Multinodular Goitre

An enlarged thyroid gland with multiple nodules is called multinodular goiter, which usually causes no symptoms but can be associated with hoarseness of voice, difficulty breathing, and swallowing if the goiter presses against the adjacent structures. Risk factors for multinodular goiter include iodine deficiency, age, sex, family history, and autoimmune thyroid disease.

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Will excess secretion of TSH cause goiter in 75-year-old me?

Query: Hi doctor,I am a 74-year-old healthy male. I eat 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 have ...  Read Full »

Dr. J. N. Naidu

Answer: Hi,Welcome to 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 »

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 »

Dr. Divakara. P

Answer: Hi, Welcome to 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 »

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 »

Dr. Swaraj Waddankeri

Answer: Hi, Welcome to Can I see the FNAC (fine needle aspiration), and ultrasound of the thyroid reports? Do you have a family history of thyroid illness? Revert with more information to an endocrinologist online -->  Read Full »

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 5 cm x 2 cm. I am particularly concerned about the high FT4 (while FT3 is below optimal level), high PTH, low vitamin D, high CRP and E...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to 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 »

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 »

Dr. Muhammad Shoyab

Answer: Hello, Welcome to 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 »

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