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When To Worry About Thyroid Nodules

The Worst Foods For The Thyroid

Thyroid Nodules – When to Worry? (Signs your nodule could be something more)

For thyroid health, it is most helpful to avoid certain foods.;;Among these are:

1.Sugars, including even fruit sugars, fruit juices and many others.;;The reason is that sugars often cause a sympathetic nervous system reaction in the body.;;This is not helpful for the thyroid and adrenal glands at all.

2. Most Soy products.;;These contain thyroid inhibitors in many cases.;;Especially avoid all unfermented Soy such as Soy protein powders, Hamburger Helper, and many others.;;Tofu and;tempeh;are not quite as bad, but not highly recommended foods, either.;;They are lower quality protein foods that are fine once in a while, but not as staples.

3. Tap water.;Drinking tap water, even carbon filtered tap water, will increase your intake of toxic fluorides and chlorine compounds as well.;;;This is why I recommend spring water only. Do not drink reverse osmosis water;in your effort to obtain clean water.;;Reverse osmosis water does not seem to hydrate the body well in most cases, and makes the body more yin.;;It is also seriously deficient in trace minerals.;;For a much more complete discussion on water, read;Water For Drinking.

4. Foods made with tap water.;;These tend to contain chlorides and usually fluorides in America that are direct thyroid antagonists.;;They include hundreds of prepared items such as breads, beverages like teas and coffees in restaurants, soda pop and many other prepared foods.

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Expert Evaluation Of Thyroid Nodules Is Very Important

Expert evaluation and surgical planning for thyroid nodules is a must. The wrong surgery or one performed with unskilled and inexperienced hands can have devastating complications and lead to additional surgeries down the line. The correct surgery for a thyroid nodule performed adeptly the first time essentially eliminates complications and the need for further surgery. The extent of the operation, including total removal of the thyroid gland versus removal of half of the thyroid gland , are discussed in more detail here.

Summary About Thyroid Nodules

To wrap up, thyroid nodules are very common, more so in women than men. While most thyroid nodules are benign, surgery is necessary in many cases, particularly for thyroid cancers. Finding an expert team to work-up, diagnose, and treat your thyroid nodule is essential. Inexperience in evaluation, biopsy, and surgery for thyroid nodules will lead to poor outcomes and complications. Entrust only the best when it comes to care and treatment of your thyroid nodules!

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.
  • Bleeding.
  • Fluid collection under the skin.
  • The need for future procedures such as removal of the lymph nodes from the neck.

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Ultrasound Testing & Manual Exams

There are really three different ways to test or evaluate your thyroid nodule.;

The first is with a manual exam, usually performed by your doctor.;

This is an easy way to test whether or not you need further testing.;

Your doctor can do this when you visit him/her in the office.;

This test is usually done by manually feeling or palpating the thyroid gland while the patient is taking a drink of water.;

The second is with ultrasound testing, usually performed by an ultrasound technician and read by a radiologist.;

Ultrasound testing can help you to understand if your thyroid nodule looks suspicious or not.;

There are certain factors, or characteristics, which, if present, may increase your risk of having thyroid cancer.;

These factors include:;

  • The presence of absence of calcificationMicrocalcifications found within thyroid nodules may suggest the presence of thyroid cancer.;
  • The shape of the nodule – If your thyroid nodule is taller than it is wide then that is a risk factor for thyroid cancer.;
  • The vascularity of the nodule – The presence of vascularity by Doppler ultrasound is also suspicious for thyroid cancer.;
  • The margins of the nodule – Nodules which have irregular borders, which look ‘infiltrative’ , or which have speculated margins are all suspicious.;

Your ultrasound report should include this information and you can request this information from your primary care doctor or your radiologist.;

The third is with a biopsy, usually guided by an ultrasound.;

At What Size Should A Thyroid Nodule Be Biopsied

When Should you Worry About Thyroid Nodules? 6 Signs to ...

According to the Society of Radiologists in Ultrasound, biopsy should be performed on a nodule 1 cm in diameter or larger with microcalcifications, 1.5 cm in diameter or larger that is solid or has coarse calcifications, and 2 cm in diameter or larger that has mixed solid and cystic components, and a nodule that has

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How Common Are Thyroid Nodules

Thyroid nodules are very common, especially in the U.S. In fact, experts estimate that about half of Americans will have one by the time theyre 60 years old. Some are solid, and some are fluid-filled cysts. Others are mixed.

Because many thyroid nodules dont have symptoms, people may not even know theyre there. In other cases, the nodules can get big enough to cause problems. But even larger thyroid nodules are treatable, sometimes even without surgery.

