Types Of Subacute Thyroiditis
There are four different subtypes of subacute thyroiditis:
Subacute granulomatous thyroiditis: Thisis the most common type of subacute thyroiditis. Its mostly caused by viral infections.
Postpartum thyroiditis: This occurs in women within one year after giving birth, and usually goes away within 18 months. Women who develop this form of thyroiditis are thought to have an underlying autoimmune disease that causes the inflammation. Symptoms occur in two phases, starting with hyperthyroid symptoms and moving to hypothyroid symptoms.
Subacute lymphocytic thyroiditis: This also occurs during the postpartum period. Hyperthyroid symptoms develop earlier , and hypothyroid symptoms can last for several months after.
Palpation thyroiditis: This develops when thyroid follicles are damaged from mechanical manipulation such as repeated examination of the thyroid gland or surgery.
All of the subtypes of subacute thyroiditis follow a similar course of symptoms, with hyperthyroid developing first. The key differences are the causes.
What Are Symptoms Of Thyroiditis
Symptoms of inflammation of the thyroid gland include:
- Low thyroid hormone
Tests for inflammation of the thyroid gland may include:
- Thyroid function tests;
- T3 and T4 in the blood
Conditions That Cause Thyroid Pain
There are actually many different medical conditions that may lead to thyroid pain.;
It’s important to differentiate between these conditions because not all of these conditions are treated in the same way.;
The good news is that the most common cause of thyroid pain is subacute thyroiditis which will generally go away on its own.;
If you are experiencing thyroid pain then you should be evaluated for the following medical conditions:;
#1. Subacute Thyroiditis
Any condition which results in inflammation of the thyroid gland may potentially result in pain in that same area.;
This particular condition is usually the result of an infection but it can be an infection from a virus or bacteria or fungus.;
The most common subtype of subacute thyroiditis is known as subacute granulomatous thyroiditis which is typically caused by a viral infection.;
The good news is that viral infections tend to be cleared up by the immune system over time and without any intervention .;
Other forms of thyroiditis, such as those caused by bacteria or fungus , may require more heavy duty medications such as antibiotics or antifungals.;
Subacute thyroiditis, despite it being the most common cause of neck pain, is actually not very common at all.;
This means that you can usually identify the type of thyroiditis that you have simply by whether or not pain is present in your thyroid gland.;
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How Is Goiter Diagnosed
Several tests can be used to diagnose and evaluate goiter, including the following:
- Physical exam: Your doctor may be able to tell if the thyroid gland has grown by feeling the neck area for nodules and signs of tenderness.
- Hormone test: This blood test measures thyroid hormone levels, which tell if the thyroid is working properly.
- Antibody test: This blood test looks for certain antibodies that are produced in some forms of goiter. An antibody is a protein made by white blood cells. Antibodies help defend against invaders that cause disease or infection in the body.
- Ultrasound of the thyroid: Ultrasound is a procedure that sends high-frequency sound waves through body tissues. The echoes are recorded and transformed into video or photos. Ultrasound of the thyroid reveals the gland’s size and finds nodules.
- Thyroid scan: This imaging test provides information on the size and function of the gland. In this test, a small amount of radioactive material is injected into a vein to produce an image of the thyroid on a computer screen. This test is not ordered very often, since it is only useful in certain circumstances.
- CT scan or MRI of the thyroid: If the goiter is very large or spreads into the chest, a CT scan or MRI is used to measure the size and spread of the goiter.
How Are Thyroid Nodules Treated
Thyroid nodules don’t always need treatment. Many nodules cause no symptoms and may even get smaller over time.
Thyroid nodules may need treatment if they grow or cause symptoms, or if there is concern that it could be a cancer. Surgery is the preferred treatment for thyroid nodules in children. This might involve removing part of or all the thyroid gland.
If needed, surgery is done in a hospital under general anesthesia, so the child is asleep and feels nothing. If only part of the thyroid is removed and the rest of the gland is healthy, a child may not need to take a thyroid hormone after surgery. If the rest of the gland isn’t healthy or if the whole thyroid is removed, the child will need to take a thyroid hormone.
