Lump in throat like adam's apple? Hi please can anybody shed light on this hard lump that has appeared?

[Manx1]

Originally treated for hypo (25mg levo) in nov. Hospitalised in march for low cortisol... Whilst there endo said i didnt have a thyroid problem & stopped medication. Spent 2weeks in hospital mri scan showed microadenoma & rathkes cleft i was then discharged after being told cysts incidental & nothing wrong with my endocrine system? Feeling worse & worse so paid to see pain dr privately end of may who diagnosed fibro (started pregabalin & duloxetine) felt great for 2 weeks then back to usual aches n pains. I have always had the feeling like there was something stuck in my throat but had ultrasound in december & all was ok. Yesterday i felt a hard lump in my throat which i still have where an adams apple would be?also have low bp & heart rate( it was 39 whilst having ecg). Im 38yr old female feeling confused xx

[Clutter]

Manx, Drink a glass of water while looking into a mirror. If you see the lump go up and down as you swallow it is likely a thyroid goiter (lump). You should book an appointment with your GP to check in any case as lumps mustn't be ignored. If a thyroid function test is ordered your GP needs to stress that FT4 and FT3 are done as pituitary dysfunction renders TSH testing useless.

If you weren't recently tested for ferritin, vitaminD, B12 and folate deficiency request them. Deficiency/low levels can cause muscle and bone pain, low mood and make one feel very unwell.

Fibromyalgia can be a symptom of undiagnosed hypothyroidism. Did your private doctor do a thyroid blood test? Post the results with lab ref ranges for comment if so.

[Manx1 in reply to Clutter]

Hi clutter thank you for your reply i managed to see the dr who has said i need an ultrasound. Since then what feels like a solid block with knobbly bits on has arrived behind original lump?! Waiting for copies of my bloods from gp but he said all looked very good. Unfortunately t3 is tested over in england so wont get the results back for at least another week. Interestingly he told me i have rhinitis?! And has prescribed a nasal spray. I suppose its another thing to add to the list x

[Clutter in reply to Manx1]

Hi Manx, glad your GP has referred you for a scan. It only takes a few minutes and isn't painful or uncomfortable. Never trust a GP telling you results are very good or normal get a printout when they are available and check them yourself or post them in a new question for comment.

A solid lump and knobbly bits might be a multinodular goiter. Not something to worry about unless it becomes large enough to compress the windpipe and make breathing and swallowing difficult. Multinodular goiters are almost always benign.

If your rhinitis is triggered by low thyroid function it may improve when you are prescribed Levothyroxine.

[Manx1 in reply to Clutter]

Once again thank you for taking the time to reply i had a scan in december which was clear but thanks for talking me through procedure anyhoo's unfortunately non of the professionals I've seen think i have a thyroid issue x

[Clutter in reply to Manx1]

It is possible to have a goiter without being hypothyroid but if your bloods are in range and you have hypothyroid symptoms they need to drill down and find what's causing them. Ferritin, vitD, B12 and folate are a good place to start.

[Manx1 in reply to Clutter]

Cheers clutter i will post results when i have all of them. I am on 20,000 units of Colecalciferol once every 2 weeks they gave me that the day i was discharged along with a vit b jab ( i havent had any since). Take care x

[Neeta-K]

A sensation of a lump in your throat is a hypothyroid symptom. I know this, as I had it for a long time undiagnosed, and it's now gone on the correct thyroid medication. I take T4 (Levo) and T3. My TSH was 1 by the way when the lump in my throat was felt back in 2009, this was when I was 35 years old. I was also constantly dieting, feeling cold, low bp etc.. The only way you'll know if you are hypothyroid is by symptoms (which you have), and by a FT4 and FT3 test (to feel good they should be in the upper part of the range).

[Manx1 in reply to Neeta-K]

Thanks Neeta-K for replying im waiting for an appointment to get an ultrasound. Unfortunately my gp, pain management dr & the only endocrinologist we have on the island are adamant i dont have a problem with thyroid?! Lets see what the ultrasound shows. Do you know if you can get a goitre with anything else other than the thyroid? X

[Neeta-K]

I dont have any experience with goitres but i am sure its connected to hypo. Good luck & dont always trust what the doctors tell you. I m sure you dont anyway! X