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What Do These Ultrasonic And Blood Test Reports Indicate?
Question: Hello Doctor
i 25 year male from XXXXXXX
For the last one month i have been experiencing somekind of difficulty in my throat. i feel some thing there, especially after lying sideways. I visited a doctor and took Ultrasonic test of my neck and Blood test yesterday. Results are attached.
According to him i have MULTINODULAR THYROID. Doctor told me to wait for 7 days. Then he will me whether to visit a surgeon or not. I have GERD and allergy(dust and smell of perfumes).
1 month ago when this problem started doctor told me to do some tests like- SGPT,Fasting blood glucose,cholesterol,
Blood routine - haemoglobin and Total count,
Differential count - polymorph,lymphocytes,Eosinophils,ESR,AEC,
Albumin,Sugar,
Microscopic Examination - Pus cells,RBC,Epithelial cells,cast,crystals,bacteria
and doctor said everything is normal.
I am really worried now. Is it a serious disease?. Will i be able to lead a normal life in future?. What will be the treatment and how long i need to take it. Is it a curable disease. What are the other problem associated with this disease.
Thank you
He gave these three medicines -Lesuride - Levosulpiride tablets
sompraz 40
pepsil antacid antiflatulent defoamer gel
i 25 year male from XXXXXXX
For the last one month i have been experiencing somekind of difficulty in my throat. i feel some thing there, especially after lying sideways. I visited a doctor and took Ultrasonic test of my neck and Blood test yesterday. Results are attached.
According to him i have MULTINODULAR THYROID. Doctor told me to wait for 7 days. Then he will me whether to visit a surgeon or not. I have GERD and allergy(dust and smell of perfumes).
1 month ago when this problem started doctor told me to do some tests like- SGPT,Fasting blood glucose,cholesterol,
Blood routine - haemoglobin and Total count,
Differential count - polymorph,lymphocytes,Eosinophils,ESR,AEC,
Albumin,Sugar,
Microscopic Examination - Pus cells,RBC,Epithelial cells,cast,crystals,bacteria
and doctor said everything is normal.
I am really worried now. Is it a serious disease?. Will i be able to lead a normal life in future?. What will be the treatment and how long i need to take it. Is it a curable disease. What are the other problem associated with this disease.
Thank you
He gave these three medicines -Lesuride - Levosulpiride tablets
sompraz 40
pepsil antacid antiflatulent defoamer gel
Brief Answer:
Multinodular thyroid is a benign disease.
Detailed Answer:
Hello, I really appreciate your concern. I am Dr. Manan Patel from XXXXXXX answering your question.
Multinodular thyroid gland is a benign disease which is very common in population. It goes unnoticed until there are any signs or symptoms. It is a non dangerous condition so you can definitely able to live a normal life.
There is no specific reason for development of this condition. It can be due to some genetic mutation or iodine deficiency. No specific treatment is advised until there are symptoms of hyperthyroidism or difficulty in swallowing or disfigurement of body.
Your TSH report is normal so in that case no further treatment is advised at present. You should get Thyroid hormone profile done at regular intervals.
In some case there is increase in levels of thyroid hormone which leads to symptoms of hyperthyroidism like palpitations, heat intolerance, muscle weakness, hyperactivity, tremor, irritability, weight loss, increases appetite etc. In such cases anti-thyroid treatment or radio ablative procedure can be advised. So it is a totally curable disease. The duration of the therapy varies from person to person according to decrease in size of nodules.
Treatment prescribed to you is for GERD (Gastro Esophageal Reflux Disease). This is probably the cause of your sensation in the throat. Continue taking those medicines for relief of symptoms.
Hope I have answered your question. If you have any further questions I will be happy to help.
Multinodular thyroid is a benign disease.
Detailed Answer:
Hello, I really appreciate your concern. I am Dr. Manan Patel from XXXXXXX answering your question.
Multinodular thyroid gland is a benign disease which is very common in population. It goes unnoticed until there are any signs or symptoms. It is a non dangerous condition so you can definitely able to live a normal life.
There is no specific reason for development of this condition. It can be due to some genetic mutation or iodine deficiency. No specific treatment is advised until there are symptoms of hyperthyroidism or difficulty in swallowing or disfigurement of body.
Your TSH report is normal so in that case no further treatment is advised at present. You should get Thyroid hormone profile done at regular intervals.
In some case there is increase in levels of thyroid hormone which leads to symptoms of hyperthyroidism like palpitations, heat intolerance, muscle weakness, hyperactivity, tremor, irritability, weight loss, increases appetite etc. In such cases anti-thyroid treatment or radio ablative procedure can be advised. So it is a totally curable disease. The duration of the therapy varies from person to person according to decrease in size of nodules.
