Understanding Thyroid Papillary Carcinoma: Treatment and Management Concerns
Papillary Thyroid Carcinoma Doctor: Hello! My husband underwent a bilateral thyroidectomy on August 10 of last year due to a tumor that had grown to 4 cm and was affecting his throat. He also received his first iodine-131 radioactive treatment in mid-October. Currently, he is tak...
Dr. Xie Wenhuai Reply:
I'm sorry, could you please tell me what the examination items are? Dr. Hsien-Hua Hsieh.[Read More] Understanding Thyroid Papillary Carcinoma: Treatment and Management Concerns
Understanding Hashimoto's Thyroiditis: Symptoms, Diet, and Management
Hashimoto's thyroiditis Hello Doctor, I was diagnosed with Hashimoto's thyroiditis in 2010, and at that time, my TSH levels were normal. My recent lab report shows: Anti-microsomal Ab: 1:25600 and TSH: 6.48. I have the following questions: 1. Does the level of Anti-micr...
Dr. Zhou Jiazhen Reply:
Dear Cherry, In response to your questions, please find the answers below: 1. Yes. 2. Cruciferous vegetables can interfere with iodine utilization and may lead to hypothyroidism. Patients with hypothyroidism should avoid their consumption. 3. It is advisable to minimize intake....[Read More] Understanding Hashimoto's Thyroiditis: Symptoms, Diet, and Management
Can Hyperthyroid Patients Use Povidone-Iodine for Wounds?
What medication can be applied for trauma in patients with hyperthyroidism? Doctor, can hyperthyroid patients use Betadine on external wounds?
Dr. Zhou Jiazhen Reply:
Dear Leonard: For patients with hyperthyroidism, topical application of iodinated povidone is permissible in case of trauma. Wishing you safety and health. Sincerely, Dr. Chou Chia-Cheng, Director of Surgery, Taoyuan General Hospital, Department of Health.[Read More] Can Hyperthyroid Patients Use Povidone-Iodine for Wounds?
Understanding Thyroid Ultrasound Findings: Should You Be Concerned?
Thyroid ultrasound shows hypoechoic nodules? At the beginning of February, during a company health check, a thyroid ultrasound showed a shadow. The technician advised me to promptly see an endocrinologist, but the nearby hospital's endocrinology department is overwhelmed wit...
Dr. Xie Wenhuai Reply:
Thyroid tumors can generally be differentiated into adenomas or nodules through ultrasound examination, and patients can continue to be monitored at a general surgery outpatient clinic.[Read More] Understanding Thyroid Ultrasound Findings: Should You Be Concerned?
Understanding Thyroid Issues: What Does a Bubbling Sound Mean?
Thyroid issues When pressing on both sides of the thyroid gland, a popping sound similar to a bubble is heard, but there is no pain. Is this a concern?
Dr. Wu Jingtang Reply:
Dear Yan: Regarding your question: When pressing on both sides of the thyroid gland, there is a sound like a bubble popping, but it is not painful. Is this a problem? --> It should not be a problem! If necessary, you may also consult an otolaryngologist for an examination. Wis...[Read More] Understanding Thyroid Issues: What Does a Bubbling Sound Mean?
Dietary Considerations and Pregnancy Tips for Thyroid Dysfunction
What should be considered regarding diet and pregnancy for individuals with thyroid dysfunction? 1. If you have autoimmune thyroiditis (Hashimoto's thyroiditis), dietary considerations are important. It is generally advised to avoid seaweed and foods high in iodine, as they ...
Dr. Wu Jingtang Reply:
Hello, 1. Iodine-rich foods include: seafood (sardines, lobster, shrimp, crabs, jellyfish, clams, sea cucumbers, scallops, eel, cod liver oil, etc.), seaweeds (kelp, nori, purple seaweed, etc.), and vegetables (iodine-rich soil-grown vegetables such as radish leaves, sunflower ...[Read More] Dietary Considerations and Pregnancy Tips for Thyroid Dysfunction
Understanding Thyroid Issues: Seeking Expert Guidance and Treatment Options
Thyroid issues Dear Dr. Wu, I have been experiencing thyroid issues for over two months. My test results are as follows: T3 0.02 (L) 0.40-4.5 mIU/L, Free T4 1.9 (H) 0.8-1.8 ng/dL, Thyroglobulin Antibodies 72 (H) <20 IU/mL, Hemoglobin 13.0 (L) 13.2-17.1 g/dL, Absolute Monocyte...
