What is the treatment for my multinodular goiter?

Question

Hello doctor,

I have been recently diagnosed with multinodular goiter and have done FNAC, which turned out 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 continuous feeling of imbalance and dizziness, even though my thyroid is working well and producing normal hormones. Why is it so?

Kindly advise.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Can I see the FNAC (fine needle aspiration) and ultrasound of the thyroid reports?
Do you have a family history of thyroid illness?

I hope this helps you.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I understand your concern.

I have gone through all the reports that you have sent (attachment removed to protect patient identity). I do not see any major worry. It looks like you are on the heavier side, and losing some weight will surely help with all your symptoms. I suggest you try taking Vitamin D powder once a week for ten weeks. For dizziness, you need to do some neck exercises, and I would also suggest you consult an ENT specialist.

I hope this helps you.

Thank you.

Answer 3

Hello,

Welcome back to icliniq.com.

I understand your concern.

The thyroid nodules are less than 0.3 inch and they are benign, so why do you want surgery? Surgery is indicated for large nodules only. Has your doctor suggested surgery?

I hope this helps you.

Thank you.

Answer 4

Hello,

Welcome back to icliniq.com.

I understand your concern.

I have six years of endocrinology practice to back my knowledge. The only reason why your doctor suggested surgery is because of microcalcifications. But even then, I would wait for another three months and repeat an ultrasound and FNAC, before deciding to go ahead with thyroid surgery.

I hope this helps you.

Thank you.