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What Do Pain And Swelling When Diagnosed With Nodules On Thyroid Suggest?
Question: I have several nodules on my thyrold ,both sides, the largest on the right which swells and can be painful.I have read that in some cases your thyroid levels can be normal and you can still have certain conditions in which is in my cases very low body temp,brittle nails,thinning hair my skin has become very dry,Dry eyes.I think the worst besides the pain in my neck is the cold feeling i get when it turns cold .Bone chilling !This type of cold is just not normal.
Brief Answer:
Thyroid
Detailed Answer:
Sorry to learn about your bothersome symptoms.
Indeed thyroid problems can lead to symptoms similar to the ones you are reporting. However, typically the laboratory blood test results would show some abnormalities.
But I understand you are asking if despite normal looking labs, can one have a thyroid problem. Well its extremely uncommon and it requires a thorough in-person examination by an endocrinologist.
Thyroid nodules have a 5 to 8% risk of thyroid cancer. This too merits a comprehensive evaluation in-person.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day
Thyroid
Detailed Answer:
Sorry to learn about your bothersome symptoms.
Indeed thyroid problems can lead to symptoms similar to the ones you are reporting. However, typically the laboratory blood test results would show some abnormalities.
But I understand you are asking if despite normal looking labs, can one have a thyroid problem. Well its extremely uncommon and it requires a thorough in-person examination by an endocrinologist.
Thyroid nodules have a 5 to 8% risk of thyroid cancer. This too merits a comprehensive evaluation in-person.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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