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Diseases » Goiter » Treatments
 

Treatments for Goiter

Treatments for Goiter

The list of treatments mentioned in various sources for Goiter includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

Goiter: Is the Diagnosis Correct?

The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Goiter may include:

Hidden causes of Goiter may be incorrectly diagnosed:

Goiter: Marketplace Products, Discounts & Offers

Products, offers and promotion categories available for Goiter:

Goiter: Research Doctors & Specialists

Research all specialists including ratings, affiliations, and sanctions.

Drugs and Medications used to treat Goiter:

Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment or change in treatment plans.

Some of the different medications used in the treatment of Goiter include:

  • Levothyroxine
  • Alti-Thyroxine
  • Armour Thyroid
  • Eltroxin
  • Euthroid
  • Euthyrox
  • Levo-T
  • Levotabs
  • Levothroid
  • Levoxine
  • Levoxyl
  • L-Thyroxine
  • Proloid
  • Synthroid
  • Synthrox
  • Syroxine
  • Thyroid USP
  • Thyrolar
  • Liothyronine
  • Cyronine
  • Cytomel
  • Thyrolar 1, ¼, ½, 2, 3
  • Triostat

Latest treatments for Goiter:

The following are some of the latest treatments for Goiter:

Hospital statistics for Goiter:

These medical statistics relate to hospitals, hospitalization and Goiter:

  • 0.041% (5,225) of hospital consultant episodes were for nontoxic goitre in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 96% of hospital consultant episodes for nontoxic goitre required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 16% of hospital consultant episodes for nontoxic goitre were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 84% of hospital consultant episodes for nontoxic goitre were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • more hospital information...»

Hospitals & Medical Clinics: Goiter

Research quality ratings and patient incidents/safety measures for hospitals and medical facilities in specialties related to Goiter:

Hospital & Clinic quality ratings » »

Choosing the Best Treatment Hospital: More general information, not necessarily in relation to Goiter, on hospital and medical facility performance and surgical care quality:

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Book Excerpts: Treatment of Goiter

Treatments of Goiter: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Goiter.

Proptosis/Exophthalmos: Treatment
(In a Page: Signs and Symptoms)

  • Treat the underlying cause, although treatment of Graves’ disease does not always improve ophthalmopathy, and radioactive iodine may make it worse; systemic steroids for acute flareups only
  • Prevent eye injury and discomfort with artificial tears and sunglasses; may patch eye while sleeping
  • Surgical decompression (in TAO and retrobulbar hemorrhage with acute optic neuropathy by direct compression or by increased intraocular pressure)
  • If due to infectious causes, appropriate directed systemic intravenous antibiotic therapy and/or surgical debridement
  • If due to noninfectious inflammation, administer systemic steroids or immunomodulating therapy, particularly if there is acute optic neuropathy
  • Incisional or excisional biopsy of orbital tumors

» READ BOOK EXCERPT ONLINE »

Source: In a Page: Signs and Symptoms, 2004

Proptosis/Exophthalmos: Treatment
(In A Page: Pediatric Signs and Symptoms)

  • Ophthalmology consultation is always warranted
  • Daily vision testing and optic nerve function evaluation
  • Lubrication for exposure
  • Cellulitis: Inpatient admission, drainage of abscess, IV antibiotics, close observation for visual detrioration
  • Systemic steroids for thyroid disease, capillary hemangioma
  • Orbital decompression if optic nerve compression
  • Surgical removal of tumors if appropriate
  • Irradiation (Graves disease, lymphoid tumors, lacrimal gland tumors)

» READ BOOK EXCERPT ONLINE »

Source: In A Page: Pediatric Signs and Symptoms, 2007

Salivary Gland Enlargement: Treatment
(In A Page: Pediatric Signs and Symptoms)

  • Supportive treatment for viral adenitis
  • Bacterial sialoadenitis requires antibiotic therapy with warm compresses and sialogogues to help promote salivary flow; IV antibiotic therapy may be required in severe cases
  • Sialolithiasis is treated with surgical excision of the stone or the gland
  • Hemangiomas are simply observed unless rapid growth, functional impairment, infection, bleeding, or severe cosmetic deformity is present
  • Tumors are treated surgically
    –Parotid neoplasms that are lateral are treated with superficial parotidectomy; submandibular neoplasms require total submandibular gland excision
    –If malignancy is suspected, neck dissection is performed when palpable lymphadenopathy is present and considered for high-grade lesions
    –Possible radiation therapy based on final pathology

» READ BOOK EXCERPT ONLINE »

Source: In A Page: Pediatric Signs and Symptoms, 2007

Exophthalmos: Treatment
(Professional Guide to Diseases (Eighth Edition))

Eye trauma may require cold compresses for the first 24 hours, followed by warm compresses, and prophylactic antibiotic therapy. After edema subsides, surgery may be necessary in a small percentage of cases. Eye infection requires treatment with broad-spectrum antibiotics during the 24 hours preceding positive identification of the organism, followed by specific antibiotics. A patient with exophthalmos resulting from an orbital tumor may initially benefit from antibiotic or corticosteroid therapy. Eventually, surgical exploration of the orbit and excision of the tumor, enucleation, or exenteration may be necessary. Radiation and chemotherapy may be used when primary orbital tumors can’t be fully excised as encapsulated lesions, such as in rhabdomyosarcoma lesions.