Thyroid cancer is relatively uncommon. When it does happen, it is very treatable. Most thyroid cancers can be cured or controlled with treatment.
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Thyroid Nodule Symptom # : A Feeling Like Things Get Stuck In Your Throat Sometimes When Eating
- What to do about it?
A thyroid nodule that causes any symptom of swallowing will need to be removed with surgery. The vast majority of these are simply large, benign goiters and only very few are cancerous. But like almost all thyroid nodules that cause symptoms, surgery will be necessary for this group. Many of these goiters won’t need a biopsy because it can be hard to get all the way to the back of the neck with a needle. Almost all of these will need a CAT scan to give the surgeon a better understanding of how big the goiter is and where it goes.
What Are The Symptoms Of Goiter
The main symptoms of goiter include:
- A swelling in the front of the neck, just below the Adam’s apple
- A feeling of tightness in the throat area
- Dizziness when the arms are raised above the head
Other, less common symptoms include:
- Difficulty breathing
- Difficulty swallowing
Some people who have a goiter may also have hyperthyroidism, or overactive thyroid. Symptoms of hyperthyroidism can include:
- An increased resting pulse rate
- Rapid heartbeat
- Sweating without exercise or increased room temperature
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Faq: Frequently Asked Questions
Is Graves disease the same as hyperthyroidism?
Graves disease is an autoimmune disorder that leads to and is the most common cause of hyperthyroidism, but theyre not the same thing. While all patients with Graves disease have hyperthyroidism, patients with hyperthyroidism may not necessarily have Graves disease .
In Graves disease, the body makes an antibody called thyroid-stimulating immunoglobulin , which causes the thyroid gland to make too much thyroid hormone . Graves disease runs in families and is more commonly found in women.
Hypothyroidism vs Hyperthyroidism: Whats the difference?
The difference all comes down to the prefix in each word: hyper means over or exaggeration, while hypo means under or beneath. When it comes to -thyroidism, hyper- means an overactive thyroid gland, and hypo- means an underactive one.
Hypothyroidism, or an underactive thyroid gland, can actually be caused by treatments for hyperthyroidism, since their whole purpose is to decrease thyroid gland activity. Those treatments, however, can tip the balance too far.
What should I eat to manage hyperthyroidism?
With hyperthyroidism, its more important to manage what you dont eat. High levels of iodine consumption can exacerbate hyperthyroidism, so its a good idea to watch your iodine intake. Look for ways to limit iodine in your diet by restricting your consumption of foods such as: fish, seaweed, shrimp, dairy products, and grain products .
Does hyperthyroidism go away on its own?
Other Causes Of Hypothyroidism
In some cases, hypothyroidism results from a problem with the pituitary gland, which is at the base of the brain. This gland produces thyroid-stimulating hormone , which tells the thyroid to do its job. If your pituitary gland does not produce enough TSH, levels of thyroid hormones will fall. Other causes of hypothyroidism include temporary inflammation of the thyroid or medications that affect thyroid function.
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Symptoms Of Enlarged Thyroids
Located at the base of the neck, the thyroid produces hormones that regulate a variety of crucial bodily functions, ranging from helping us keep warm and use energy to fueling proper function of organs and muscles. The development of a goiter doesnt mean the gland isnt working. But this enlargement, which can happen slowly or quickly, may also signal the thyroid is making too much or too little hormone.
What signs of a goiter should you watch for? Dr. Shifrin says size matters. Watch for an enlargement of the thyroid, he says, including swelling at the base of your neck. Every enlarged gland should be checked for cancer.
According to the American Thyroid Association, you should also watch for these signs:
- Trouble swallowing, breathing or speaking normally
- Tightness in the throat
Most goiters arent cancerous, Dr. Shifrin says, but you should still have it checked by your primary physician or an endocrine specialist. Blood tests alone cant usually determine if thyroid cancer is present. Ninety percent of thyroid cancers are detected by palpating the gland and a thyroid ultrasound, Dr. Shifrin says.
