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What is Goiter?

Goiter is the term used to describe an enlargement of the thyroid gland located at the base of the neck. This condition can result from various causes, including iodine deficiency, autoimmune thyroid diseases like Hashimoto’s or Graves’ disease, or the presence of thyroid nodules. While some goiters are small and symptom-free, others may grow large enough to cause noticeable swelling, difficulty swallowing, or breathing discomfort. Evaluation by a thyroid specialist is essential to determine the cause and whether treatment, including surgery, is necessary.

Doctor examining patient’s neck for signs of goiter in Fayetteville

Signs & Symptoms of Goiter:

  • Visible swelling at the base of the neck
  • A feeling of tightness or pressure in the throat
  • Difficulty swallowing or breathing
  • Hoarseness or changes in the voice
  • Persistent cough without a cold
  • A sensation of something stuck in the throat
  • Neck discomfort when lying down
  • Rapid or irregular heartbeat (in some cases)
  • Fatigue or unexplained weight changes (if linked to thyroid dysfunction)

If Left Untreated:

An untreated goiter can gradually enlarge and worsen symptoms, including increased neck swelling, difficulty breathing or swallowing, and voice changes. In some cases, the underlying thyroid dysfunction—whether hypo- or hyperthyroidism—can progress, affecting metabolism, energy levels, and heart function. Dr. Grant provides expert assessment and individualized treatment plans to address the cause and restore thyroid health.

Possible Causes of Goiter

Goiter develops when the thyroid gland becomes enlarged, often due to factors that disrupt normal hormone production or cause glandular inflammation. This enlargement can result from hormonal imbalances, nutritional deficiencies, or underlying thyroid conditions. Identifying the root cause is essential for determining the right treatment approach.

These are some of the possible causes of goiter:

  • Iodine deficiency, leading to impaired thyroid hormone production
  • Autoimmune thyroid diseases such as Hashimoto’s thyroiditis or Graves’ disease
  • Thyroid nodules causing focal or diffuse gland enlargement
  • Hormonal changes during pregnancy or puberty
  • Certain medications that affect thyroid function
  • Genetic predisposition to thyroid disorders
  • Thyroid cancer or other neoplastic processes (rare causes)
Woman researching goiter symptoms and treatment in Fayetteville

How is Goiter Diagnosed?

To diagnose goiter, your doctor will begin with a physical examination to assess the size and feel of your thyroid gland. You may be asked about your symptoms and medical history. Diagnostic tests often include blood work to evaluate thyroid hormone levels and ultrasound imaging to visualize the gland’s structure. In some cases, a fine needle aspiration biopsy or radioactive iodine scan may be recommended to support an accurate diagnosis of goiter in Fayetteville and guide your treatment plan.

Your Personalized Goiter Treatment in Fayetteville

Your treatment begins with a comprehensive evaluation by Dr. Grant, who takes the time to understand your symptoms, health history, and diagnostic results. Based on these findings, he curates a personalized treatment plan tailored to your condition and goals. Whether your goiter requires monitoring, medication, or surgery, Dr. Grant ensures every step is clearly explained and carefully coordinated to restore your health.

Schedule Your Consultation
With Dr. Grant

Dr. David Grant is a board-certified head and neck surgeon with advanced fellowship training in thyroid surgery. With national and international recognition for his expertise, he provides compassionate, precise care for patients with goiter and other thyroid conditions. If you’re experiencing symptoms of goiter or have concerns about thyroid health, we invite you to schedule your personalized goiter consultation in Fayetteville with Dr. Grant today.

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