Goitre: Hi, I developed a goitre about 12 years... - Thyroid UK

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Goitre

plee123 profile image
14 Replies

Hi, I developed a goitre about 12 years ago. I had biopsies and scans over a period of 6 years. I was told I was borderline Hasimotos and would need medication as it would all get worse.

I didn't have any symptoms of hasimotos and the goitre stayed stable, so there nothing else to do as I did not want medication.

six years later and the goitre has recently got a lot bigger. I am concerned but it's not effecting my swallowing or voice.

I would like to tackle this by finding a functional medical practitioner that specializes in the thyroid.

Does anybody here know of someone in the UK. thanks

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plee123
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14 Replies
greygoose profile image
greygoose

Hi plee123, welcome to the forum.

What do you mean by 'symptoms of Hashimoto's'? The symptoms you would feel would be symptoms of hypothyroidism, and there are over 300 of those. Because Hashi's is an autoimmune disease where the immune system slowly destroys the thyroid. So, yes, it will just get worse, there is no way to stop it. And, the 'medication' on offer is not really 'medication' - i.e. drugs - at all. It is thyroid hormone replacement, and it is not to treat the Hashi's itself, it is to replace the hormone that your thyroid can no-longer make. Not even a functional doctor can cure Hashi's, I'm afraid.

plee123 profile image
plee123 in reply to greygoose

I meant symptoms of hypothyroidism - like tiredness, dry skin, loss of hair etc. I had the tests done 12 years ago - so I wanted to find someone who will look at my whole health and who will test to see what I am lacking nutrient wise. Or find out if my goitre is being triggered by something. I believe it started through a period of extreme stress. When I am under stress now - it seems to get more inflamed. I do not understand enough about what is happening in my body and I want to be able to ask questions which are not dismissed by a specialist which is what happened 12 years ago.

greygoose profile image
greygoose in reply to plee123

Yes, specialists are very good at dismissing questions! Mainly because they don't have the answers themselves. No doctors know much about thyroid, you'd be far better off asking your questions on here. We, at least, have spent years researching thyroid, which no doctor I've ever met has done.

It is the Hashi's itself that is causing your goitre - i.e. swollen thyroid. But, it's virtually impossible to say what triggered the Hashi's. There are so many possible causes.

What you need now is full thyroid testing, and it will be very difficult to get that from any doctor. You need:

TSH

FT4

FT3

vit D

vit B12

folate

ferritin

Your GP could do most of those for you, but doubtful if they'd do all of them - unlikely they'd to FT3. But, I would advise you to get them done privately before seeing any more doctors, so that you can ask questions about them on here, and thereby understand what you're talking about when you do see a doctor.

Lists of private blood test companies here:

thyroiduk.org/help-and-supp...

Thyroid2020 profile image
Thyroid2020 in reply to greygoose

I saw an endocrinologist at liverpool womens hospital who was dismissive at first about my questions as I’d been told by my gp the only tests they did were tsh and t4. I had read on here a lot about what’s been discussed and got the endo to test for t3 ferratin and the others that you say. And it came back I hadn’t got hypoparathyroidism which is what I thought I’d got due to my symptoms and the t4 and tsh being very unstable and rocketing with high numbers almost hitting 38 in one of the tests. And was diagnosed with Hashimoto’s thyroiditis which the previous endo local told me wasn’t the case I just had got an underactive thyroid and that was it.

It depends on the country where you are as some nhs trusts aren’t taking on new patients out of their immediate area . I’ve had to fight to get to see an endocrinologist who has helped with my symptoms.

They have an email address also (patient’s one) where you can email the nurses who specialise in endocrine issues which you can email and they help.

Good luck but tell your gp you’ve been reading up on health forums and you’d like the following tests done and take it from there. Good luck 🤞

greygoose profile image
greygoose in reply to Thyroid2020

I don't really think it's a good idea to tell a doctor you've been 'reading up on health forums', they tend not to like that. It's very rare for a doctor to like an informed patient! And, let's face it, the majority of forums are rubbish! However, you could say that you'd been reading on the TUK site/forum, because that is recommended by the NHS. :)

Buddy195 profile image
Buddy195Administrator

welcome to the forum plee123, we are a very friendly and supportive group, so you will get lots of great advice.

Can you share your thyroid blood tests with us:

TSH

FT3

FT4

If you don’t have these to hand, please ask your GP for a copy of any tests taken.

Have you had antibodies tested to confirm Hashimotos?

Have you tested key thyroid vitamins (ferritin, folate, vitamin D and B12)?

Apart from the goitre, what other symptoms do you have?

plee123 profile image
plee123 in reply to Buddy195

Hi, apart from the goitre I do not I think have any other symptoms. The tests were done 12 years ago, and I want to find someone who will do all of these tests now - and who will help me to make decisions about my health.

Buddy195 profile image
Buddy195Administrator

I would look to retest your thyroid bloods and key vitamins before seeking advice from a specialist. Once you have the results, post on the forum in a new post for further advice.

thyroiduk.org/help-and-supp...

plee123 profile image
plee123 in reply to Buddy195

thanks

SlowDragon profile image
SlowDragonAdministrator in reply to plee123

come back with new post once you get results

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested.

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

Low vitamin levels are extremely common when hypothyroid, especially with Hashimoto’s

Recommended on here that all thyroid blood tests early morning, ideally just before 9am

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

List of private testing options and money off codes

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

If you can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/

Only do private testing early Monday or Tuesday morning.

Watch out for postal strikes, probably want to pay for guaranteed 24 hours delivery 

Link about thyroid blood tests

thyroiduk.org/getting-a-dia...

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

Symptoms of hypothyroidism 

thyroiduk.org/wp-content/up...

Meanwhile Email Thyroid U.K. for list of recommended thyroid specialist endocrinologist and doctors 

tukadmin@thyroiduk.org

plee123 profile image
plee123 in reply to SlowDragon

thankyou I appreciate the answers and information

montieth profile image
montieth

Hi Plee123. I had a goiter and it got large and they removed half my thyroid because it was "suspicious" for cancer according to the needle biopsy. I regret it and would have liked to do what you are doing. Mine was benign and not bothering me and now I am hypothyroid, so, yes, I hope you continue to research and do what is right for you and don't be pressured needlessly like I was

mrtodd profile image
mrtodd

hi plee123 I too have a goiter and have done for a few years…. I have no symptoms and feel totally normal I have regular blood tests and ultra sounds and as much as my endo ‘offers’ rai or medications I politely decline and probs will do until I feel I need it….this site has been an absolute gold mine of info and had I not discovered it would probably have succumbed!

Jackerpoo profile image
Jackerpoo

I had a goitre removed four years ago and I too regret it. It has caused vocal cord damage and my muscles don’t work together in my throat anymore causing voice dysphonia. I can no longer use my voice properly, I take natural dissected hormones as the half of my thyroid that was left stopped working. I didn’t have any of these issues when I just had the goitre and yes mine grew with the stress I was under at the time 🙈

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