The thyroid – 2 in number i.e., left & right – is a small butterfly shaped gland located in the neck, just underneath the Adam’s apple – in front of the windpipe (trachea).
Some of the key functions of thyroid gland.
- Produces calcitonin, a hormone that helps regulate the amount of calcium in the blood.
- Metabolism – The conversion of food into energy
- Regulation of Body temperature, Heart rate & Blood pressure
- Growth during childhood
Goiter is the enlargement or irregular growth (lump or nodule) of the thyroid gland, that may be symmetrical, asymmetrical or nodular.
POSSIBLE CAUSATION
- The most common cause of goiter is the lack of iodine in the diet.
- Apart from that, it could also be due to:
- Autoimmune, Sub acute or Postpartum thyroiditis (inflammation of the thyroid gland caused by an autoimmune disorder, bacterial or viral infection, or medication that may cause hyperthyroidism or hypothyroidism).
- Genetic or with the family history
- Malignancy especial in older age group.
- Idiopathic ingestion of drugs with goitrogenic action.
- Being female specially during Pregnancy and menopause.
- Age – more common after age 40.
- Side effects of certain medications, including the heart drug amiodarone and the psychiatric drug lithium etc.
- Radiation exposure.
- Hashimoto’s disease is an autoimmune disorder, an illness caused by the immune system attacking healthy tissues.
- Graves’ disease. Another autoimmune disorder.
- Thyroid cancer a less common possible factor.
SIGNS & SYMPTOMS
Most people with goiters have no signs or symptoms other than a swelling at the base of the neck, but it may cause:
- Firm, hard, tender or painless or painless enlargement.
- Cervical discomfort.
- Dysphagia which means difficulty in swallowing.
- Hoarseness of voice.
- Difficulty breathing with exertion
- Cough
- Snoring
Certain symptom connected with Underactive thyroid (hypothyroidism)
- Dry skin
- Fatigue
- Constipation
- Muscle weakness
- Problems with memory or concentration
- Increased sensitivity to cold
- Increased sleepiness
Certain symptom connected with Overactive thyroid (hyperthyroidism)
- Irritability and nervousness
- Muscle weakness
- Frequent bowel movements
- Changes in menstrual patterns
- Sleep difficulty
- High blood pressure
- Weight loss
- Rapid heartbeat (tachycardia)
- Increased sensitivity to heat
- Excess sweating
- Tremors
- Increased appetite
Children with hyperthyroidism may have:
- Changes in behaviour
- Rapid bone growth and height that outpaces expected growth for the child’s age
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