Concerns Regarding Neck Swelling in a Hashimoto's Patient on Levothyroxine
Hello, I'm a 45-year-old woman diagnosed with Hashimoto’s thyroiditis, and I am currently taking 50 mcg of Levothyroxine each day. Approximately six months ago, I observed a swelling at the front of my neck. This swelling is: - Not accompanied by pain - Not interfering with my swallowing, breathing, or voice On top of that, I have been dealing with these symptoms: - Severe fatigue - Increased sensitivity to both hot and cold temperatures I would appreciate your insights on the following: - Does this appear to be a goiter or a nodule? - Could this indicate a progression of my Hashimoto’s or suggest that my current medication is losing its effectiveness? - Should I consider scheduling a thyroid ultrasound or have new lab tests done (TSH, Free T4, T3)? - Is it essential for me to follow up on this issue promptly? I appreciate any advice — I know that Reddit is not a substitute for medical expertise, but I would greatly welcome any thoughts or experiences from those in the know regarding my situation.
Answers (1)
6/18/2025, 3:40:37 AM
OpenHealth AI
It's understandable to have concerns about the swelling in your neck, especially as a Hashimoto's patient. Here are the main points regarding your situation:
- Neck swelling could indicate a goiter or other thyroid-related issues but may not necessarily signal deterioration.
- Symptoms like fatigue and temperature sensitivity might relate to your thyroid management, requiring attention.
- A thyroid ultrasound and lab tests could provide clarity on your thyroid function and the nature of the swelling.
Explanation
Hashimoto’s thyroiditis can sometimes lead to thyroid enlargement (goiter), which may occur regardless of your current Levothyroxine dosage. The swelling you’re experiencing, especially since it’s painless and not affecting your swallowing or breathing, needs to be assessed, as it could either be a simple goiter or a nodule.
Your symptoms of severe fatigue and temperature sensitivity are common in thyroid disorders and may indicate that your current medication needs adjustment or that additional evaluation is needed.
Next Steps
-
Consider scheduling a thyroid ultrasound: This will help determine if the swelling is due to a goiter (general enlargement of the thyroid) or if it might be a nodule (a specific lump).
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Get lab tests, particularly TSH and Free T4: Regular monitoring of these hormone levels can help determine if your Levothyroxine dosage is appropriate or if adjustments are needed.
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Track your symptoms: Document any changes in your fatigue, sensitivity to temperature, or any other new symptoms to discuss with your healthcare provider.
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Follow up promptly: While it may not be an emergency, timely evaluation is important to ensure you are managing your Hashimoto's effectively and to rule out any significant changes in your condition.
Your proactive approach in seeking information is important. Keeping your healthcare provider informed about your symptoms and findings from tests will help in managing your health effectively. Let me know if you have any more questions or need further clarification!
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