Stephen J. Schueler, M.D.

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Toxic Goiter Treatment

Treatment for endemic goiter may include iodine supplements, thyroid supplements, vitamin supplements, and diet changes. Some with large goiters or a malignancy will require surgery.

Treatment options for endemic goiter include:

  • Iodine supplements
  • Thyroid hormone replacement
  • Vitamin supplements
  • Surgery for goiter:
    • Reserved for large goiters
    • Reserved for those with thyroid malignancy
    • Reserved for those who fail medical management
  • Diet change: Vegetables to avoid that may interfere with iodine transport in the thyroid include:
    • Lima beans
    • Cassava
    • Maize
    • Bamboo shoots
    • Sweet potatoes
  • Diet change: Avoid or limit consumption of brassica vegetables:
    • Cabbage
    • Brussels sprouts
    • Broccoli
    • Cauliflower
    • Kale
    • Kohlrabi
    • Rutabaga
    • Pak-choi
    • Turnips

For more information:

Toxic Goiter Questions For Doctor

The following are some important questions to ask before and after the treatment of endemic goiter.

Questions to ask before treatment:

  • What are my treatment options?
    • Is surgery an option for me?
  • What are the risks associated with treatment?
  • Do I need to stay in the hospital?
    • How long will I be in the hospital?
  • What are the complications I should watch for?
  • How long will I be on medication?
  • What are the potential side effects of my medication?
  • Does my medication interact with nonprescription medicines or supplements?
  • Should I take my medication with food?

Questions to ask after treatment:
  • Do I need to change my diet?
  • Are there any medications or supplements I should avoid?
  • When can I resume my normal activities?
  • When can I return to work?
  • Do I need a special exercise program?
  • How often will I need to see my doctor for checkups?
  • What local support and other resources are available?

Toxic Goiter Specialist

Physicians from the following specialties evaluate and treat endemic goiter:

Continue to Toxic Goiter Home Care

Last Updated: Dec 10, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Toxic Goiter References
  1. Aydin K, Kendirci M, Kurtoglu S, Karakucuk EI, Kiris A. Iodine and selenium deficiency in school-children in an endemic goiter area in Turkey. J Pediatr Endocrinol Metab. 2002 Jul-Aug;15(7):1027-31. [12199330]
  2. Castaneda R, Lechuga D, Ramos RI, Magos C, Orozco M, Martinez H. Endemic goiter in pregnant women: utility of the simplified classification of thyroid size by palpation and urinary iodine as screening tests. BJOG. 2002 Dec;109(12):1366-72. [12504972]
  3. Elnour A, Hambraeus L, Eltom M, Dramaix M, Bourdoux P. Endemic goiter with iodine sufficiency: a possible role for the consumption of pearl millet in the etiology of endemic goiter. Am J Clin Nutr. 2000 Jan;71(1):59-66. [10617947]
  4. Zhao J, Wang P, Shang L, Sullivan KM, van der Haar F, Maberly G. Endemic goiter associated with high iodine intake. Am J Public Health. 2000 Oct;90(10):1633-5. [11030003]
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