What Are The Risks Of Removing The Thyroid Gland
Behind your childs thyroid gland runs the recurrent laryngeal nerves that help to move the vocal folds and the parathyroid glands which help regulate their bodys calcium levels.
Some of the major risk factors following the removal of the thyroid gland are:
- A hoarse/breathy voice.
- Low calcium levels.
After surgery your child will need to take a medication to supplement the thyroid function and in some cases a medication to keep calcium levels elevated.
Other risk factors include:
- A scar on the neck.
- Fluid collection under the skin.
- The need for future procedures such as removal of the lymph nodes from the neck.
Causes Of An Enlarged Thyroid
Knowing that your thyroid is enlarged is not a diagnosis by itself.
Its more helpful to think of an enlarged thyroid gland as an observation or as a description of what is happening.
This is because there are actually many different conditions which result in thyroid gland enlargement.
These conditions range from infections, inflammation of the gland, nutrient deficiencies, cancer and even autoimmune disease.
An important part of treating an enlarged thyroid gland is correctly identifying and diagnosing what is happening.
This important step can be done through blood testing and imaging .
The range of medical conditions which can cause thyroid gland enlargement include:
These diseases can be differentiated based on how they present , how they affect the size of your thyroid gland , how they look on ultrasound imaging and how they affect thyroid hormone production.
Where Thyroid Cancer Starts
The thyroid gland is in the front part of the neck, below the thyroid cartilage . In most people, the thyroid cannot be seen or felt. It is shaped like a butterfly, with 2 lobes the right lobe and the left lobe joined by a narrow piece of gland called the isthmus.
The thyroid gland has 2 main types of cells:
- Follicular cells use iodine from the blood to make thyroid hormones, which help regulate a persons metabolism. Having too much thyroid hormone can cause a fast or irregular heartbeat, trouble sleeping, nervousness, hunger, weight loss, and a feeling of being too warm. Having too little hormone causes a person to slow down, feel tired, and gain weight. The amount of thyroid hormone released by the thyroid is regulated by the pituitary gland at the base of the brain, which makes a substance called thyroid-stimulating hormone .
- C cells make calcitonin, a hormone that helps control how the body uses calcium.
Other, less common cells in the thyroid gland include immune system cells and supportive cells.
Different cancers develop from each kind of cell. The differences are important because they affect how serious the cancer is and what type of treatment is needed.
Many types of growths and tumors can develop in the thyroid gland. Most of these are benign but others are malignant , which means they can spread into nearby tissues and to other parts of the body.
You May Like: Can You Take Collagen With Thyroid Medicine
Can I Check My Thyroid At Home
You can do a quick and easy self-exam of your thyroid at home. The only tools you need to do this self-exam are a mirror and a glass of water.
To do the thyroid self-exam, follow these steps:
- Start by identifying where your thyroid is located. Generally, youll find the thyroid on the front of your neck, between your collar bone and Adams apple. In men, the Adams apple is much easier to see. For women, its usually easiest to look from the collar bone up.
- Tip your head back while looking in a mirror. Look at your neck and try to hone in on the space you will be looking once you start the exam.
- Once youre ready, take a drink of water while your head is tilted back. Watch your thyroid as you swallow. During this test, youre looking for lumps or bumps. You may be able to see them when you swallow the water.
Repeat this test a few times to get a good look at your thyroid. If you see any lumps or bumps, reach out to your healthcare provider.
What Problems Can Happen
The thyroid works kind of like the thermostat in a house. When the thyroid makes the right amount of thyroid hormones, it keeps the temperature just right. But:
- If the thyroid is too active and makes too much T4 and T3, it’s like having a thermostat that’s set too high, so the house gets overheated. This is called hyperthyroidism .
- If it’s not active enough , it’s set too low and the house is too cold. This is hypothyroidism .
When a kid has one of these thyroid problems, doctors can treat it with medicine or, sometimes, surgery.
Don’t Miss: Double Chin Caused By Thyroid
Too Much Thyroid Hormone Medicine
Some people who take thyroid hormone medicine for hypothyroidism may take too much. If you take thyroid hormone medicine, see your doctor at least once a year to have your thyroid hormone levels checked. You may need to adjust your dose if your doctor finds your thyroid hormone level is too high.
Some other medicines may also interact with thyroid hormone medicine and raise hormone levels. If you take thyroid hormone medicine, ask your doctor about interactions when starting new medicines.
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:
- An infectious abscess
- 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.
However, if you want to try it, this article will discuss all the necessary steps for performing a thyroid neck check at home.
Verywell / Emily Roberts
Read Also: Double Chin And Thyroid
How Is Thyroid Disease Treated
Your healthcare providers goal is to return your thyroid hormone levels to normal. This can be done in a variety of ways and each specific treatment will depend on the cause of your thyroid condition.
If you have high levels of thyroid hormones , treatment options can include:
- Anti-thyroid drugs : These are medications that stop your thyroid from making hormones.
- Radioactive iodine: This treatment damages the cells of your thyroid, preventing it from making high levels of thyroid hormones.
