puts pressure on my neck at times. The doctors say my thyroid levels are normal,but I have some of the symptoms of hypo such as: cold at times,low energy,fatigue,dry hair and hair loss. Just overall good and not so good days. I know after surgery I will have to take a synthic thyroid replacement. i just want to know will I have more energy and will my hair grow back? Will I just feel overall better? Need opinions.

    • ANSWER:

  38. QUESTION:
    ultrasound results for thyroid?
    I have hypothyroidism and an enlarged goiter. have ultrasound results but I DONT UNDERSTAND THEM. The ultrasound is as follows… Findings: right lobe is 6.5 cm in length x 3.3 x 2.4 cm LEFT lobe 6.9 cm in length x 2.9 x 3.7cm. Isthmus is 1.4 cm. The thyroid parenchyma is heterogeneous. note is made of an echogenic focus in the right lobe inferiority, 1.5 x 0.7 cm. The left lobe echogenic nodules present left lobe upper pole, measuring 7mm and 6mm, unchanged since previous exam.

    impression: enlarged thyroid gland which is markedly heterogeneous in echotexture with calcified nodules described above. Overall the apperance of the thyroid gland is unchanged when compared to the study of 11/3/09….. Should I be worried? what does this mean?
    so the calcified nodules doesnt mean cancer? I was just wondering since my doctor wants me to have it removed due to it not shrinking.

    • ANSWER:
      Nothing to be worried about. It’s saying that your hypothyroidism hasn’t gotten better or worse since your last ultrasound.

  39. QUESTION:
    I need fibromyalgia help!!! Is it Candida? Is it thyroid? Will antidepressants help?
    After using Zicam nose spray in 2005 I developed severe pain in my throat and neck. The spray has caused severe burning in my throat. My thyroid enlarged and I was in excruciating pain. Test kept coming back normal except for nodules on both thyroid glands. In 2006 I had my right enlarged thyroid gland and it did help some. But I kept getting inflamed lymph nodes all down my neck. My throat hurts constantly and at the base of my skull. I’ve seen over 20 doctors, CT scans, MRI, x-rays. I recently was told I had systemic Candida by a naturopath/MD. I’ve been trying to treat that naturally, but it’s taking a long time. I’m wondering if Candida got into my neck cavity and my thyroid when I used the Zicam. Can that happen?

    Please tell your real experience not links. I’ve read most of those!!

    • ANSWER:
      a naturopath is not an MD, they’re usually a DO and think that everything under the sun can be treated homeopathically. Most things can be helped but not everything can be cured.

      I highly doubt the whole thing has anything to do with the Zicam – it’s mainly saline with a little zinc, etc.

      Nodules on your thyroid gland would probably not be caused by a systemic yeast infection. A naturopath told my brother the same thing. And, that’s just not what it was. That’s the “catch-all” diagnosis from a naturopath when they can’t pin down what’s wrong with you.

      I would see a diagnostic specialist (M.D.) that can help to find out what’s going on with you. Sounds more like an auto-immune disorder than anything else.

  40. QUESTION:
    Hyperthyroidism Symptons (overactive Thyroid) how many of these affect your daily life?
    HYPERTHYROIDISM
    The type of complaints that characterise Hyperthyroidism – an overactive thyroid gland:

    COMMON
    Palpitations, fast pulse and irregular heartbeat *
    Trembling and twitches *
    Heat intolerance *
    Hot flushes and increased sweating *
    Increased appetite (or loss of appetite) *
    Weight loss (especially if eating well) *Diarrhoea
    Anxiety, nervousness and/or panic attacks *
    Restlessness *
    Irritabilty *
    Thin, moist skin *
    Soft, thinning hair *
    Shortness of breath
    Muscle weakness *
    Insomnia *
    Enlarged thyroid gland *
    Eye complaints (especially gritty or bulging eyes)
    Fatigue, exhaustion and lack of energy *
    Menstrual cycle disturbances (intermittent and light)
    Infertility
    Depression and mood swings *

    LESS COMMON:
    Bowel disorders
    Brittle nails *
    Chest pain
    Cramps *
    Decreased libido
    Easy bruising *
    Hair loss *
    Headaches and migraines
    Sore throat *
    Swelling of legs

    I Have placed a * next to the symptons that I am most affected by on what it seems a daily basis

    • ANSWER:
      I seem to have pretty much all of these symptoms and I am scheduled to see an endocrinologist next month. My symptoms affect every part of my life. My worst symptom is my inability to sleep or feel rested when I do. It’s very difficult to function from day to day.

