I have a goiter but normal thyroid blood tests?
Topic: I have a goiter but normal thyroid blood tests?
November 17, 2019 / By Athelstan Question:
I'm in my early 20s and have a number of autoimmune diseases, Celiac Disease, early Sjogren's Syndrome/Lupus and Psoriasis and Psoriatic Arthritis. I also have a liver condition which is caused by my immune system irritating it and causing inflammation. I'm on Plaquenil, Prednisone and Meloxicam.
I have a family history of autoimmune diseases, Hashimoto's, Celiac Disease and Rheumatoid Arthritis.
When I was about 17 years old, my GP first noticed I had a goiter. Since then a number of my doctors have mentioned it. I've had my TSH and Free T3 and Free T4 done a number of times and they've all be within the normal (0.5-5.0) range. My doctor has said that they cannot feel any nodules. But I do feel pressure and difficulty swallowing which may or may not be from the goiter.
I do not believe an iodine deficiency is the cause of my goiter, I get plenty of iodized salt.
I have symptoms that aren't really explained by my other conditions like low body temperature (94.6-95.5F usually), dry and brittle nails and hair, fatigue, I'm always feeling cold, husky voice, Raynaud's, very low blood pressure (it's been as low at 60/50) and dizziness.
My doctors aren't worried because my blood tests for thyroid stuff have been normal.
Should I worry about it or am I fine?
Best Answers: I have a goiter but normal thyroid blood tests?
Verthandi | 10 days ago
I suggest you change your doctor. Get second or third opinions about the thyroid. There are some that don't pay attention to the TSH but concentrate on other tests and symptoms that you're having.
Even though you get plenty of iodized salt, it doesn't mean you can't get a goiter or have an iodine deficiency.
You really need to find good doctors who can treat your autoimmune conditions and educate you about them. Many of your symptoms can be related to them. A husky voice is not a symptom.
I also suggest you see a cardiologist to see what's going on with the blood pressure. Once that can be stabilized, you might not have the dizziness or fatigue.
Alot of these symptoms go together or can be solved by fixing one or two of them.
You need to be more proactive in your health care. If you feel something is not right and you have all these illnesses, then you need to have doctors that want to help you.
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Originally Answered: Does multinodular goiter with slightly elevated thyroid antibodies indicate autoimmune thyroid disease?
Yes..it sounds like hashimotos thyroiditis, which in its early stages cyclically raises and lowers thyroxine levels. There are no meds which will stop the autoimmune destruction of the gland. As the disease progresses you may need to have the nodules drained and biopsied (sounds nasty but it really doesnt hurt much). Eventually you will become hypothyroid and at that point your doctor will prescribe replacment hormone taken orally. Good luck.
First off, you need to get a copy of your tests, and then go check on what 'normal' actually is vs. what the tests say is normal. That last time I did research on this, what the tests were calling normal was, well, a load of manure. Less than 5 was considered normal in one test, for example, but the majority of people, something like over 90%, had levels that were 1.5 or less. So for most people, over this was abnormal but they wouldn't get any help until it was REALLY abnormal. Some endos will call these results abnormal, usually the ones who are paying attention. You might be able to get your results and see if you can get a second opinion, or bring in some of your research own to the doc and change his mind. Right now, I'd bet that your results are on the far end of normal, in a range that some would consider not normal at all.
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I have a goiter but normal thyroid blood tests?
I'm in my early 20s and have a number of autoimmune diseases, Celiac Disease, early Sjogren's Syndrome/Lupus and Psoriasis and Psoriatic Arthritis. I also have a liver condition which is caused by my immune system irritating it and causing inflammation. I'm on Plaquenil, Prednisone and...
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look at wilsons temperature syndrome you have the classic T3 deficiency symptoms you need time release triiodothyronine (T3) probably 60-100 mcgm a day and I would guess ALL your symptoms would diminish or disappear, it isn't technically a thyroid problem so the levels look OK it is your body failing to recognize or be able to use the T4 and convert it to usable T3 the active hormone, this can be because of antibodies , selenium deficiency, isomer confusion, or several other cellular reasons
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We often see hypothyroid symptoms totally reversed when commits to a plan that supports balance through nutrition and daily self-care. Learn here https://tr.im/cHraz
Consume foods naturally high in B vitamins, such as whole grains, nuts, and seeds, and iodine (fish, seaweed, vegetables and root vegetables).
Exercise daily, at least 30–60 minutes per day, 4–5 times a week.
Practice deep breathing and other techniques that trigger the “relaxation response” – such as meditation and guided visualization.