- Beta blockers: These medications dont change the amount of hormones in your body, but they help control your symptoms.
- Surgery: A more permanent form of treatment, your healthcare provider may surgically remove your thyroid . This will stop it from creating hormones. However, you will need to take thyroid replacement hormones for the rest of your life.
If you have low levels of thyroid hormones , the main treatment option is:
- Thyroid replacement medication: This drug is a synthetic way to add thyroid hormones back into your body. One drug thats commonly used is called levothyroxine. By using a medication, you can control thyroid disease and live a normal life.
What About Thyroid Cancer
Thyroid cancer is uncommon and is among the least deadly. The main symptom is a lump or swelling in the neck, and only about 5% of thyroid nodules turn out to be cancerous. When thyroid cancer is diagnosed, it is most often treated with surgery followed by radioactive iodine therapy or, in some cases, external radiation therapy.
Recommended Reading: What Does Negative Thyroid Antibodies Mean
How Are Thyroid Nodules Treated
Treatment depends on the type of thyroid nodule. Treatment options include:
- No treatment/”watchful waiting.” If the nodules are not cancerous, you and your doctor may decide that you dont need to be treated at this time. You will see your doctor on a regular basis so he or she can watch for any changes in the nodules.
- Radioactive iodine. Your doctor may use radioactive iodine to treat hyperfunctioning thyroid nodules and goiters with several nodules. The radioactive iodine is absorbed into the thyroid gland, causing the nodules to shrink. Pregnant women and women trying to become pregnant should not have this treatment.
- Surgery. Surgery to take out the nodules is the best treatment for nodules that are cancerous, cause “obstructive symptoms” , and are suspicious .
Goiter Diagnosis And Treatment
Your doctor will feel your neck area and have you swallow during a routine physical exam. Blood tests will reveal the levels of thyroid hormone, TSH, and antibodies in your bloodstream. This will diagnose thyroid disorders that are often a cause of goiter. An ultrasound of the thyroid can check for swelling or nodules.
Goiter is usually treated only when it becomes severe enough to cause symptoms. You can take small doses of iodine if goiter is the result of iodine deficiency. Radioactive iodine can shrink the thyroid gland. Surgery will remove all or part of the gland. The treatments usually overlap because goiter is often a symptom of hyperthyroidism.
Goiters are often associated with highly treatable thyroid disorders, such as Graves disease. Although goiters arent usually a cause for concern, they can cause serious complications if theyre left untreated. These complications can include difficulty breathing and swallowing.
T3 And T4 Interpretations
- A normal TSH and normal T4 show a normal thyroid
- A low TSH and high T4 generally means an overactive thyroid
- A high TSH and low T4 means an underactive thyroid
- A low TSH and low T4 mean low thyroid function because of another problem, such as with the pituitary gland or hypothalamus of the brain
A low T3 value with a high TSH value is diagnostic evidence of low thyroid function. By contrast, a low TSH value with a high T3 value is the opposite, and means an overactive thyroid.
What Is The Thyroid Gland
The thyroid gland is a butterfly-shaped endocrine gland that is normally located in the lower front of the neck. The thyroids job is to make thyroid hormones, which are secreted into the blood and then carried to every tissue in the body. Thyroid hormone helps the body use energy, stay warm and keep the brain, heart, muscles, and other organs working as they should.
Recommended Reading: How Long For Armour Thyroid To Leave System
You May Like: Does Graves Disease Ever Go Away
Ultrasound Classification : Indeterminate/equivocal
On assessment of the thyroid nodule, there are situations in which, among a collection of benign sonographic appearances, there are certain features that place doubt on the diagnosis. Occasionally, the nodule may be markedly hyper-echogenic , or part of the nodule may appear cystic and contain echogenic foci . Further Doppler assessment of the nodule may demonstrate a mixture of both peripheral and intra-nodular vascularity . These sonographic features are classified as indeterminate. FNAC should be performed, taking into consideration the clinical information .
Ultrasound Classification : Suspicious Thyroid Nodule
Thyroid nodules in this category are considered to be suspicious for malignancy, and all these nodules should be further investigated with FNAC . The first distinctive feature of these suspicious nodules is their hypo-echogenicity . The echo signals of the nodule or part of the nodule are less than the surrounding normal thyroid tissue and sometimes lower than the nearby muscle . It is important to note that these nodules are hypo-echogenic, but they are also predominantly solid in consistency. This property makes their echo signals higher than those of a cystic nodule, which is dark and echo-free. On a spectrum from highest to lowest likelihood of malignancy, predominantly solid nodules have the highest risk, while mixed solid/cystic sit in the middle, and cystic or spongiform have the lowest risk . Furthermore, the suspicious nodule may have disrupted eggshell calcification around the peripheries or lost its smooth round contour, and adopted a lobulated margin . A U4 thyroid nodule is hypo-echogenic, with an irregular outline and possible disrupted calcification at the edges.
Read Also: Atrophic Autoimmune Hypothyroidism
I Think I Feel A Lump/thyroid Nodule Now What
Typically, the nodule will feel firmer than the rest of the thyroid gland, but You should look for asymmetry, and if you can palpate something that counts, explains Lorch.
