Aa
Tight feeling in throat when I exercise. Thyroid goiter.
I'm not sure if it's related to my goiter, but when I exercise my throat feels like it's swelling under my adam's apple (where my thyroid is supposedly located). I was diagnosed with goiter due to hypothyroidism from hashi's a few months back. I was put on Synthroid 50 mcg, but I still notice something there occasionally. This feeling gets a lot worse when I exercise and a lot of the time I'll be unable to take a deep breath. I'm wondering if this could be related to my goiter and if so what could I do to remedy this situation? I've had this goiter or tight feeling in my throat on and off for the past three months.
I forgot to clarify that I started on 25 mcg. The 50 mcg is fairly recent (like 3 weeks). The doctor didn't think to test my levels three weeks ago so I have no idea post 25.
My TSH was around 6.5 when I was diagnosed (down from 7 the previous year when my goiter hadn't developed yet), and as of the beginning of July my T4 was 1.1. The reference range for the T4 was 0.70-1.40 for normal. I'm going back in 3 weeks to get retested. My thyroid antibodies were at 369 when I was tested. Normal range was 0.
Is it reasonable that I would feel the multi nodular goiter more when I exercise though? The first time I visited my doctor it was visible to the naked eye, but now I'm not so sure. Most of the pressure is to the left under my adam's apple. I feel fine on the right side of my thyroid as of right now.
My TSH was around 6.5 when I was diagnosed (down from 7 the previous year when my goiter hadn't developed yet), and as of the beginning of July my T4 was 1.1. The reference range for the T4 was 0.70-1.40 for normal. I'm going back in 3 weeks to get retested. My thyroid antibodies were at 369 when I was tested. Normal range was 0.
Is it reasonable that I would feel the multi nodular goiter more when I exercise though? The first time I visited my doctor it was visible to the naked eye, but now I'm not so sure. Most of the pressure is to the left under my adam's apple. I feel fine on the right side of my thyroid as of right now.
If you have Hashi's and were put on 50 mcg of Synthroid several months ago, it is very likely that dose was only a start toward what you need to feel your best. If you will please post your thyroid related test results and reference ranges from both before and after starting on the med, members will be better able to assess your status.
Have an Answer?
You are reading content posted in the Thyroid Disorders Community
We tapped the CDC for information on what you need to know about radiation exposure
Endocrinologist Mark Lupo, MD, answers 10 questions about thyroid disorders and how to treat them
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
You mentioned that you were not scheduled to re-test for another 3 weeks. With T4 meds, you will have reached over 90% of the full effect in 4 weeks. If it were me feeling like you do, I think I would try to get in within the 4 week period and get re-tested. At any rate, when you are able to get tested again, you should always make sure they test you for the biologically active thyroid hormones, Free T3 and Free T4. Free T3 is very important because scientific studies have shown that Free T3 correlated best with hypo symptoms, while Free T4 and TSH did not correlate at all.
Also, since hypo patients are frequently too low in the ranges for Vitamin D, B12 and ferritin, you should insist on those also. D needs to be around 55-60. Ferritin should be around 90 minimum, for men. I would also suggest testing for selenium. Also a good idea to have an ultrasound for the thyroid gland, to evaluate for nodules.
If you can get those tests done, and then post results and reference ranges, members will be glad to help interpret and advise further. I expect the results will show the need to raise your T4 med, possibly add a source of T3 if your body is not adequately converting the T4 to T3, and also start supplementing with D, B12, iron. All of these will help your body obtain and metabolize the thyroid hormone it needs, with benefit to your thyroid gland. In addition, a somewhat controversial study suggested that 120 to 200 max micrograms of selenium per day can lower TPO antibodies and reduce inflammation.