Thyroid gland
Dr.
Zhao: Hello, I have hyperthyroidism and have been treated by a specialist, who informed me that I have been off medication for many years.
I have had blood tests every six months for years without any recurrence.
I noticed that my young daughter has a thick neck, and after blood tests and fine needle aspiration, the results indicated an inflammatory stage.
It is not severe enough to require medication.
However, we have been monitoring her with blood tests every three months for about three years.
Her neck has not returned to normal, and it appears to have gotten larger recently.
The specialist has not recommended a referral to surgery.
I would like to ask Dr.
Zhao: Is your outpatient schedule still on Monday afternoons and Tuesday and Friday mornings in August? When can I make an online appointment? (I will bring her past test reports for your reference during the consultation.) Since my daughter is in her third year of college and needs to do an internship, she can only see you in August.
I have researched a lot of information, and I feel quite pressured and uncertain about the possibility of surgery for her thyroid, and I also feel guilty as this is something I inherited to her as her mother.
Jiaoji de mami, 40~49 year old female. Ask Date: 2008/06/30
Dr. Zhao Ming reply Breast and Thyroid
Hello: The likelihood of your daughter's condition requiring surgical treatment is low.
Medical management should be appropriate.
If you need my advice, you can visit my clinic, and I will explain further.
Reply Date: 2008/06/30
More Info
It sounds like you are facing a challenging situation regarding your daughter's thyroid health, and it's understandable to feel concerned, especially given your own history with thyroid issues. Thyroid conditions can be complex, and it's essential to approach them with care and thoroughness.
From your description, it appears that your daughter has been diagnosed with thyroid inflammation, which is often referred to as thyroiditis. This condition can lead to swelling of the thyroid gland, which may explain the noticeable enlargement of her neck. While her current situation does not warrant medication, the persistence of the swelling and its recent increase in size are valid concerns that should be addressed.
Thyroiditis can have various causes, including autoimmune disorders (like Hashimoto's thyroiditis), infections, or even post-viral inflammation. In some cases, it can lead to hypothyroidism or hyperthyroidism, depending on how the thyroid gland is affected. Since your daughter has been under observation with regular blood tests, it is crucial to continue this monitoring to assess any changes in her thyroid hormone levels and overall thyroid function.
Given your daughter's situation, here are some recommendations:
1. Follow-Up with a Specialist: If your daughter's thyroid gland continues to enlarge or if she experiences symptoms such as difficulty swallowing, hoarseness, or changes in her voice, it would be prudent to consult an endocrinologist or a thyroid specialist. They can provide a more detailed evaluation and determine if further imaging studies, such as an ultrasound, are necessary to assess the structure of the thyroid gland.
2. Consider a Second Opinion: If you feel that the current specialist is not addressing your concerns adequately, seeking a second opinion can be beneficial. Different specialists may have varying approaches to treatment and management, and it’s essential to find one that aligns with your concerns and your daughter's health needs.
3. Discuss Surgical Options: If the thyroid enlargement is significant and causing discomfort or potential complications, surgical intervention may be considered. While surgery can be daunting, it is sometimes necessary to alleviate symptoms or prevent further complications. Discussing the risks and benefits with a surgeon who specializes in thyroid surgery can provide clarity.
4. Emotional Support: It’s understandable to feel guilt or anxiety about passing on health issues to your daughter. However, it’s important to remember that genetics play a role in many health conditions, and you are doing your best to support her through this. Encourage open communication with her about her feelings and concerns regarding her health.
5. Lifestyle and Diet: While waiting for further evaluations, maintaining a healthy lifestyle can be beneficial. Encourage your daughter to eat a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Regular exercise can also help manage stress and improve overall health.
6. Stay Informed: Continue to educate yourself about thyroid health. Understanding the condition can empower both you and your daughter to make informed decisions about her care.
Regarding your inquiry about the doctor's office hours and appointment scheduling, it would be best to contact the office directly or check their website for the most accurate and up-to-date information. Many clinics now offer online appointment scheduling, which can be convenient.
In conclusion, while the situation may feel overwhelming, taking proactive steps and seeking the right medical advice can lead to better management of your daughter's thyroid health. Your concern as a mother is evident, and with the right support and information, you can navigate this journey together.
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