Recently Answered Questions
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I experience fatigue, abdominal pain and weight gain with multinodular goiter. Why?
Query: Hi doctor, I would like some help with my blood test results as my doctor has not been able to help. I have a multinodular goiter with six nodules, the largest is 1.9 inch x 0.7 inch. I am particularly concerned about the high FT4 (while FT3 is below optimal level), high PTH, low vitamin D, high CRP... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and the results that you have attached. (attachment removed to protect patient identity). It does not seem you have any thyroid disease as of now since your TSH (thyroid-stimulating hormone) is normal and your T3 and T4 are at acceptable leve... Read Full »
Can I do a complete thyroidectomy for multinodular goiter?
Query: Hi doctor, I have a 2 inch cold nodule, multinodular toxic goiter, which is not cancerous. However, it has been suggested to have a complete thyroidectomy because the cold nodule will not take up radioactive iodine treatment. I am somewhat nervous about having my entire thyroid removed. What is your... Read Full »
Dr. Hafiz Muhammad Hassan Shoukat
Answer: Hi, Welcome to icliniq.com. I would strongly advise going for a complete thyroidectomy instead of a radioactive one. As you already know, radioactive iodine will not be taken up by different nodules evenly due to different activities. It will create a mess, partially destroying the thyroid, and th... Read Full »
I have severe arm pain despite taking arthritis medication. Why?
Query: Hello doctor,I am a 26-year-old woman, and I am suffering from severe pain in my right arm, especially in the joints from the shoulder to the elbow and near my thumb. The doctor gave me arthritis medications, and it does not work for me. It all started when I developed thyroid goiter. The goiter is ... Read Full »
Answer: Hello, Welcome to icliniq.com. Do you have morning stiffness? Do the small joints of your hand feel swollen in the morning? Do you respond to arthritis medications? Which medications have you been taking? Please get erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), RA (rheu... Read Full »
Will excess secretion of TSH cause goiter in 75-year-old me?
Query: Hi doctor, I am a 74-year-old healthy male. I take tablet Atenolol 50 mg, tablet Ezetimide 10 mg, tablet Levothyroxine NA (Synthroid) 300 mcg, tablet Fenofibrate 145 mg, tablet Losartan 100 mg, and tablet Aspirin 81 mg for the past ten years. I was diagnosed with goiter 53 years back which would hav... Read Full »
Answer: Hi,Welcome to icliniq.com.You need not worry because higher levels of TSH (thyroid-stimulating hormone) are normal in older people. I suggest (consult with a specialist doctor, talk with him or her and take medicines with their consent) tablet Levothyroxine NA 150 mcg before food in the early mornin... Read Full »
I have been diagnosed with benign multinodular goiter. How to manage it?
Query: Hi doctor, I have been recently diagnosed with multinodular goiter and have done FNAC, which turned to be benign. Is there any other way to get rid of the enlargement of the goiter and the nodules? My thyroid is full of them ranging from 0.5 to 0.9 mm. What should I do? I feel lost, and I have a con... Read Full »
Answer: Hi, Welcome to icliniq.com. Can I see the FNAC (fine needle aspiration), and ultrasound of the thyroid reports? Do you have a family history of thyroid illness? Read Full »
Why TSH is high two months after stopping Levothyroxine?
Query: Dear doctor, I had multinodular goiter with normal TSH. I was taking Levothyroxine tablet daily for 12 months. Now, two months after completing the tablets, my TSH is 11.5 (max 5.5). Why? Read Full »
Answer: Hi, Welcome to icliniq.com. As long as you were taking Levothyroxine, your body levels of T3, T4 hormones were maintained at normal levels. Due to your goiter, your body is not producing T3, T4 hormones adequately. But, that is getting compensated by excessive synthesis of TSH (thyroid-stimulatin... Read Full »
Please interpret my ultrasound findings for thyroid.
Query: Hello doctor, I want to know what this report means so I can list my questions. I am concerned about the internal vascular nature of this report. I am attaching my last three ultrasounds. I am looking for your interpretation of the report and want to know if there is anything worrisome. I have... Read Full »
Answer: Hello, Welcome to icliniq.com. From your attached ultrasound reports (attachment removed to protect patient identity), I understand that you have a thyroid swelling (goiter) with multiple tiny nodules for which you undergo regular followups. I can also see that these nodules are quite stable and ... Read Full »