It’s a condition in which there is an increase in the size of your thyroid which is known as “goiter”. Goiter is a swelling in the neck which results in the enlargement of thyroid gland. The thyroid gland secretes hormones that regulate functions of the body, including metabolism, heart rate, respiration, digestion, and mood. Iodine deficiency is the main cause of goiters. Iodine is essential and helps your thyroid to produce thyroid hormones.
Women have a higher risk for goiter than men.The female to male ratio is 4:1 The frequency of goiters decreases with advancing age.
These are different kinds of goiter:
• Non-toxic goiter can occur for no known reason or when the thyroid gland is not able to produce enough thyroid hormone. It is not associated with hyperthyroidism or hypothyroidism.
• Toxic nodular goiter involves an enlarged thyroid gland that contains a small, rounded growth called nodules. It is associated with hyperthyroidism.
• Iodine deficiency
• Autoimmune thyroiditis
• Exposure to radiation
• Thyroid hormone resistance
• Subacute thyroiditis
• Silent thyroiditis
• Infectious agents: Acute suppurative bacteria
. Chronic- mycobacteria, fungal, parasitic
• Granulomatous disease
• Thyroid malignancy
• Low selenium levels
• Visible swelling in the neck discovered by the patient or on routine physical examination.
• A tight feeling in the throat
• Difficult swallowing
• Difficult breathing
• CT Scan
• Fine needle aspiration biopsy
• Barium swallow
• Small benign euthyroid goiters do not require treatment.
• Size of a benign euthyroid goiter may be reduced with levothyroxine suppressive therapy.
• Treatment of hypothyroidism or hyperthyroidism often reduces the size of a goiter.
A simple goiter may disappear on its own may become larger.
Less commonly a goiter may become toxic.
• Thyroid lymphoma
• Thyroid Nodule
• Thyroiditis, subacute
• Thyroid, Papillary carcinoma
Mainly acts on glands; thyroid, testes, mesenteric and mammary, first get swollen, hard and heavy then begin to dwindle.
• Feels always too hot.
• Adenoids, Goitre hard with a sensation of constriction.
• Eyes protruding.
• Effects heart, trachea and glands. Hard swelling of glands.
• Worse: Dry cold wind, before 12 p.m
• Better: Warm drinks, Descending
• Thyroid gland is swollen even with the chin.
• Throat symptoms better by Lying on back.
• Goiter with suffocative attacks, age: touching neck, pressure.
• Uvula hangs to one side.
• A dry, sore spot in the throat, tickles and causes a cough etc.
• Throat glistens.
• Exophthalmic goiter. Sensation as of a plug in the throat.
• Salt desire too much.
• Emaciation while eating well.
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