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Precision Medicine
4 May 2021
It is a condition in which the thyroid gland grows excessively due to iodine deficiency in the body, hyperthyroidism, hypothyroidism, the presence of nodules, or thyroid cancer.
When the enlargement is not serious it is practically unnoticeable and does not cause symptoms, so it does not require treatment. However, in a large goiter, some complications cause coughing fits, and problems swallowing or breathing properly.
Having a goiter does not necessarily imply that the thyroid gland is dysfunctional, but it does point to an underlying cause for this condition.
Based on its morphological characteristics, goiter is classified into:
Regarding thyroid functioning, goiter can be:
Some small goiters may not show symptoms, but the most frequent are:
Also, not having enough thyroid hormones can make you feel tired and cold. But if you have an excess of thyroid hormones, you will feel nervous and hot.
Generally, in cases of hyperthyroidism, there is the presence of goiter since the excess of thyroid hormones causes the gland to grow and have a greater production capacity.
On the contrary, when there is hypothyroidism, goiter only appears in some cases.
Potential risks:
Goiter can affect anyone, it can be present at birth or arise at any time throughout life. However, some risk factors can contribute to the appearance of this condition, such as:
Goiter is usually detected on a physical examination by looking at and feeling the lump in the neck. Your doctor will request diagnostic studies that allow them to know the reasons for your condition and its stage, including:
If considered necessary, they will also request a thyroid gland biopsy.
The treatment to follow will depend on the goiter’s cause, its size, and the symptoms. You may require medication for an overactive or underactive thyroid, as well as radioactive iodine to shrink it.
Smaller goiters or goiters with reduced nodules require only periodic monitoring.
Sometimes when large nodules, cancer, or goiter that cause breathing or swallowing problems are detected, surgery is required to remove the thyroid gland.
At Saludora Medical Center’s Internal Medicine Department, we offer health care services with the highest quality and safety, from the prevention, diagnosis, timely treatment, and monitoring of infectious, respiratory, endocrinological, dermatological, rheumatic, nephrological, gastrointestinal, and hematological pathologies of both chronic-degenerative diseases and acute conditions, through a comprehensive and multidisciplinary model.
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