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Severe Pain in Thyroid Area with Difficulty Swallowing
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Endocrine & Hormonal Imbalances
Question #26534
139 days ago
309

Severe Pain in Thyroid Area with Difficulty Swallowing

Client_4b9fdf

Здравствуйте. У меня диффузный зоб 3 степени. 7 часов назад началась сильная резкая режущая боль в области щитовидки. Больно глотать и двигать шеей. Температуры нет. Ранее такого резкого и длительного состояния не было

How long have you been experiencing this severe pain?:

- More than 6 hours

Have you noticed any specific triggers for the pain?:

- Swallowing

Do you have any other symptoms accompanying the pain?:

- Headache
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Doctors' responses

Your symptoms are concerning and need urgent medical evaluation. With a history of grade 3 diffuse goiter, the sudden onset of severe sharp thyroid-area pain lasting more than 6 hours, pain while swallowing and moving the neck, and associated headache may indicate an acute thyroid inflammation (subacute thyroiditis), hemorrhage into the thyroid gland, or infection, even if fever is absent. These conditions can worsen quickly and may affect breathing or swallowing. This is not a typical or harmless goiter symptom, so you should seek immediate in-person care today (ER or endocrinologist/ENT doctor) for examination, possible ultrasound, and blood tests. Avoid pressing or massaging the neck, and you may take simple pain relief like paracetamol until seen, but do not delay medical attention.

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Hello

Это не норма при зобе и требует срочного осмотра врача.

Возможные причины: острое воспаление щитовидной железы, кровоизлияние в узел, быстрое увеличение ткани. Сильная боль при глотании и движении шеи — тревожный признак, даже без температуры.

Что делать: ❗ Обратиться в неотложную помощь или к эндокринологу сегодня ❗ Не греть шею и не заниматься самолечением ❗ Если появится одышка, нарастающая боль или слабость — срочно в скорую

Тянуть нельзя.

I trust this helps Thank you Take care

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Hello Thank you for describing your symptoms so clearly. A sudden, severe, sharp pain in the thyroid area—especially with a grade 3 goiter and pain that worsens with swallowing or neck movement—can be a sign of subacute thyroiditis or another type of thyroid inflammation. This can sometimes happen after a viral infection, even if you don’t have a fever. The pain can be intense and may shift sides, and it’s not uncommon to also have a headache or other symptoms like anxiety or a fast heartbeat, though you haven’t mentioned those specifically.

What you should do: - Because your pain is severe, sudden, and lasting more than 6 hours, you should seek medical attention urgently. This is especially important with a large goiter, as there’s a risk of complications or other causes that need to be ruled out and treated quickly. - Avoid pressing or massaging the area. - If you develop difficulty breathing, swallowing, or notice swelling getting rapidly worse, go to the emergency room immediately.

Visit an endocrinologist or thyroid specialist near you

Thank you

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Hello dear See as per clinical history it seems subacute thyroiditis or nodule causing haemorrhoids I suggest you to please get following tests done for confirmation of exact diagnosis and please share the result with endocrinologist or concerned physician only for better clarity and safety TSH CBC Esr Crp Serum t3 Serum t4 Th2,1 Hopefully you recover soon Regards

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Это состояние может быть связано с воспалением щитовидной железы, известным как тиреоидит. Острое начало сильной боли в области щитовидки, особенно в сочетании с дискомфортом при глотании и движении шеи, может указывать на подострый тиреоидит, что требует внимательного медицинского осмотра. Даже если температуры нет, важно исключить другие потенциально серьезные причины боли, такие как инфекция или кистозное образование, которое может увеличиваться. Поскольку у вас диффузный зоб, это также осложняет ситуацию, и такая боль требует более детальной оценки врачом, чтобы исключить потенциально опасные состояния или осложнения, такие как кровоизлияние в зобе или перекрут его доли. Рекомендуется обратиться к эндокринологу как можно скорее для физического осмотра и выполнения исследований, таких как УЗИ щитовидной железы и анализ крови на уровень гормонов (ТТГ, Т3, Т4) и маркеры воспаления (СРБ, СОЭ). Это поможет выявить причину боли и определить, требует ли она немедленного лечения. До посещения врача желательно избегать любых движений, которые усиливают боль, и не использовать лекарства без назначения специалиста. Если возникнут дополнительные серьезные симптомы, такие, как затруднение дыхания или резкое увеличение зоба, необходимо срочно обратиться за неотложной медицинской помощью.

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