If you feel a nodule, you should contact your doctor, Lorch says.
Patients are sent to an endocrinologist, where an ultrasound can determine if the thyroid gland lump looks suspicious. If it does, the endocrinologist or pathologist will use a small needle to remove tissue or fluid from the thyroid to examine it for cancer cells.
Thyroid nodules are very common and frequently reported, and the overwhelming odds are that they will be benign, Lorch adds.
Although the chances are low that a thyroid lump is cancerous, early detection is important. If you feel any changes to your thyroid glands or are experiencing symptoms like tenderness or difficulty swallowing, it is important to talk to your doctor.
Thyroid cancer is a very curable disease it just needs to be treated right away, Lorch says.
What Does Low Tsh Mean
If your blood test determines that you have low TSH, it means that your thyroid is producing too much thyroid hormone a condition known as hyperthyroidism. If your healthcare provider determines you have an overactive thyroid, they may recommend medication to restrict thyroid hormone production by the thyroid to return your levels to a healthy range.
The most common symptoms of hyperthyroidism are:
- Trouble sleeping
You May Like: Will Graves Disease Go Away
Enlarged Thyroid Gland In Neck
The activity of the thyroid gland is predominantly regulated by the concentration of the pituitary glycoprotein hormone, thyroid-stimulating hormone . In the absence of the pituitary or of thyrotroph function, hypothyroidism ensues. Thus, regulation of thyroid function in normal individuals is to a large extent determined by the factors which regulate the synthesis and secretion of TSH.
Stage : Progression To Other Autoimmune Disorders
Having Hashimotos puts a person at greater risk for developing another autoimmune condition like celiac disease, psoriasis, Sjogrens, rheumatoid arthritis, lupus, multiple sclerosis, and many others
This is a progression of the autoimmune response as the immune system continues to be imbalanced, it may find additional glands and body tissues to attack, such as the small intestine in celiac disease, saliva and tear glands in Sjogrens, and the joints in rheumatoid arthritis.
At this stage, the person will have been likely treated with thyroid medications, so if they are receiving ideal treatment, their TSH, Free T3, and Free T4 numbers should be in a good range.
But, unfortunately, thyroid medications and removing the thyroid gland do nothing to stop the disease progression.
If a person is not well controlled with medications, has an enlarged thyroid gland, out of control antibodies, Graves disease, thyroid nodules, or thyroid cancer, or is not able to have balanced thyroid hormones as they swing from hyper/hypothyroidism, some doctors may recommend surgical removal of the thyroid gland.
Removing the thyroid gland will eliminate thyroid antibodies, but unfortunately, will not stop the autoimmune progression.
Additionally, people who have had their thyroid glands removed may suffer adverse reactions from these procedures and will need to take thyroid medications for the rest of their lives.
Recommended Reading: Thyroid Mouth Sores
This Woman’s Viral Photo Shows What A Thyroid Cancer Lump Looks Like
A before-and-after photo reveals a lump she never realized she had.
The thyroid is a complex part of the body, so it’s no wonder diagnosing thyroid-related diseases like Hashimoto’s disease, Graves’ disease, or thyroid cancer can be extremely difficult. Now, one woman is raising awareness of thyroid cancer symptoms on Twitter. Last Wednesday, Lorna Brown tweeted a photo of her neck before and after a thyroid operation.
In her post titled “Thyroid Cancer – What to Look for From Someone Who Knows,” Brown explains the photo on the left was taken by her brother almost a year before her thyroid cancer diagnosis. “You can clearly see the lump on my neck, here in this picture. Yet we missed it at the time!” she writes. Brown goes on to explain that the lump on her neck is a telltale sign of thyroid cancersomething she never knew before her diagnosis. “Please check your neck, and look at others around you,” she urges readers. “Most thryroid cysts are benign, but some aren’t. Mine certainly wasn’t.”
Brown’s suggestion is a smart one. More than 30 million Americans have a thyroid disorder and more than 60,000 Americans are affected by thyroid cancer annually. The most common symptom of thyroid cancer is a hard lump on the neckbut most patients experience no symptoms at all. Two in three cases of thyroid cancer occur in people under age 55, and 75% of thyroid cancer cases occur women.
Signs Your Thyroid Isnt Working Right
by The Surgical Clinic |
The thyroid gland is an important part of the endocrine system. This butterfly-shaped organ regulates important hormones that influence many functions in your body. These hormones also influence how well your body performs physically and mentally. So, if youre feeling unwell with no other explanation, your body might be giving you signs that your thyroid is off.
Keep in mind, your body is a complicated and intricate system that operates on many levels of performance. However, over time many factors can build up and disrupt the balance of your body. Specifically, your systems can become overactive or underactive in order to compensate or respond to these factors.
Thyroid function problems, in particular, occur when the thyroid either becomes under or overused. These conditions are called hypothyroidism and hyperthyroidism, respectively. Both of these conditions can cause several problems. In order to explore twenty signs of thyroid problems, our Nashville, TN surgeons have divided them into ten signs for each of these separate conditions.