Thyroid Nodule Symptoms: Uncommon But Can Happen

Thyroid nodule patients usually have no symptoms, but when they do have symptoms they are most commonly:

  • A lump in the neck
  • Uncomfortable pressure sensation on the breathing tube
  • A sense of feeling like they need to swallow something or difficulty swallowing
  • Discomfort in the neck

Thyroid nodules may also rarely produce the thyroid hormone, thyroxine, in excess. This is uncommon but the reason why all patients with thyroid nodules should have a blood test for thyroid stimulating hormone . Thyroid nodules that produce extra thyroid hormone can cause symptoms of hyperthyroidism which include:

  • Unexplained weight loss
  • Nervousness
  • Rapid or irregular heart rate

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Whats The Treatment For A Thyroid Nodule

Even a benign growth on your thyroid gland can cause symptoms. If a thyroid nodule is causing voice or swallowing problems, your doctor may recommend treating it with surgery to remove all or part of the thyroid gland.

If the doctor recommends removal of your thyroid , you may not even have to worry about a scar on your neck. Some patients are good candidates for a scarless thyroid procedure, where the surgeon reaches the thyroid through an incision made on the inside of your lower lip.

A newer alternative that the doctor can use to treat benign nodules in an office setting is called radiofrequency ablation . Radiofrequency ablation uses a probe to access the benign nodule under ultrasound guidance, and then treats it with electrical current and heat that shrinks the nodule. Its simple: Most people treated with RFA are back to their normal activities the next day with no problems.

The Johns Hopkins; Thyroid and Parathyroid Center

Our thyroid experts in the head and neck endocrine surgery team diagnose and treat patients with a variety of thyroid and parathyroid conditions. Learn about what we offer at our center.

What Is The Thyroid Gland

590: Thyroid Swelling & Thyroid Nodules When to worry?

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.

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Should I Worry About Thyroid Nodules

Youve just been told by a primary care physician you have thyroid nodules. It might sound like a worrisome thing, but it isnt that unusual. Nearly one-half of the U.S. population has them and most of the time they are benign. However, you should still have an expert evaluate them. We asked endocrinologist Dr. Dev Abraham at the University of Utah Thyroid Clinic to tell us more about thyroid nodules, how he evaluates them and one important thing to keep in mind even if they do turn out to be cancerous.


A lot of times, Dr. Abraham, from what I understand, people find out about these thyroid nodules while the doctor was looking for something else and then they’re told, “You have thyroid nodules.” Should that person worry at that point?

Dr. Abraham:


Dr. Abraham:


Dr. Abraham:

So we look at the risk factors in patients and also the size and features of the nodule. And we perform what is called fine needle aspiration biopsy during the same visit.


Dr. Abraham:


Dr. Abraham:


Dr. Abraham:

So now we know that what we call this microscopic, or sub-clinical, thyroid cancer is literally common in general population that we cannot even use sometimes an ultrasound to diagnose. And these cancers coexist with us and we die of something else. And simply diagnosing these causes more harm is what came out of that study.


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 .

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What Is A Toxic Thyroid Nodule

Ultrasound scan in transverse section of the thyroid gland of a 73-year-old female patient, showing a hot nodule in one thyroid lobe corresponding to a toxic adenoma.

A toxic thyroid nodule causes hyperthyroidism .;This occurs when a single nodule grows on the thyroid gland causing it to become enlarged and produce excess thyroid hormones. If the increased hormone production is coming from a single nodule in the gland, this is called toxic adenoma. If there are many nodules causing the hyperthyroidism, this is referred to as multinodular goitre.

Most Thyroid Nodules Are Benign But Some Thyroid Nodules Are Thyroid Cancer

What to do with a thyroid nodule

A small percentage of thyroid nodules are malignant . You can not tell if a thyroid nodule is malignant due to symptoms or lack of symptoms. Those thyroid nodules that are cancer, tend to be very slow growing. The very rare thyroid nodule that is an aggressive thyroid cancer may present with a large thyroid mass, firm or non-mobile mass or even change in vocal quality. Only in these very rare circumstances, when the thyroid nodule is an aggressive thyroid cancer, is there an urgent need for prompt evaluation and thyroid cancer surgery by the most highly experienced thyroid cancer surgeon. Otherwise, thoughtful evaluation and consultation by an expert thyroid cancer surgeon is required for thyroid nodules. In other words, the vast majority of thyroid nodules can be worked up without a sense of urgency. Don’t make rash, quick decisions–thyroid nodules in almost all cases provide plenty of time to get figured out. So chill if you are here because you just found out you have a thyroid nodule. Read and understand what this means. And realize that in almost all cases, you have time to figure this out! We have created a Thyroid Nodule and Cancer Guide app to help, you can to better understand your thyroid nodule, determine what you “next steps” are, and examine your risk of thyroid cancer.

Watch a video at

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Natural Remedies For Symptoms Of Thyroid Disease

1. Avoid Iodine Deficiency

Its well known that iodine status is a key determinant of thyroid disorders. Iodine deficiency can cause hypothyroidism; and goiters because the mineral helps to convert and release thyroid hormones. Thyroid disorders that are caused by low iodine levels can cause heart complications, sluggish metabolism, weight fluctuations and mood changes.

There are a few ways to avoid iodine deficiency, with the most important step being eating iodine-rich foods like seaweed, wild-caught cod, organic yogurt, raw milk and eggs. Iodine supplements are also available and when taken in low doses, can help to normalize the production of thyroid hormones. But only use iodine supplements under the care of your doctor and make sure you are being monitored for side effects. High doses of iodine can actually aggravate thyroid disorder symptoms.

