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How To Determine Definite Nodule In The Thyroid?
Question: I have had hashimoto's for about 6 years.. always going up and down with tsh from being overmedicated to not enough. They found a solid nudule on my mid right lobe on ultrasound, plus my right gland was enlarged. They Wanted to wait 6 months to let it get bigger before a biopsy. I went back and the gland was smaller, the right side of the thyroid was bigger but it didn't show the nodule. I feel they may have missed it or did something different. Everyone I talk to says they don't go away. A friend of mine that does ultrasounds for a living - pulled me in to ease my mind. She said she saw several nodules, not big but more on the left side? Should I ask for a retest from the simon-med? Also just got back my tsh and I am at .00129 - obviously low.. I have been having green stools for the past 2 days now, with a small stomache ache. I have not had anything green lately to eat or drink. Could this be caused being hyper right now? Getting a little worried.
Thank you,
Holly
Thank you,
Holly
Brief Answer:
Thyroid
Detailed Answer:
I follow what you are saying here.
I have reviewed the attached images.
1 Green stools is not known to occur as a result of low TSH or being hyperthyroid.. So you must explore other possibilities by seeing your family doctor/ gastroenterologist
2 Yes the low TSH needs to be improved. It appears you are on thyroid medication such as levo-thyroxine. If you were to see an endocrinologist in-person regularly, it is very likely your thyroid can be regulated in a stable manner with appropriate dose adjustments as necessary, and the fluctuations in thyroid levels that you are reporting are less likely to happen.
It may be more challenging for the non-expert to achieve this, but endocrinologists are specially trained in thyroid conditions.
3 There are no nodules in the september USG report form the doctors office. They have compared the images properly with the March USG.
I have noted your friend's inputs.
However, there is a condition called pseudo-nodules i.e. a false impression on nodules when there really aren't any on USG.
This has been very well described in Chronic Thyroiditis of the Hashimoto's variety. In simple language, this is the most likely reason your thyroid has become permanently under-active.
So the radiologist probably understands this and has categorically stated there is no definite nodule in the thyroid.
Thyroid
Detailed Answer:
I follow what you are saying here.
I have reviewed the attached images.
1 Green stools is not known to occur as a result of low TSH or being hyperthyroid.. So you must explore other possibilities by seeing your family doctor/ gastroenterologist
2 Yes the low TSH needs to be improved. It appears you are on thyroid medication such as levo-thyroxine. If you were to see an endocrinologist in-person regularly, it is very likely your thyroid can be regulated in a stable manner with appropriate dose adjustments as necessary, and the fluctuations in thyroid levels that you are reporting are less likely to happen.
It may be more challenging for the non-expert to achieve this, but endocrinologists are specially trained in thyroid conditions.
3 There are no nodules in the september USG report form the doctors office. They have compared the images properly with the March USG.
I have noted your friend's inputs.
However, there is a condition called pseudo-nodules i.e. a false impression on nodules when there really aren't any on USG.
This has been very well described in Chronic Thyroiditis of the Hashimoto's variety. In simple language, this is the most likely reason your thyroid has become permanently under-active.
So the radiologist probably understands this and has categorically stated there is no definite nodule in the thyroid.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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