What Is a Goiter?

A goiter is an abnormal enlargement of the thyroid gland. It may be associated with normal, high, or low thyroid function.

Causes

  • Iodine deficiency (most common worldwide)
  • Hashimoto's thyroiditis
  • Graves' disease
  • Thyroid nodules
  • Thyroid cancer (rare)

Symptoms

  • Visible swelling at base of neck
  • Tight feeling in throat
  • Difficulty swallowing or breathing (large goiters)
  • Coughing

Treatment

  • Depends on cause
  • Iodine supplementation if deficient
  • Thyroid hormone if hypothyroid
  • Antithyroid drugs if hyperthyroid
  • Surgery if compressive or cancer suspected
Source: American Thyroid Association, NLM MedlinePlus.

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