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you should get an x-ray for that. that could be a tumor. those symptoms could be from something else.
maybe you have a low normal T3 count. if the thyroid gland regulates metabolism, and t3 is low, then that may account for your fatigue and dizziness. or maybe you're not eating a lot, since your BP is low.
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A good number of your symptoms could be caused by the thyroid not functioning properly. I would see and endocrinologist and also have a discussion with your rheumatologist. You need all your doctors to be on the same page. They won't do this unless you make it happen. I personally hand carry copies of my records to each doctor. Once you hand them the records, they have to become part of your medical chart. It also causes the doctor to pay some attention to what the others have done and are saying.
If all else fails, you can make an appointment at a teaching hospital, Johns Hopkins, or the Mayo. Sometimes, when your issues are complicated, you needa place that really digs in to make a diagnosis.
Your thyroid gland produces two main hormones — thyroxine and triiodothyronine (T-3). These hormones circulate in your bloodstream and help regulate your metabolism. They maintain the rate at which your body uses fats and carbohydrates, help control your body temperature, influence your heart rate, and help regulate the production of proteins. Your thyroid gland also produces calcitonin — a hormone that helps regulate the amount of calcium in your blood.
Your pituitary gland and hypothalamus control the rate at which these hormones are produced and released. The process begins when the hypothalamus — an area at the base of your brain that acts as a thermostat for your whole system — signals your pituitary gland to make a hormone known as thyroid-stimulating hormone (TSH). Your pituitary gland — also located at the base of your brain — releases a certain amount of TSH, depending on how much thyroxine and T-3 are in your blood. Your thyroid gland, in turn, regulates its production of hormones based on the amount of TSH it receives from the pituitary gland.
Having a goiter doesn't necessarily mean that your thyroid gland isn't working normally. Even when it's enlarged, your thyroid may produce normal amounts of hormones. It might also, however, produce too much or too little thyroxine and T-3.
A number of factors can cause your thyroid gland to enlarge. Among the most common are:
Iodine deficiency. Iodine, which is essential for the production of thyroid hormones, is found primarily in seawater and in the soil in coastal areas. In the developing world, people who live inland or at high elevations are often iodine-deficient and can develop goiter when the thyroid enlarges in an effort to obtain more iodine. The initial iodine deficiency may be made even worse by a diet high in hormone-inhibiting foods, such as cabbage, broccoli and cauliflower. Although a lack of dietary iodine is the main cause of goiter in many parts of the world, this is not the case in countries where iodine is routinely added to table salt and other foods.
Graves' disease. Goiter can sometimes occur when your thyroid gland produces too much thyroid hormone (hyperthyroidism). In Graves' disease, antibodies produced by your immune system mistakenly attack your thyroid gland, causing it to produce excess thyroxine. This overstimulation causes the thyroid to swell.
Hashimoto's disease. Goiter can also result from an underactive thyroid (hypothyroidism). Like Graves' disease, Hashimoto's disease is an autoimmune disorder. But instead of causing your thyroid to produce too much hormone, Hashimoto's damages your thyroid so that it produces too little. Sensing a low hormone level, your pituitary gland produces more TSH to stimulate the thyroid, which then causes the gland to enlarge.
Multinodular goiter. In this condition, several solid or fluid-filled lumps called nodules develop in both sides of your thyroid, resulting in overall enlargement of the gland.
Solitary thyroid nodules. In this case, a single nodule develops in one part of your thyroid gland. Most nodules are noncancerous (benign) and don't lead to cancer.
Thyroid cancer. Thyroid cancer is far less common than benign thyroid nodules. Cancer of the thyroid often appears as an enlargement on one side of the thyroid.
Pregnancy. A hormone produced during pregnancy, human chorionic gonadotropin (HCG), may cause your thyroid gland to enlarge slightly.
Inflammation. Thyroiditis is an inflammatory condition that can cause pain and swelling in the thyroid.
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Originally Answered: I always seem to get sick, yet all my tests come out normal, immune system/bloodwork normal too. Help!?
There are so many variables its impossible to answer your particular question with being a professional and even they don't have all the answers.
I used to get sick once a year, every year for 40 year with the flu. For certain. I was not sickly, but got the flu and was sick 7-10 days each year.
Now I am 56, drink much too heavily and drink from 375-750 (26 oz) of Rum every day, yet I NEVER get sick. I have not had the flu or even a real cold since 1998. No doubt my liver is probably toast and I might not make it past 70, but now I feel great.
So, go figure. We cant answer your question. Maybe its diet. There seems to be way more people now with allergy problems than 50 years ago. Good luck.