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Goiter

It is an abnormal enlargement of thyroid gland.

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Description

Causes:

  • Iodine deficiency - It plays a major role in production of thyroid hormones, when it is not enough in diet, thyroid get enlarged.
  • Autoimmunity – Our own body immune system attack on thyroid gland.
  • Grave’s Disease
  • Hashimoto’s Thyroiditis
  • Multinodular goiter – Several solid or fluid filled lumps formed both sides of thyroid gland causes too much production of thyroid hormone leads to goiter.
  • Other common cause like genetic effects, infections to thyroid glands, and due to benign tumors.
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  • Swelling at the base of neck
  • Tightness of throat
  • Coughing
  • Trouble swallowing
  • Trouble breathing

Risk factors:

  • Above 40 age
  • Being woman
  • Pregnancy conditions
  • Family history
  • Lack of iodine in diet
  • Certain medications heart drugs like amiodarone, psychiatric drugs like lithium

Diagnosis:

  • Physical examination
  • Hormone tests for thyroid gland activity
  • Antibody tests for Grave’s and Hashimoto’s disease
  • Ultrasound examination for nodules
  • CT and MRI for neck to check windpipe
  • Biopsy for tissue or fluid examination

Treatment:

  • Corticosteroid medications to treat inflammation of thyroid gland.
  • Medications for hyper and hypothyroidism to normalize hormone levels.
  • Oral administration of radioactive Iodine destroys abnormal thyroid cells.
  • Thyroidectomy is an option for swallowing and breathing conditions.

Tags

Thyroid gland, thyroxine, mri scan, nodules, auto immune disease

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