Treatment for Graves’ disease may include antithyroid drug therapy or partial or total thyroidectomy to control hyperthyroidism; initial high doses of systemic corticosteroids, such as prednisone, for optic neuropathy and, if lid retraction is severe, protective lubricants.

Surgery may include orbital decompression (removal of the superior and lateral orbital walls) if vision is threatened, followed by lid (blepharoplasty) and muscle surgery.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Simple goiter: Treatment
(Professional Guide to Diseases (Eighth Edition))

The goal of treatment is to reduce thyroid hyperplasia. Exogenous thyroid hormone replacement with levothyroxine is the treatment of choice; it inhibits TSH secretion and allows the gland to rest. Small doses of iodide (Lugol’s or potassium iodide solution) commonly relieve goiter that’s due to iodine deficiency. Sporadic goiter requires avoidance of known goitrogenic drugs and foods. A large goiter that’s unresponsive to treatment may require subtotal thyroidectomy.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Thyroid enlargement: Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))

Instruct the patient to watch for signs and symptoms of hypothyroidism, such as lethargy, restlessness, dry skin, and sensitivity to cold. Advise the patient with Graves’disease to use artificial tears frequently if proptosis causes his eyes to become dry. If the hyperthyroid patient is receiving therapy with radioactive iodine, tell him not to expectorate or cough freely after treatment because his saliva is radioactive for 24 hours.

Inform the patient that lifelong thyroid hormone replacement therapy is necessary after thyroidectomy or radioactive destruction of the thyroid gland. Tell him to watch for signs of an overdose, such as nervousness and palpitations.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006

Goiter: Treatment
(Handbook of Diseases)

The goal of treatment is to reduce thyroid hyperplasia. The following measures are used:

❑ Exogenous thyroid hormone replacement with levothyroxine is the treatment of choice; it decreases TSH secretion and allows the gland to rest. (See Patient instructions in goiter.)

❑ Small doses of iodine (Lugol’s or potassium iodide solution) commonly relieve goiter caused by iodine deficiency. Sporadic goiter requires avoidance of known goitrogenic drugs and foods.

❑ A large goiter that’s unresponsive to treatment may require subtotal thyroidectomy.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

Exophthalmos: Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

Teach the patient to protect his eyes from trauma and to avoid exposure to wind and dust. Demonstrate how to apply lubricants to prevent corneal drying. Encourage the patient to verbalize his feelings about changes in body image.

» READ BOOK EXCERPT ONLINE »

Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

Thyroid enlargement: Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

Instruct the patient to watch for signs and symptoms of hypothyroidism, such as lethargy, restlessness, dry skin, and sensitivity to cold. If the patient has Graves’disease, proptosis may cause his eyes to become dry, so advise him to use artificial tears frequently. If the hyperthyroid patient is receiving therapy with radioactive iodine, tell him not to expectorate or cough freely after treatment because his saliva is radioactive for 24 hours. If the patient has a goiter, support him as he expresses his feelings related to his appearance.

After thyroidectomy or radioactive destruction of the thyroid gland, explain to the patient that lifelong thyroid hormone replacement therapy is necessary. Tell him to watch for signs of overdose, such as nervousness and palpitations.

» READ BOOK EXCERPT ONLINE »

Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

Thyroid enlargement: Nursing considerations
(Nursing: Interpreting Signs and Symptoms)

▪ Prepare the patient for diagnostic tests, which may include needle aspiration, ultrasound, and radioactive thyroid scanning.

▪ Prepare the patient for surgery or radiation therapy, if necessary.

▪ Provide specific interventions, depending on whether the patient is hypothyroid or has thyroiditis.

▪ Provide postoperative care for the patient who has undergone thyroidectomy.

Patient teaching

▪ Explain the underlying disorder and treatment plan.

▪ Explain the signs and symptoms of hypothyroidism to report.

▪ Explain posttreatment precautions to the patient undergoing radioactive iodine therapy.

▪ Teach thyroid hormone replacement therapy and signs of thyroid hormone overdose to report.

» READ BOOK EXCERPT ONLINE »

Source: Nursing: Interpreting Signs and Symptoms, 2007

Exophthalmos [Proptosis]: Nursing considerations
(Nursing: Interpreting Signs and Symptoms)

▪ Because exophthalmos usually makes the patient self-conscious, provide privacy and emotional support.

▪ Protect the affected eye from trauma, especially drying of the cornea.

▪ Don't place a gauze eye pad or other object over the affected eye; removal could damage the corneal epithelium.

▪ If necessary, refer him to an ophthalmologist for a complete examination.

▪ Prepare the patient for blood tests, such as a thyroid panel and a white blood cell count.

Patient teaching

▪ Teach ways to protect the eye from trauma, wind, and dust.

▪ Discuss the proper application of lubricants to the eye.

▪ Explain the underlying cause of the patient's exophthalmos and its treatment.

» READ BOOK EXCERPT ONLINE »

Source: Nursing: Interpreting Signs and Symptoms, 2007

Goiter: Goiter - TREATMENT
(The 5-Minute Pediatric Consult)

Possible conflicts: In manic-depressive patients on lithium and cardiac patients on amiodarone, medication-induced thyroid abnormalities can be a significant problem that should be addressed by the endocrinologist and appropriate subspecialist.

» READ BOOK EXCERPT ONLINE »

Source: The 5-Minute Pediatric Consult, 2008



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