  41. QUESTION:
    If I can feel my thyroid a bit enlarged is this an overactive or underactive thyroid?
    I have been having trouble getting in to see a doctor a the last couple of weeks my thyroid seems to be enlarged. I have had restricitve sensation on my throat. In the last 24hrs I think I can feel the actual gland just above my breastbone. It makes me gag if I press on it lightly ie like to wash myself there etc.
    Is this sympton of overactive or underactive thyroid if it is thyroid at all.
    Are there any foods that will make this worse or any foods that may help. I have changed my diet recently also.
    I live in a very isolated area with very minimal transport. I will endeavour to try to find a way to get in too see a doctor again tomorrow, Monday however I was wondering if anyone could tell me anything in the meantime.
    Thanks :)

    • ANSWER:
      Enlarged thryoid can mean under or overactive thyroid. If you are gaining weight, feeling sluggish, or feel cold often, it is probably underactive. If you feel anxious, sweaty, or have been losing weight, it may be overactive. Underactive thyroid slows metabolism down, overactive speeds it up. Either way, you need to consult a doctor for a definite diagnosis.

  42. QUESTION:
    is my doctor right about my thyroid issues being “normal”?
    i went to the doctor back in Jan. for anxiety & an irregular heartbeat. (when i breathe in it speeds up, & when i breathe out it slows down to normal) at first i was losing weight (no more than 10 pounds) now i’m gaining it back (i’m back to my normal weight) my doctor told me i had an enlarged thyroid gland & that i was normal for girls my age (i’m 17) but he didn’t give me any medication for this, he just had me do a blood test (which he said he found nothing wrong i with) & to take vitamins. it’s been 7 months & haven’t gone back to see him (should i go back & see him?) any advice you could give me? i just want some sort of answers, from SOMEBODY (who, of course, knows what they’re talking about.)

    • ANSWER:
      dr.s test TSH, T3 and T4, for checking the thyroid’s function . (these are hormons of thyroid). if your dr has said your blood test is normal, then you don’t need problem with your thyroid. but in spite of it, it’s beneficial to have a check up every 6 months.

  43. QUESTION:
    does thyroid glands cause your throat to hurt?
    I went to the doctor today and she told me that my thyroid gland felt enlarged and told me that i need to get a ultrasound .so i scheldued for one for wednesday. but tonight my throat really hurts .it feels tight and kinda burns when i try to swallow on my right side . can this be caused by my thryoids are can it be some type of virus.

    • ANSWER:
      Sounds like strep throat to me. Strep can (And usually does) cause the thyroids to become inflamed (swollen and enlarged). It’s very unlikely it’s anything serious, but if the thyroids are enlarged enough to worry a doctor, it might be thyroiditis, which is bad.

  44. QUESTION:
    do you think i could have a thyroid problem?
    ok i already know i suffer from depression and anxiety but am not sure why. i stopped talking the medication though cuz it had no effect on me

    also im tired a lot but i have trouble sleeping

    also i dont get periods ever. and i’m gonna be 18 in a few months.
    and sometimes i feel a throbbing pain in the center of my throat, i have kinda a lump there, but its not super noticeable. another thing is my hair doesn’t grow like it used to. it’s been 2 years since my last hair cut and it isnt even shoulder legnth. my hairs gotten thinner too.

    i’ve read about thyroid problems and it seems like i have some of the symptoms, but from the pictures i’ve seen on google of people with enlarged thyroid glands seem to be much more severe then mine and the symptoms i have are.

    i’ve been having all this for the past 8 months and have just dealt with it. i went to the doctor who just said i was too thin and i sould gain weight and everything will be fine, but idk do u think something is wrong or not???

    • ANSWER:
      I do see alot of thyroid symptoms in your post. Get a second opinion. Go to an ENDO who specializes in thyroid.