Dr. Wu Jingtang Reply:
Dear Mr. Zhou, Your condition should be further evaluated by an endocrinologist or a metabolism specialist. If there are nodules or lumps in the neck, the endocrinologist will likely arrange for an ultrasound examination and, depending on the situation, perform a fine needle asp...[Read More] Understanding Thyroid Issues: Seeking Expert Guidance and Treatment Options
Understanding Thyroid Issues: Symptoms and When to Seek Help
Both sides of the Adam's apple? The tissue near the right side of the thyroid gland, below the Adam's apple, is pulsating and has a noticeable tingling sensation, but it is not painful. What could this be? The symptoms have only been present for 4.5 days. If there is an...
Dr. Wu Jingtang Reply:
Dear Bai Bai, Based on your description, it is more likely that the neck muscle soreness could be addressed by visiting a general surgery or orthopedic department. A carotid ultrasound cannot assess the thyroid gland or the laryngeal prominence. Generally, a thyroid ultrasound c...[Read More] Understanding Thyroid Issues: Symptoms and When to Seek Help
Understanding Thyroid Nodules: Risks and Imaging Insights
Thyroid nodule Two years ago, my mother had a thyroid issue. After an ultrasound of her neck, a 1 cm nodule was found on the left side. A year later, another ultrasound revealed a new nodule on the right side. The doctor recommended a fine needle aspiration biopsy. In December of...
Dr. Wu Jingtang Reply:
Dear Miss Hou, Hello, basically all examinations can only confirm the current situation and are quite difficult to predict the future! Therefore, based on your description, there should be no so-called "malignant" condition at present. You only need to have regular che...[Read More] Understanding Thyroid Nodules: Risks and Imaging Insights
Apologies for the Confusion: Thyroid Issues and Communication Challenges
I apologize for any inconvenience caused? Dear Dr. Wu, I didn't expect that using my Yahoo mailbox would lead to such complications. I had hoped to receive your response before my next treatment, and I sincerely apologize for any trouble this has caused you. I received your...
Dr. Wu Jingtang Reply:
Dear Len: I have replied to the designated email! Wishing you peace and good health. Sincerely, Dr. Wu Ching-Tang, Attending Surgeon, Taoyuan General Hospital, Department of Health.[Read More] Apologies for the Confusion: Thyroid Issues and Communication Challenges
Common Thyroid Concerns: A Letter to Dr. Wu
I'm sorry for the numerous questions? Dear Dr. Wu: I apologize for always having so many questions. I have sent an email to your address [email protected] and I am concerned you may not have received it, so I wanted to remind you here. Please feel free to reply directly...
Dr. Wu Jingtang Reply:
Dear Len, Hello, you informed Dr. Wu that you sent an email to his address [email protected], but he has not received your message yet. Additionally, Dr. Wu has sent you two emails, both of which were returned. Therefore, it is advisable for you to directly ask your questio...[Read More] Common Thyroid Concerns: A Letter to Dr. Wu
Can Hyperthyroidism Cause Elevated Blood Sugar Levels?
Hyperthyroidism Does hyperthyroidism cause elevated blood sugar levels?
Dr. Wu Jingtang Reply:
Dear Ms. Li: It should not be related! Elevated blood sugar levels should be further confirmed and treated accordingly! Wishing you peace and health! Sincerely, Dr. Wu Ching-Tang, Attending Surgeon, Taoyuan Hospital, Department of Health.[Read More] Can Hyperthyroidism Cause Elevated Blood Sugar Levels?
Understanding Chest Pain: When to See a Specialist for Thyroid Issues
What’s going on? Hello: Recently, I occasionally experience sharp pain in the area above my left chest, connecting to the armpit, and sometimes the pain radiates to my back. Which specialty should I consult? (P.S. I had an impact to the center of my chest from a bathtub over a de...
Dr. Wu Jingtang Reply:
Hello, for conditions such as neuropathic pain or myofascial inflammation, it is common to consult orthopedic, neurology, or breast surgery specialists for further diagnosis. Wishing you peace and health! Dr. Wu Ching-Tang, Attending Surgeon, Taoyuan Hospital, Department of Healt...[Read More] Understanding Chest Pain: When to See a Specialist for Thyroid Issues
Medication Concerns Before Thyroid Surgery: What Patients Should Know
Issues Regarding Medication Before Thyroid Surgery Hello Dr. Hsieh: I am a patient with thyroid nodules (3.8 cm on the left and 2.3 cm on the right) scheduled for surgery next month. The doctor has prescribed one tablet each of thyroid and jolethin per day, but my levels are norm...
