treating multinodular goiter with out surgery

[lalj]

i have a  multinodular goiter that continues to grow, it is now in my chest. it has a curvilinear arc of calcification 17mm by 10mm near the upper left lobe.as well as other nodules, which are nonfunctioning hypo, i don't want surgery as i have uncontrolled vomitting from anesthetics. is there any way to shrink this thing, i am beginning to look like a toad, and cough when lying down etc. symtoms, fatigue, sore eyes, over heat, etc. i am a 61 year old female. thank you for any advice.. yours sincerely  LJB

[srinu007]

Sorry to hear about the multi nodular goiter. I think in your case surgery is the best option. I also have multi nodular goiter and I don't have any cough,fatigue and weakness proplems. Eventhough the nodules are not  that big should I consider surgery to remove kids.

Please someone tell me what are the chances and side effects of having kids after having the surgery of multinodular goiter.

[Thypatient]

Coincidentally, I was just thumbing through one of my thyroid books that opened to what utahmomma is talking about...  You can slow down or stop the growth of a goiter but do risk that cancer could be there or could show up at a later time.

When was the last time you had surgery?  As Verona has said, nausea can be dealt with.  However, you must stress from the outset at the pre-op interview that this is an issue for you.

I have the uncontrolled vomiting issue too.  It happens to me even with local anesthesia.  But I failed to let that be known before my thyroid/parathyroid surgery because I didn't think it was an every time occurrence.  This caused a panic in the OR when I came to after the surgery and expressed that I desperately needed to vomit right then.  I can remember them yelling to the surgeon, who came charging back in the room.  They immediately put me back out (so to speak); administered the anti-nausea med; etc.; etc.

I don’t mean to scare in telling that but if I had vomited at that point it could have been dangerous, after just having had throat surgery.  I can’t stress enough how important it is to make this issue known up front.

Your drs will know what’s your best course and if surgery is necessary, it will be okay.  You’ll get through it – we all do.  We will be here for you at every step.

Good luck.

[Venora Moonwind]

Hi there. I had a sub sternal goiter taken out 2 years ago.
Utah has sage advice.
when I had my surgeries they put  a patch behind my ear for the the nausea. Its the dramanine for travel sickness and it worked like a charm for both my surgeries.
dont wait to let it get bigger.Get the the thing out and demand the patch.
Love Venora
2 surgeries Pap cancer in the substernal goiter.

[utahmomma]

Have you discussed with an anesthesiologist your past reactions to anesthetic and any options?

First, as you know, your substernal thyroid will continue to keep growing.  Yes, it may be slowed down, or even killed, with a small dose of radioactive iodine but, with the calcification and continued growth, you also have a higher risk of thyroid cancer.

With the size of the thyroid and the symptoms you are experiencing (cough, etc.) surgery would be indicated.

You really need to sit down with a good, experienced surgeon; a highly experienced anesthesiologist; and a thyroid specialist (endocrinologist or ENT who specialize in thyroids) and discuss your situation.

Left untreated, the growth of the thyroid and any potential cancer certainly outweigh the problem of uncontrolled vomiting from the anesthetic.

Utahmomma
papillary carcinoma (2 surgeries) - 4 sisters with papillary carcinoma