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Have growing thyroid nodule. Needle biopsy to be done. Looking for second opinion

Dec 2012
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Answered by

General & Family Physician
Practicing since : 2012
Answered : 1704 Questions
Have a growing thyroid nodule in which I'm going to have my third needle biopsy and I think it is causing me many symptoms that my doctor is ignoring. I feel lousy , such extreme exhaustion I can't take it. She said it needs to come out but I want a second opinion on the whole situation.
Posted Tue, 7 May 2013 in Thyroid Problem and Hormonal Problems
Answered by Dr. Nsah Bernard 4 hours later

Thanks for posting on XXXXXXX

It is possible that the thyroid nodule could be responsible for the extreme exhaustion and lousiness as those usually can present as one of the numerous symptoms of thyroid diseases. My question is why up to 3 needle biopsies? Did the 1st two not show any significant results. Depending on the results, the surgeons will decide on whether or not to excise it or not. I believe your doctor being closer to you, may understand your situation better and just take some time to explain your worries to the doctor and let him/her know that it is really troubling you.
Hope you get better and let me know if you got any further questions.

Dr. Nsah
Above answer was peer-reviewed by
Follow-up: Have growing thyroid nodule. Needle biopsy to be done. Looking for second opinion 2 hours later
The reason for the needle biopsy is to check that it isn't cancer. She's been watching it every 6 months. It is growing and she feels it needs to come out but there is no rush she said. My concern is if this nodule is causing problems with the function of my thyroid. I'm just not getting the answers to my questions. I'm getting round about answers , feeling that she doesn't have the answers. It's confusing but I'm just trying to know why I feel so drained and tired all the time.
Answered by Dr. Nsah Bernard 3 hours later

Thanks for updating,

If from the first biopsies it was not cancer, I feel she would have referred you to a specialist who can handle the nodule (do nodulectomy). She also needed to check on your thyroid hormones to see if they are affected (if so, in what way i.e increased or decreased). If the hormones are increased, then you are suffering from thyroid hyperactivity, which I very much doubt since you are feeling drained. But if you are suffering from decrease then you are suffering from hypothyroidism which can make you feel drained. So depending on the location, size and extend of nodule, an excision surgery could be performed (provided it does not affect greatly your thyroid functions).
I feel your doctor should do more about your health situation. You may approach another specialist (such as a surgeon or oncologist or internist) who can evaluate you more thorough and decide on definitive treatment.

Hope this helps and let me know if you got any other questions.
Dr. Nsah
Above answer was peer-reviewed by
Follow-up: Have growing thyroid nodule. Needle biopsy to be done. Looking for second opinion 11 hours later
My thyroid levels according to blood work has been within range. I have read that lots of times you can still have a thyroid problem even though the blood work is ok. I have been loosing my hair for years now and it is a lot thinner than it used to be. But I've been told that could be from lack of estrogen which I was taken off of after having breast cancer. It will be 20 years next month. YAY for me!!!!! I had a full hysterectomy when I was 28, was on estrogen for 10 years. Then at 38 got breast cancer. I just seem to never get a solid answer as of WHY I feel so drained and tired and have lost so much hair. I've been told that it's hard to pin point it with me. It's frustrating for me cause is all I want is to feel better and not have my hair falling out. It's bad enough that I'm in pain everyday because of chronic neck and back problems as well as RA. Just trying to find other opinions on my situation.
Answered by Dr. Nsah Bernard 1 hour later

Thanks for updating,

Pinpointing straight forward to your problem is going to take much and blood work of all hormones (especially thyroid, gonads, pancreases etc), electrolytes, proteins etc will have to be done.
Given the fact that you have had breast cancer, hysterectomy, hormonal disorder etc given a clear cut cause of your problem will be difficult.
My suggestion is that you should start by handling your problem with much much patience and tolerance towards health care providers as getting frustrated might lead to a state of psychological imbalance hence poor health.
You might just be overacting thereby causing more health disturbance.
There are a wide range of specialist/doctors that can best put your problem on the floor and try to find out the cause so that effective treatment can be provided.
All your presenting problem could be as a result of just one or combination of several problems, therefore you will require careful evaluation before effective treatment can be established.

Hope this helps.
Dr. Nsah
Above answer was peer-reviewed by
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