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Thyroid UK
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recently diagnosed with hypothyroidism and have question about feeling as if there's a "lump" in my throat

Hi all - apologies in advance if this is a bit long-winded.

2 months ago I went to doctor as couldn't cope any longer with "brain fog" (thought I might be perimenopausal and wanted to get that checked out). Doctor (male) insisted I wasn't but told me he'd do some blood tests any way. These duly came back and showed following:

TSH reading was 26.6 (normal apparently .3 / 4)

T4 reading was 8.5 (normal apparently 10.5 - 24.5

and I was prescribed 25mcg levothyroxine (subsequently doubled after 2 months to 50mcg - readings now 16.3 and 10.2)

Having read around on this forum (very helpful I might add) it seems that a "lump in the throat" is sometimes noted with hypothroidism. I have had this feeling for over 4 years but nothing can be palpated (as noted by two doctors) and weirdly, it doesn't always feel as if the lump is present, but disappears for a day or two. However, it ALWAYS feels as if it's in the same place (on the "inside" of my throat, ie pointing inwards) and is pretty unpleasant. my question - finally - is:

Should I pursue this with my GP, or is it just a weird artifact of the condition? it is pretty unpleasant and I am generally very fit and healthy other than that (hence me being very shocked at being diagnosed as hypo)

Thank you for any answers

10 Replies

Yes, pursue it with GP.


Hi, I have had this for,3 years endo feels it's hypo related, hashimotos d. X


Hi It sound as if you need an ultra sound of the thyroid and if nodules a routine needle biopsy.You also need a tet for Free T3 and most likely some T3 with the Levo,Also more Levo, i would think, depending on bloods. It is usual to have repeat blood tests ( all 3) followed by rises in meds until stable

Best wishes,



Yes, do pursue this!! I think you need to increase your thyroxin to get tsh down. I just had an ultra sound last week because of the very same thing that you discribe. I have Hashimoto's, you might have it too....good luck


Thank you to all of you for your replies - I will definitely pursue this with more vigour and not be "fobbed off" again which is what's happened so far! Will also ask for a T3 test despite being told "we don't do that in UK.

Thank you all


If your dr is telling you that then he is lying.

Jo xx


also ask for a TPO antibody test along with your other blood labs.If your Dr won't do it find a lab that will. good luck, things will get better, hang in there


I always felt it was an ongoing attack against the thyroid or the thyroid gland attempting to produce more thyroid. It has to be related somehow.


I have only had this intermittently since starting Levo. Combined with extra post nasal drip, it's annoying. I am not near optimal but have last night gone up to 75mg. I have never had this before and don't like it much. Thyroid scan says no nodules or thyroid swelling. So I don't know.


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