Multinodular thyroid-FNAC result updated

[Mariana-b]

Hi Everyone,

I was doing lots of test's recently after I noticed enlargement in left lope of my thyroid. I went to first doctor which said I had hyperthyroid after seeing my blood test and ultrasound and wanted me to do extra isotope scan and gave me bisoprolol to regulate my heartbeat even though my blood tests was normal .I was not loosing weight but suffering from stress , heat intolerance, irregular heartbeat and hair lose. a friend advised me of seeing a another doctor and I went and re-did all my blood tests, fasting this time, and another ultrasound.

my latest test result:

FT3 5.52 (3.50-6.50)

FT4 12.91 (9-20)

TSH 0.44 (0.27 - 4.2)

ATG 45.2 <115

AMA 8 <34

TSH receptor abs. <1.0 <1.8

ultrasound: shows multiple heterogeneous nodules in bilateral lobs. largest nodule on right side 2.3x1.6 cms and on left 3.5x2.8 cms.

the doctor said that 99% I have multinodular thyroid and in this case I will be monitored every 6 months to check if the size increases. I did FNAC and waiting for the result .

I'm not taking any medication now.

I will appreciate your advise about my condition and any information about multinodular will be helpful.will the symptomes go away or stay?

thank you in advance.

[Heloise]

Hi mariana, Glands are made of very sensitive tissue and the thyroid gland is like the canary in the coal mine. Your gland is suffering some sort of injurious things that can be from a variety of sources. Often these autoimmune problems begin in the stomach. We do ingest many toxic substances and some of them are even called food but they are not. Another area of stress can send our cortisol, a stress hormone, shooting up which will affect thyroid hormones. There are several links on this page which may explain the nodules and what may be going on. stopthethyroidmadness.com/s...

[Mariana-b in reply to Heloise]

Thanks heloise for the information. I will read the link to learn more about my situation.

[Hidden]

Multinodular goitres are darned awful things. Mine started causing a nuisance in 2004 and got gradually worse until in early 2005 I had an operation to get rid of it. At the time I was doing a weekly newspaper round and each week, about 100 yards earlier than the previous week it was like hitting a brick wall. I succeeded in doing the job for a while then simply had to stop and I lost my weekly pocket money. The operation was unsuccessful as the surgeon had to admit defeat as the inside of my throat was so in such a state. Eventually had a successful op at a bigger hospital, the surgeon was marvellous.

Based on what I went through I can give you no hope at all that the lump will disappear, it will likely get gradually worse just like mine. But as it gets worse, so does the necessary surgery become ever more difficult. So if you are advised that surgery is required don't argue, don't delay, just get it done asap.

You will probably be given the option of having Radioactive Iodine Treatment (RAI) following the op after you have been on levothyroxine for a while. This seems to be standard practice as it is often far too dangerous to remove every last trace of the gland from damage to vocal chords. The decision is yours whether you accept the offer or not.

If you accept, then the remaining tissue will be deactivated and will, hopefully, not return in future years to give you any further troubles. You will then have to take levothyroxine for the rest of your life. BUT, for most of us without a thyroid and after RAI, levothyroxine is the WRONG medicine. You will need either combined levo/liothyronine (T3/T4) or NDT, neither of which you will get from the doctor.

If you decline, then the tissues may possibly start producing again and you will be well again, maybe and have no need to take any medication. This is the option I would have chosen if I had another chance, but RAI cannot be reversed.

Read up on the subject as the facts affect you and discuss these with the GP/endo/surgeon.

[Mariana-b in reply to Hidden]

Thanks for the advise

[Mariana-b]

My FNAC result came and the doctor said its hyper plastic normal nodules. I dont know what that means ! He asked me to come after 6 month to do the test again. He did not give me anything for the hyper like symptoms.