  45. QUESTION:
    Blood test results and thyroid gland ultrasound scan?
    Im 17 female on 25 mg thyroxine and i was told by one doctor i had hyperthyroid and other said i had hypothyroid and put me on medication which i understand because my tsh and t4 are both abnormal. the symptoms i have are abnormal heartbeat, shortness of breath and hair loss. im asking this question because im sure im diagnosed wrong. here are my blood tests and my thyroid ultra sound scan,

    Thyroid peroxidase antibody 30iu/mL
    Serum testosterone 1.40 nmol/L
    Serum TSH 7.40 miu/L
    Serum free T4 18.50 pmol/L
    LH 1.9 iu/L
    FSH 3.6 iu/L
    Sex H.B.Globulin 29 nmol/L
    Testosterone/SHBG Ratio 4.5

    And my thyroid ultra sound scna says: ‘The thyroid gland shows multiple nodule in both lobes. No enlarged cervical lymph node Is noted. Normal apperance of the submandibular glands. Impression: Multi nodular goitre.

    Also my thyroid gland feels more swollen and now is MORE noticable two weeks after my ulta sound scan and feels hard also theres no pain just a little bit discomfort when i swallow.
    What rong with me? i also feel VERY depressed:(

    • ANSWER:

  46. QUESTION:
    blood test results and thyroid gland ultrasound scan?
    Im 17 female on 25 mg thyroxine and i was told by one doctor i had hyperthyroid and other said i had hypothyroid and put me on medication which i understand because my tsh and t4 are both abnormal. the symptoms i have are abnormal heartbeat, shortness of breath and hair loss. im asking this question because im sure im diagnosed wrong. here are my blood tests and my thyroid ultra sound scan,

    Thyroid peroxidase antibody 30iu/mL
    Serum testosterone 1.40 nmol/L
    Serum TSH 7.40 miu/L
    Serum free T4 18.50 pmol/L
    LH 1.9 iu/L
    FSH 3.6 iu/L
    Sex H.B.Globulin 29 nmol/L
    Testosterone/SHBG Ratio 4.5

    And my thyroid ultra sound scna says: ‘The thyroid gland shows multiple nodule in both lobes. No enlarged cervical lymph node Is noted. Normal apperance of the submandibular glands. Impression: Multi nodular goitre.

    Also my thyroid gland feels more swollen and now is MORE noticable two weeks after my ulta sound scan and feels hard also theres no pain just a little bit discomfort when i swallow.
    What rong with me? i also feel VERY depressed:(

    • ANSWER:
      You have an enlarged thyroid is benign lumps/nodules. If you are taking Thyroxine, you are hypothyroid. I sugget you go switch doctors if you don’t like them. Good luck.

  47. QUESTION:
    please help what is the size of a normal thyroid gland or a link to the right dimensions doctors not helpful?
    as one said mine is enlarged, another said it is normal and the 3r said it grows if not enough thyroid hormone which they say is showing normal despite my having all the symptoms of hypothyroidism

    I went to a specialist an endrochronogist find out and he did NOT know the size of the normal thyroid nor could he answer my questions referring me back to the small doctors who told me varying things. He did get embarrassed b wtf..this is what he deals with the glands and he does not know what is normal

    My biopsy/ultrasound said I had a multinodular goiter and these are the dimensions

    left lobe- 3.9 x 1.2 x 1.5 cm

    right lobe-3.9 x 1.4 x 1.5

    is this normal size or enlarged.

    do you feel the test for thyroid is always accurate despite symptoms (t-3 and t-4 test)..if that one doctor is right and the thyroid grows bigger to help itself if not enough does this not indicate at least at one time, I did not have the right amount of thyroid hormones Z(the tests showed normal then too)

    MY old doctor just answered an email and said it is normal size as did the biopsy doctor for the thyroid. when I asked why does it say I have a goiter then, he replied oh that is old school and then would not explain as started the test..whatever that means

    I tried looking online and I thought it was about half that size if normal so this is confusing to me.

    do you have a link or l know if the dimensions above are normal or enlarged.
    well that is interesting Susan as I have thought I might have dropped organs due to continual need to urinate. I never would have realized that there might be a link had you not mentioned it. I do have a prolapse formula I made up once from Dr Christopher but only used it a day or two and something came up and I forgot to follow through. I is in his manual the school of natural healing.

    • ANSWER:
      My daughter had hyperthyroidism and my sister hypothyroidism. In 1999 my daughter had bad fall on her butt and fractured her toe – the goitre appeared two weeks later (did not connect the two).
      I spent lots of money on treatments and specialists. My daughter’s readings were mixed – some up, some low and therefore difficult to treat.

