Does Hashimoto's thyroiditis cause pain?
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.