Treatment prescribed to you is for GERD (Gastro Esophageal Reflux Disease). This is probably the cause of your sensation in the throat. Continue taking those medicines for relief of symptoms.
Hope I have answered your question. If you have any further questions I will be happy to help.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thank you doctor for your reply.
So i need not to worry about it?
At what regular interval should i take thyroid hormone profile? and how long should i continue doing so?
If it get worse is it 100% curable? Will it affect my work and life at that stage?
Is surgery only option at that time?
My doctor told me after 7 days he will advise me whether to consult the surgeon or not.If there is no need to worry at present then what might be the reason?
next week i have a medical test. Do i need to worry about Thyroid profile? Will there be any big change in 1/2 week?
I will have to join my new job on september last week. I will be on probation for 2 years. I will be posted far from my home. So the things like surgery, chance of present situation becoming worse make me afraid.
Thank you
So i need not to worry about it?
At what regular interval should i take thyroid hormone profile? and how long should i continue doing so?
If it get worse is it 100% curable? Will it affect my work and life at that stage?
Is surgery only option at that time?
My doctor told me after 7 days he will advise me whether to consult the surgeon or not.If there is no need to worry at present then what might be the reason?
next week i have a medical test. Do i need to worry about Thyroid profile? Will there be any big change in 1/2 week?
I will have to join my new job on september last week. I will be on probation for 2 years. I will be posted far from my home. So the things like surgery, chance of present situation becoming worse make me afraid.
Thank you
Brief Answer:
You need not to worry about it.
Detailed Answer:
Hi dear,
There is no definite guidelines for thyroid profile. You should have thyroid profile at least once in a year.
Without evidence of rapid growth, obstructive symptoms (e.g. difficulty in swallowing, cough, shortness of breath), or thyrotoxicosis symptoms as mentioned by me, no treatment is necessary.
There are three main treatment options for this condition Surgery, Radio active iodine therapy and levothyroxine (T4) therapy. This condition is 100% curable by all the treatment approach. It will not significantly affect your work at any stage of life.
Your doctor might have asked for surgeon opinion to rule out any compression of airway and to assess any need for biopsy. At this stage you are not having symptoms so there is no need of biopsy.
Your medical test for new job will not be affected by your condition. Your TSH level is normal. So don't be afraid. My best wishes for your new job.
If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health.
Thank you.
You need not to worry about it.
Detailed Answer:
Hi dear,
There is no definite guidelines for thyroid profile. You should have thyroid profile at least once in a year.
Without evidence of rapid growth, obstructive symptoms (e.g. difficulty in swallowing, cough, shortness of breath), or thyrotoxicosis symptoms as mentioned by me, no treatment is necessary.
There are three main treatment options for this condition Surgery, Radio active iodine therapy and levothyroxine (T4) therapy. This condition is 100% curable by all the treatment approach. It will not significantly affect your work at any stage of life.
Your doctor might have asked for surgeon opinion to rule out any compression of airway and to assess any need for biopsy. At this stage you are not having symptoms so there is no need of biopsy.
Your medical test for new job will not be affected by your condition. Your TSH level is normal. So don't be afraid. My best wishes for your new job.
If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health.
Thank you.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thank you doctor.
Just one more question.
I have been taking these medicines for the last 3 days. Still i have same problem with my throat. it is like, some thing stuck there. i feel it especially after lying sideways. Some time it doesn't feel good if i have not taken any food or water for a while.
Thank you very much for answering my questions.
Just one more question.
I have been taking these medicines for the last 3 days. Still i have same problem with my throat. it is like, some thing stuck there. i feel it especially after lying sideways. Some time it doesn't feel good if i have not taken any food or water for a while.
Thank you very much for answering my questions.
Brief Answer:
this uneasiness is because of thyroid nodules.
Detailed Answer:
Hello,
The feeling of something stuck in the throat could be due to thyroid nodule compressing your esophagus when you sleep sideways. As per my opinion surgery is not necessary in such case. If there is difficulty in swallowing food then you should consult a surgeon for definite treatment.
Thank you.
If you don't have further query, kindly rate my response.
this uneasiness is because of thyroid nodules.
Detailed Answer:
Hello,
The feeling of something stuck in the throat could be due to thyroid nodule compressing your esophagus when you sleep sideways. As per my opinion surgery is not necessary in such case. If there is difficulty in swallowing food then you should consult a surgeon for definite treatment.
Thank you.
If you don't have further query, kindly rate my response.
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. Vinay Bhardwaj
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