2. Eat Foods High in Selenium, Zinc and B Vitamins

To improve symptoms of thyroid disease, make sure you are getting enough selenium, zinc and B vitamins in your diet. These nutrients are needed for proper thyroid function and will help to balance your thyroid hormone levels.

Did you know that the thyroid is the organ with the largest content of selenium? The mineral is needed for the conversion of hormones T4 and T3. Some of the best selenium foods that can be added to your diet to improve thyroid function include Brazil nuts, sunflower seeds, pinto beans, halibut, grass-fed beef, wild-caught salmon and organic oats.

Questions To Ask Your Doctor

  • Is my thyroid nodule cancer? If it isnt now, does this mean that I am more prone to developing thyroid cancer?
  • Will my children be more likely to get thyroid nodules?
  • What is the best treatment for my thyroid nodules?
  • If I have one thyroid nodule now and it goes away, will it come back?
  • What can I do at home to prevent thyroid nodules?
  • Do you have any educational materials I can read?
  • Can you recommend any websites?

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Thyroid Nodule Treatment Options

Most nodules, benign or cancerous, are not an immediate health risk. However, as with most conditions, treating the issue early is less intensive and less invasive than waiting until it becomes serious.;

The treatment your endocrinologist recommends will depend upon the nodule characteristics:

If you are diagnosed with a thyroid nodule, dont panic.;The majority of thyroid nodules are benign, and most do not require surgery. See an endocrinologist to find the most effective treatment option for you and to get your questions answered.

To find out whether you or a loved one might benefit from a thyroid exam or a second opinion, call or;request an appointment online.

Living With Thyroid Nodules

Thyroid Nodules: Causes, Symptoms & Treatments | Dr. Kannan

Most people who have thyroid nodules lead a normal life. You might need to check in with your doctor more often, but there usually are no complications.

If you do have complications, they can include problems swallowing or breathing. You may also sustain significant weight gain or weight loss. Work with your doctor to treat these symptoms.

If your thyroid nodules are a symptom of thyroid;cancer, you may need surgery. During the surgery, the doctor will remove most, if not all, of your thyroid. Following the surgery, youll take daily thyroid replacement hormones for the rest of your life.

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Thyroid Health: Should You Worry About Thyroid Nodules

Thyroid nodules are solid or fluid-filled lumps that can develop in the thyroid gland. They are relatively common and rarely cancerous. About 70% of women above 60 years of age have nodules in their thyroid that are detected on ultrasound; in men nodules are less common but also not rare. You can have a single nodule or a cluster of nodules in this small, butterfly-shaped gland near your voice box and in front of your windpipe .

How Big Is Too Big

When it comes to thyroid nodules, the size matters quite a bit.;

Studies have shown time and time again that larger thyroid nodules tend to turn into thyroid cancer at a higher rate compared to smaller thyroid nodules.;

The magic number in terms of size is 1 cm or 10mm.;

But size isn’t the only thing that matters.;

For instance:

It has been shown that even small thyroid nodules can be cancerous if they have certain and specific findings on thyroid ultrasound.;

The number of nodules and their size are not predictive of malignancy, as a nodule smaller than 1 cm is as likely as a larger nodule to harbor neoplastic cells in the presence of suspicious US features.

Thyroid Nodules by Popoveniuc and Jonklaas

For this reason, you never want to judge the risk of thyroid cancer based on the size of your nodule alone.;

You will notice that while the size is certainly a risk factor, you should also look at other risk factors including whether or not the nodule is causing symptoms, your age, and what the nodule looks like on ultrasound.;

As a patient, though, you can use the size of your nodule as a quick and dirty way to assess whether or not you should be worried.;

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U4 Suspicious Thyroid Nodule

    I am new to this forum,;though not new to Cancer Research and I just need a bit of support as dying with worry.

    I was diagnosised with a thyroid nodule 3 months ago while abroad and complaining that ;I was feeling constantly exhausted, gaining;weight gain, losing hair and having dry skin. I saw an endocrinologist who from blood test results diagnosided me with sub-clinical hypothiroidsm and prescribed Levothyroxine. The ultrasound scan showed a thyroid nodule of less than 1cm and with normal features. The endocrinologist advised to repeat the ultrasound scan after 3 months to check no changes had happened.;

    Now 3months ;later and back in the UK,still feeling tired and;;having had frequent coldswith;sore throats, my GP sent me for a follow up thyrroid scan. I got;;the results and they show that the nodule has grown and now is over 1cm, is solid, has a calcification and is vascularised both;internally and peripherally and it has been classified as U4- suspicious. In addtion to that there is also another nodule less than 1cm which has been classified as U2-benign. The radiologist have strongly recommended a FNA and referral to head and neck clinic and my GP has referred me urgently.

    ;twice ;in the last few years , I am scared I might be the next one.

    Has anyone had similar results and can share their experience? I hope I can get some answers once I see the endocrinologist on Monday and get the FNA done soon but right now I can’t get my mind off this.


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