Does Hashimoto's thyroiditis cause pain?

May 16, 2023 Source: Cainiu Health
Dr. Pan Yongyuan
Introduction
Hashimoto's thyroiditis, also known as chronic lymphocytic thyroiditis, usually does not cause pain. However, a very small number of individuals may experience mild discomfort. It is recommended to promptly visit a hospital for ultrasound and blood tests. In mild cases, regular observation and follow-up may be sufficient. If abnormalities are detected, treatment with hormonal or antithyroid medications may be necessary. In severe cases, thyroidectomy may be required.

In general, Hashimoto's thyroiditis usually refers to chronic lymphocytic thyroiditis. In most cases, Hashimoto's thyroiditis does not cause pain; only a very small number of people may experience mild discomfort. The details are as follows:

1. No pain

Hashimoto's thyroiditis is primarily caused by an abnormal immune response in which the body's immune system attacks the thyroid tissue. Most individuals do not exhibit obvious symptoms and often discover the condition during routine physical examinations. Although the thyroid may become enlarged due to inflammation, it typically does not cause pain. Some people might experience difficulty swallowing or a sensation of having a foreign body in the throat.

2. Pain may occur

In rare cases, inflammation may lead to significant thyroid enlargement, which can exert pressure on surrounding tissues and result in mild pain.

If diagnosed with Hashimoto's thyroiditis, it is recommended to promptly visit a hospital for comprehensive evaluation, including ultrasound and blood tests. Mild cases may be managed through regular observation and follow-up. If abnormalities are present, treatment with hormone replacement or antithyroid medications—such as levothyroxine sodium tablets or propylthiouracil tablets—may be necessary. In severe cases, surgical removal of the thyroid (thyroidectomy) may be required. Patients experiencing any discomfort should seek medical attention at a hospital as soon as possible.


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