What Is A Swollen Thyroid
Anatomically speaking, the thyroid gland, located at the front portion of the neck, is part of the endocrine body system. A swollen thyroid or medically termed as goiter is an enlargement of the thyroid gland. Furthermore,; people who suffer from a swollen thyroid are occasionally battling against hypothyroidism. However, there are actually a lot of reasons which cause the thyroid gland to swell. These reasons will be explained later in the discussion on the causes for a swollen thyroid.
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What Are The Risk Factors For Thyroid Nodules
Risk factors for developing thyroid nodules include:
- Family history. Having parents or siblings who have had thyroid nodules or thyroid or other endocrine cancers increases your chance of developing nodules.
- Age: The chance of developing nodules increases as you get older.
- Gender: Women are more likely than men to develop thyroid nodules.
- Radiation exposure: A history of radiation exposure to the head and neck increases your risk of developing nodules.
Risk factors for developing cancerous thyroid nodules include:
- Family history of thyroid cancer
- A nodule that is hard or is stuck to a nearby structure
- Male gender
Benefits And Limitation Of The Self
An at-home self-exam known as the “neck check” can help you find thyroid lumps or enlargements on your own thyroid gland. These growths may point to any number of thyroid conditions from nodules and goiters to;thyroid cancer.
Lumps in the neck can be caused by thyroid disease, and they can also be caused by a variety of other conditions, such as lymph node enlargement, lymphoma, an infectious abscess, or a traumatic injury.
In general, a neck check is not considered the most accurate or reliable way to identify thyroid disease. You can have serious thyroid disease if you have a completely normal neck check. On the other hand, a major growth can often be a sign of an easily treatable condition, such as an iodine deficiency.
In the end, there are limitations as to what a neck check can tell you. A 2017 report from the U.S. Preventive Services Task Force concluded that neck palpation was able to detect thyroid nodules in only 11.6% of cases. Ultrasound, an imaging procedure using sound waves, was five times more accurate in detecting abnormal growths.
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Feeling Chilly Or Overheated
Blood pressure is directly linked to circulation. Low circulation will result in feelings of being chilled. You might find that you are reaching for a sweater when others are feeling just fine. If you are always cold or notice that your hands and feet become particularly;chilled when uncovered, you may be experiencing a symptom of hypothyroidism.
Hyperthyroidism might present in the opposite way. This could cause you to feel hot flashes or experience excessive sweating.
Thyroid Nodule Symptom # : A Lump In The Neck That You Can Feel
- What to do about it?
Thyroid nodules that the patient can feel under the skin, which is confirmed by a doctor should almost always be examined by an ultrasound test. Depending on the characteristics of the nodule , the nodule may need a needle biopsy. We have an entire section of this website on thyroid needle biopsies.
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Thyroid Surgeons And Doctors At The Surgical Clinic
If you and your doctor decide that surgery is the treatment you need. Come visit The Surgical Clinic. We have many providers in Tennessee who can give you the care you need. All of our board-certified surgeons are highly trained individuals and have many years of experience.;
356 24th Ave. North | Suite 400 | Nashville, TN 37203TEL 615.329.7887 FAX 615.340.4537
FOOT & ANKLE SPECIALISTS OF NASHVILLE4230 Harding Pike | Suite 202 | Nashville, TN 37205TEL 615.662.6676 FAX 615.662.8371
300 20th Ave. North | Suite 301 | Nashville, TN 37203TEL 615.284.2400 FAX 615.284.4644
4230 Harding Pike | Suite 525 | Nashville, TN 37205TEL 615.385.1547 FAX 615.297.9161
3443 Dickerson Pike | Suite 600 | Nashville, TN 37207TEL 615.865.0700 FAX 615.865.0701
4322 Harding Pike | Suite 326 | Nashville, TN 37205TEL 615.620.7800 FAX 615.620.7805
397 Wallace Rd. | Suite 301 | Nashville, TN 37211TEL 615.425.0550 FAX 615.833.8287
4535 Harding Pike | Suite 304 | Nashville, TN 37205TEL 615.269.9007 FAX 615.269.3448
356 24th Ave. North | Suite 300 | Nashville, TN 37203TEL 615.301.5264 FAX 615.340.4537
85 White Bridge Rd | 2nd Floor | Nashville, TN 37205TEL 615.938.7545 FAX 615.938.7546
Symptoms Of Thyroid Goiters
Most thyroid goiters don’t cause symptoms, but they will if the goiter continues to grow. In fact, small thyroid goiters may more commonly be detected by routine examination of the patient’s neck by a doctor or by some type of screening x-ray or scan for some other reason. The symptoms occur as the goiter becomes big enough that it presses on other structures in the neck.
