Goitre is characterized by enlargement of the thyroid gland which causes swelling of the neck. Known as gladanda in Ayurveda, it usually occurs due to a deficiency of iodine in the body. However, it can also be caused due to various reasons such as an overactive or underactive thyroid gland, deficiency of iodineand thyroid cancer. In some cases, the swelling of the gland is quite noticeable and becomes quite large after a certain period of time. Although it can be diagnosed with thyroid function tests, people affected by goitre face difficulty in breathing, swallowing food or even drinking a glass of water. Here are few facts about goitre which you should be aware of.
Causes
Although goitre can be caused by various factors, in some cases the exact cause of the condition cannot be identified. Here are some of the common causes of goitre –
Iodine deficiency – It is one of the key reasons that put you at an increased risk of goitre. Since iodine is essential for the production of thyroid hormones by the gland, lack of this mineral in the body leads to underproduction of these hormones leading to goitre. Here are 5 sources of iodine and their benefits.
Hyperthyroidism – An overactive thyroid gland caused excess production of the thyroid hormones which in turn leads to swelling of the gland.
Hypothyroidism – Goitre can develop due to under activity of the thyroid gland which causes swelling of the gland due to decreased production of hormones by the gland.
Smoking – The presence of thiocyanate, a chemical present in the tobacco smoke interferes with the utilisation of iodine in the body thereby causing goitre. Read about 25 things that happen inside your body when you smoke.
Hormonal imbalance – Hormonal changes that occur during menopause and puberty affect functioning of the thyroid gland leading to goitre. Read about 10 common causes of thyroid imbalance.
Inflammation of thyroid gland – In some cases, inflammation of the thyroid gland caused due to certain medications and bacterial or viral infections causes goitre.
Thyroid cancer – Thyroid cancer in rare cases causes swelling of the gland leading to goitre. Read about cancer in India — the 10 most common types you should be aware of.
Here are some key facts about thyroid gland you need to know.
Types
Goitre can be classified into two types namely –
Diffuse goitre: In this case, the entire thyroid gland swells which is larger in size and feels smooth when touched.
Nodular goitre: It causes development of small lumps or nodules in the thyroid gland due to fluid build-up. These can be present in the form of single or multiple nodules.
Read about thyroid disease – types and its various causes.
Symptoms
The main symptom you should look out for, if suffering from goitre is swelling of the thyroid gland which leads to formation of a lump on the neck. The lump on front of the neck will move even as you swallow food or water. Apart from this, other symptoms associated with this disease are:
- Coughing
- A tightness around the throat which could cause difficulty in swallowing (dysphagia)
- A hoarseness in your speaking voice which could also cause irritation
Some of the less common symptoms of goitre include:
- A high-pitched noise may form while breathing
- Difficulty in inhaling and exhaling
Diagnosis
If you feel lump on your neck, you need to immediately consult a doctor to know its exact cause. To confirm the condition, your doctor will conduct a physical exam and may ask you to swallow to feel swelling or lump in the thyroid area. If you have a goitre which is slightly larger than normal, you may experience swelling in a particular vein of the neck. This may cause a certain degree of dizziness, especially when the doctor asks you to lift your arm above your head.
The doctor may also ask you to take a few blood tests to understand functioning of the thyroid gland. These include:
- Free thyroxine test
- Thyroid stimulating hormone (TSH) test
You may also be asked to undergo other tests such as a thyroid
scan or
thyroid ultrasound to rule out the possibility of any abnormalities or cancerous areas in the thyroid gland. If a lump is found in the
ultrasound, you will be asked to undergo a biopsy to check if you suffer from thyroid cancer.
Read about
thyroid profiling — 5 tests to check your thyroid function.
Treatment
There are number of treatment options that are currently used to treat goitre. Here are the common ones that are safe as well as effective.
Radioactive iodine: The main goal of this treatment option is to reduce the size of the enlarged thyroid gland to its actual size. In this, radioactive iodine is administered orally. This approach is particularly effective, if goitre is caused due to excessive production of the thyroid hormone due to enlargement of the gland.
Medications: Drugs such as levothyroxine act as a replacement of the thyroid hormone and thus, aid in the treatment. However, anti-inflammatory medications such as aspirin and corticosteroids are recommended to treat inflammation of the thyroid gland. These drugs help in reducing the discomfort caused by the lump in the neck. Medications may not really make the lump disappear, but they lessen the pain and swelling thereby providing some relief. Read more about medicines for thyroid Disease – Types, Side-effects and Interactions.
Surgery: If large-size goitre is caused, then it can be removed through surgery. However if the thyroid gland is removed completely, the patient will have to take synthetic thyroid hormone for the rest of the life.
More From Goitre
Every year 25 May is observed as World Thyroid Day globally to raise awareness and understanding about thyroid health. As we celebrate this day, we have made a small effort to make you understand the cause and risk factors of some thyroid related disorders. Take a look -
The most common symptoms of goitre are difficulty in swallowing, coughing, hoarseness, and breathing, and a visible swelling at the base of your neck. It can develop at any age.
An abnormal enlargement of your thyroid gland can be termed as goitre. If you wish to get rid of that unpleasant thyroid swelling then you should try these natural hacks.
World Thyroid Day 2018: Keep these points in mind if you suffer from hypothyroidism.
It has been estimated that about 42 million in the country today suffer from various forms of thyroid diseases.
Part of the endocrine system, the thyroid is critical to maintain everyday health.
Thyroid hormone is majorly responsible for regulating the metabolic rate in the body.
Women are 3-10 times more susceptible to thyroid disorders than men.
Thyroid gland secrets hormones such as T3 and T4, which are responsible for various metabolic activities in the body.
Goitre, cretinism, hypothyroidism and pregnancy complications. Click to know how lack of iodine can affect you!
Have you been checking the iodine content of your salt? If not, you should read this!
2.91 kg goitre removed from a 60-year-old woman at AIIMS
Difficulty in swallowing is not a disorder/disease as such, but consulting a doctor may help diagnose the underlying condition.
Every year 25 May is observed as World Thyroid Day globally to raise awareness and understanding about thyroid health. As we celebrate this day, we have made a small effort to make you understand the cause and risk factors of some thyroid related disorders. Take a look -
An abnormal enlargement of your thyroid gland can be termed as goitre. If you wish to get rid of that unpleasant thyroid swelling then you should try these natural hacks.
World Thyroid Day 2018: Keep these points in mind if you suffer from hypothyroidism.
It has been estimated that about 42 million in the country today suffer from various forms of thyroid diseases.
Part of the endocrine system, the thyroid is critical to maintain everyday health.
Thyroid hormone is majorly responsible for regulating the metabolic rate in the body.
Women are 3-10 times more susceptible to thyroid disorders than men.
Thyroid gland secrets hormones such as T3 and T4, which are responsible for various metabolic activities in the body.
Have you been checking the iodine content of your salt? If not, you should read this!
2.91 kg goitre removed from a 60-year-old woman at AIIMS
Difficulty in swallowing is not a disorder/disease as such, but consulting a doctor may help diagnose the underlying condition.
The most common symptoms of goitre are difficulty in swallowing, coughing, hoarseness, and breathing, and a visible swelling at the base of your neck. It can develop at any age.
Goitre, cretinism, hypothyroidism and pregnancy complications. Click to know how lack of iodine can affect you!