I am new to this topic.
I went for my normal GYN "routine" checkup.
My Dr. said my thyroid is enlarged.
Did blood work, normal.
I can feel it on the right side. I have also noticed swollen nodes along my jaw (same side) and also an enlarged area around the back side of my neck just right of my spinal chord.
Keep in mind, if she hadn't said anything, I probably wouldn't have noticed any of this. There is no tenderness in any of these areas.
My question is, should I pursue looking into this? She has said to check with my PCP and request an ultrasount. What will that show?
I really don't know where I should go from here. If my blood work is "normal", is there really any problem?
They also found a lump in my breast however it doesn't show up on ultrasound....but can feel it. They say it is probably fatty tissue.
I feel pretty confident in that diagnosis.
I got my lab results.
All it says is my thyroid level is 1.4 ?
This is all it says. What is that?
It says it is in normal range.
My doctor STILL hasn't let me know what my next step should be.
Should I contact a specialist for the nodule and have it biopsied?
OR am I making too much of it?
Could something be wrong even though my levels are normal?
Yes, good endos are as rare as hen's teeth and you can wait ages to get in only to be disappointed. But it may be your only choice for getting that FNA (fine needle aspiration) of your nodule, though any doctor who has been trained in FNA and pathology can do it. Ask around and see if any endos in your area are more open-minded (and one indicator of this is if they prescribe desiccated thyroid, even if this isn't your choice for hormone replacement, you will need a doc who is willing to do the right testing and treat based on free T3 and free T4 levels, despite that "normal" TSH). Don't assume any doctor will order the right tests. You need to verify that you are getting free T3, free T4, thyroid antibodies TPO and TG, and request vitamin D, B12 and ferritin levels. Doctors rarely do these and the sign of a good doc is one who knows to order or is willing to order if you request them.
BTW, irregular periods are a very common hypothyroid sign so they can be a big indicator that you're having symptoms, as well as your fatigue.
I too have an enlarged thyroid with normal test results. My endo did the ultrasound and the biopsy. The nodule is a little over 3cm large, but the biopsy came back benign! He said that it is fairly normal to have nodules but not be hypo or hyperthyroid. I am now going to see the head and neck surgeon to discuss having at least half of my thyroid removed because the nodule is causing me problems with swallowing and makes me self-conscious. As others have stated, you need to get the biopsy done so that any needed next steps can be taken!
Best of luck!
Oh thanks you so much for your posts.
You have been great.
My doctor called this afternoon.
She has spoken with an ENDO Dr. and I am seeing him on MONDAY.
WOW....that was fast.
I do know that she ordered a Vit D & 12 test. It was all good.
Two years ago I ended up in the hospital with Pericardial Effusion (heart sac filled with fluid). They cut a hole or window in the sac around my heart to drain. It was a scary time for me. They were never able to figure out why this happened....hmmmmm. I am sure the two have nothing to do with each other, but I am a little concerned.
I cannot wait to see the doctor on Monday. I will give you heads up on how it all works out.
Will you have to take hormones if you have part of your Thyroid removed?
Best of luck to you. Congrats on the benign biopsy!! That is just great.
I have heard & read that thyroid nodules are very common.
I cannot thank you all enough!
Thanks for answering some of my silly questions....lol
I totally am here with you, I suggest to try to stay on top of what the doctors are telling you, I didn't and now it's been two years and I still don't know whats going on. Keep updating to let us know how you're doing