Larger thyroid goiters most commonly produce symptoms of
- A mass or lump in the neck.
- Uncomfortable pressure sensation on the breathing tube
- A sense of feeling like you need to swallow something or difficulty swallowing
- Excess production of the thyroid hormone, thyroxine which include:
- Unexplained weight loss
- Rapid or irregular heart rate
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Physician Volume And Expertise
Keep in mind, as well, that the likelihood of a complication occurring is much less with an experienced surgeon. With this in mind, it’s a good idea to ask your surgeon how many thyroidectomies she has performed in the past. You may also wish to ask about her complication rate, but this is not necessarily an accurate measure of competence .
Thyroid Goiter: When Is A Radioiodine Scan Ordered
If you have a thyroid goiter and your blood tests also demonstrate that your thyroid hormone level is too high , this is the only instance that a radioiodine scan is indicated. In these cases, the thyroid stimulating hormone will be very low and in cases of Grave’s disease, the thyroid stimulating immunoglobulin will be very high. The thyroid goiter patient may or may not have recognized symptoms of their hyperthyroidism.
During the thyroid scan, the patient will be given a small amount of radioactive iodine in a pill and a special imaging camera is utilized to determine how much iodine is taken up by the thyroid gland and if the thyroid goiter takes up iodine throughout the thyroid gland or whether there is a single “hot” area in the thyroid , relative to the remainder of the thyroid gland . If a thyroid nodule has less iodine uptake than the rest of the thyroid gland, then the thyroid nodule is called a “cold nodule”. In patients with multinodular goiter, frequently several of the nodules of the thyroid will be cystic and filled with fluid. These cystic areas of a multinodular goiter are expected to take up less iodine than the rest of the gland and appear “cold”.
Hot nodules are almost always non-cancerous but the preferred management of hot nodules is frequently surgery since it is a clear, safe and 100% effective therapy for the hyperthyroidism.
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Causes: Pituitary Gland Problems
Thyroid disease may begin in the pituitary gland. The pituitary is located at the base of your brain. It controls the functions of many other glands in the body, including the thyroid. This gland produces TSH, which signals the thyroid gland to make thyroid hormones.
If there is a problem with your pituitary and not enough TSH is produced, thyroid problems can result. Inflammation of the thyroid and taking certain medications can also cause low thyroid hormone levels.
Other Symptoms Associated With Thyroid Pain
Conditions that cause thyroid pain also tend to cause problems with the thyroid gland itself.;
Your thyroid gland helps produce some of the most powerful hormones in your entire body: T3 and T4 thyroid hormone.;
If there is any damage to the thyroid gland, either from inflammation or an infection, then the ability of your gland to produce these hormones may be compromised.;
Inflammation and pain in the thyroid gland almost always come with some disruption to thyroid hormones.;
This means that the chances are quite high that if you have thyroid pain then you will also have other symptoms accompanying that pain.;
Disruption of thyroid hormones tends to follow a typical course of symptoms.;
If you fall into this category then you will most likely start out feeling the symptoms associated with hyperthyroidism.;
Hyperthyroidism is the result of excessive thyroid hormone production.;
So when your thyroid is damaged by inflammation it responds by INCREASING the amount of thyroid hormone it produces.;
This causes a “flush” in the system which temporarily causes too much thyroid hormone in your body.;
During this phase, you may feel symptoms such as:
- And an increased body temperature
These symptoms tend to fade over a period of a few weeks to months.;
It is during this time-frame that you might present to your Doctor knowing that something is “off”.;
Once the hyperthyroid symptoms fade you will then most likely experience the exact opposite which is known as hypothyroidism.;
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