Dr. Xie Wenhuai Reply:
Due to the presence of a sizable tumor on each side of your thyroid, some thyroid tissue will likely be removed during surgery. The physician may prescribe thyroid hormone replacement therapy beforehand to prevent postoperative thyroid insufficiency. For further considerations, y...[Read More] Medication Concerns Before Thyroid Surgery: What Patients Should Know
Should You Consider Surgery for Thyroid Nodules? Key Questions Answered
Should thyroid nodules be surgically removed? I have been diagnosed with hyperthyroidism for ten years. During this time, I have been on medication, but my condition has not been well controlled. My doctor has suggested surgery, but I have some questions: 1. Are "thyroid n...
Dr. Zhao Ming Reply:
Three main reasons for thyroid nodule surgery: 1. Malignancy, 2. Symptoms of compression, 3. Aesthetic concerns. 1. Are "thyroid nodules" and "goiter" the same? They are slightly different. 2. Is there a distinction in the type of surgery? (removal of the n...[Read More] Should You Consider Surgery for Thyroid Nodules? Key Questions Answered
Understanding Thyroid Issues: Eye Twitching and Neck Swelling Symptoms
I am not sure if it is a thyroid issue? Hello doctor, recently I've been experiencing involuntary twitching in my right eye bag, lasting about 5 to 10 seconds, but it happens several times a day. Occasionally, I also have a dry cough at night (without having a cold). I have ...
Dr. Xie Wenhuai Reply:
Based on what you mentioned, it should not be a thyroid issue. For eyelid twitching, it is recommended to see an ophthalmologist or a neurologist. Thank you for your message.[Read More] Understanding Thyroid Issues: Eye Twitching and Neck Swelling Symptoms
Understanding Thyroid Issues: Interpreting Your Blood Test Results
Thyroid issues Doctor, excuse me, could you please help me? My blood test results are as follows: T3: 1.92 ng/ml, TSH: 5.144 uIU/ml, Free T4: 0.65 ng/dl. Is this serious? Does it indicate hypothyroidism?
Dr. Yang Mingqi Reply:
Hello, online user: Since different medical institutions may use varying detection methods, the reference ranges for normal values can also differ. Therefore, it is essential to know the established reference values and their limits set by the laboratory where your blood test was...[Read More] Understanding Thyroid Issues: Interpreting Your Blood Test Results
Thyroid Surgery: Can I Get Pregnant After Treatment?
Thyroid gland I have hyperthyroidism and have been on medication for about 6 years. My current thyroid indices are: thyroid antibodies: 80, free T4: 3.24, T3: 4.15. I would like to ask the doctor: (1) In this situation, is surgery an option? (2) If surgery is performed, will it r...
Dr. Yang Mingqi Reply:
Hello, in principle, for hyperthyroidism, it is essential to control thyroid function within the normal range before surgery to minimize surgical risks. To determine whether thyroid function is normal, the most sensitive clinical test is Thyroid-Stimulating Hormone (TSH). If your...[Read More] Thyroid Surgery: Can I Get Pregnant After Treatment?
Understanding the Link Between Thyroid Cancer and Colorectal Cancer Risk
Thyroid gland Why is thyroid cancer considered a high-risk group for colorectal cancer?
Dr. Xie Wenhuai Reply:
Thyroid cancer risk factors include: Iodine deficiency: Individuals living in areas with low iodine intake have a higher incidence of papillary and follicular thyroid cancers. Radiation: Exposure to radiation in the head and neck during childhood is a confirmed carcinogenic fac...[Read More] Understanding the Link Between Thyroid Cancer and Colorectal Cancer Risk
Understanding Thyroid Abnormalities: Hyperthyroidism or Hypothyroidism?
Thyroid abnormalities Dr. Wu, I have thyroid abnormalities with a T3 level of 60.9, T4 level of 4.27, TSH level of 4.25, and FT4 level of 0.745. Could you please tell me if this indicates hyperthyroidism or hypothyroidism?
Dr. Wu Jingtang Reply:
Hello, compared to normal values, T3, T4, FT4, and TSH are slightly low. If there are no symptoms such as fatigue or edema, it should be fine, but it is still recommended to visit a metabolic clinic for a definitive diagnosis. Wishing you peace and health. Sincerely, Dr. Wu Ching...[Read More] Understanding Thyroid Abnormalities: Hyperthyroidism or Hypothyroidism?