Causes of a goitre

  • an overactive thyroid gland (hyperthyroidism)
  • an underactive thyroid gland (hypothyroidism)
  • hormone changes during pubertypregnancy or the menopause
  • not enough iodine in your diet
  • taking some types of medicine, such as lithium, a medicine used to treat some mental health conditions
  • an inflamed thyroid gland (thyroiditis)
  • having radiation treatment to your neck or chest area, such as radiotherapy for neck cancer
  • nodules or cysts within the thyroid – most are harmless, but they should be assessed
  • thyroid cancer – a rare type of cancer in the UK

Goitres are usually small and do not cause symptoms. A large goitre may cause pressure symptoms such as coughing, a tight throat, hoarseness and difficulty swallowing. Treatments for a goitre include medicines, hormone therapy and sometimes surgery. Goitres with no symptoms do not usually need treatment.

Mr. Dhanasekar deals with Thyroid patients routinely in his NHS and Private practice. During the consultation once the examination is done he would request blood tests, Ultrasound scan of the thyroid gland with Fine Needle Aspiration Cytology and further imaging like a CT scan if needed. With all the results to hand he would discuss and initiate treatment.

He is part of the regional thyroid Multi -Disciplinary Team [MDT] which comprises thyroid surgeons, endocrinologists, radiologists and a pathologist. Every thyroid cancer patient and potential thyroid cancer patients are discussed in the MDT meetings to formulate a treatment plan. He is also a member of the British Association of Endocrinologists & Thyroid Surgeons [BAETS]. He inputs all his thyroid surgeries into the BAETS database and also regularly audits his results. His results are in line with the national standards.