      In 2004, the goitre and symptoms were corrected by an Acupressure therapist (he was also into sports therapy). A common problem with thyroids in females is a prolapsed/ dropped womb (age/ weakened muscles/ falling etc), He externally massaged from above the pubic bone to just under the rib-cage (upwards motion). He then recommended stomach exercises to strengthen the muscles to hold the womb in place. (my daughter is fine a few years now)

      In 2007, a herbal tablet (3 bottles) corrected the hormone levels for my sister and daughter: Innerlight Metabolean (http://www.innerlightinc.com/ProductPage.aspx?ItemID=26&ID=2).

      Along the way, I discovered that she reacted whenever I used mustard in my seasonings for cholesterol (a friend mentioned that it can affect people with hypertension).

      It seems that left unchecked, oveactive people can become underactive as they age – weight gain. This is compounded when the goitre is partially removed (the portion to be surgically removed is guess work) and the patient must live on a support tablet.

      A prolapsed/ dropped womb can rest on other organs (e.g. bladder) causing other problems.

  48. QUESTION:
    What do these thyroid results mean? thyroid disease?
    I been feeling like crap on and off. My tsh is .5 and the range is .5 to 4.5. Ultrasound says both thyroid glands are heterogeneous and enlarged with minimal vascularity. I have 3 lymph nodes in my neck that are also enlarged. And my thyroglobulin antibdies are 31. What does all this mean ? :(

    • ANSWER:
      A TSH of 0.5 is fine. Most feel perfectly fine when TSH is under 1.0.
      By the way, the proper range for TSH is 0.3 – 3.0
      TSH is a pituitary hormone. The more informative “thyroid” tests are the Free T3 and Free T4.

      Humans only have one thyroid gland. The thyroid is supposed to be vascular.
      If the thyroid is enlarged, the most likely cause could be iodine deficiency.
      Compilation of iodine articles: http://www.iodine4health.com
      Enlarged lymph nodes would point to infection or inflammation.
      You should not have antibodies against Tg (thyroglobulin), but you do, and
      that might mean you have Hashimotos, however you’ll need other testing (TPO antibodies).

      Here are a few articles that should give you a better understanding:

      Things we have learned:

      http://www.stopthethyroidmadness.com/things-we-have-learned/

      Recommended labwork:

      http://www.stopthethyroidmadness.com/recommended-labwork/

      Interpreting Lab results (can also learn about the thyroglobulin test):

      http://www.stopthethyroidmadness.com/lab-values/

      Here is a good thyroid support group:

      http://health.groups.yahoo.com/group/Naturalthyroidhormones

      I sincerely hope this info helps you.

  49. QUESTION:
    Have one more thyroid disease question. ?
    My tsh is borderline low. Thyroid gland is enlarged, and I wasn’t defecient in iodine. I have low tpo antibodies and the thyroglobulin antibodies are at 31. Also my thyroid is heterogenous. Could this be why I have thyroid disease symptoms?

    • ANSWER:
      “My tsh is borderline low.”? TSH ‘norm’ should be .3 – 3 (w/ most feeling best at < 2) but would not matter if antibodies are present. Indicative of Hashimoto’s Autoimmune Thyroiditis…main cause of HypOthyroid & is worse (...OR Graves Disease - HypERthyroid).

      WARNING: Doctors seem not to want to find thyroid disease. You may have to go to more than one doctor before you get the right tests, interpretation, and treatment. Best wishes.

      Ck these:

      http://thyroid.about.com/bio/Mary-Shomon-350.htm

      http://www.stopthethyroidmadness.com/

      http://www.thyrophoenix.com/index.html

      God bless

  50. QUESTION:
    What is adenoma necrosis of the thryroid?
    My niece has cysts on her thyroid gland. Her radiology report says: A small thyroid cyst bilaterally within a non-enlarged gland with a prominent isthmus with one complicated cyst 6mm in diameter which may indicate cystic formation within a degenerating adenoma.

    • ANSWER:
      Cystic lesions detected in the thyroid represent degenerating adenomas. Degenerating adenomas are benign 80-85% of the time.

      I would not have given you all this info as it should have come directly from your doctor but since someone else answered and mentioned “benign or not”, I felt the need to respond so that you would know that MOST are benign. In fact, thyroid cancer is not common.

      Please do not assume the worst. Just wait until the doctor gives you the official report.