Question 1

I have a 4x4 cm nodule in the left lobe of my thyroid and a smaller 1x1 cm nodule in the right lobe. My T3, T4, and TSH levels are normal, but the FNAC showed papillary clusters with chewing gum colloid and no nuclear grooves. The report suggests an excision biopsy to rule out papillary carcinoma. Could this be cancer or is it likely benign? Is surgery the only option or are there other treatments I should consider?

Accepted Answer

Once the biopsy report is confirmed whether it is beningn or malignant ,diagnosis can be arrived.If cancerous thyroidectomy or hemithyroidectomy is advised based on the size and location of thevtumour in the thyroid.A sugeon opinion is advised.

Question 2

I've been having this odd experience where my hands and the soles of my feet feel really warm. It tends to happen more in the afternoon or later in the day. Any idea what might be causing this?

Accepted Answer

Frequent or persistent episodes of warm hands and feet, especially if accompanied by pain, swelling, numbness, or tingling.
If you experience any other new or unusual symptoms like dizziness, shortness of breath, or chest pain.Consult a doctor if you have concerns about circulation, nerve health, or hormonal balance, especially if these sensations are affecting your daily life or causing you distress.
doctor might recommend tests (like blood work or imaging) to determine the underlying cause and provide appropriate treatment or management options.

Question 3

I've been prescribed Grilinctus for my Covid symptoms, but I'm also dealing with blood sugar issues. Should I be concerned about taking Grilinctus in my situation? Is it safe for someone managing blood sugar levels?

Accepted Answer

Gastrointestinal Issues:
 
 1. Postprandial defecation (urge to pass stool after meals)
 2. Persistent urge to defecate after bowel movement
 
 _Possible Causes:_
 
 1. Irritable Bowel Syndrome (IBS)
 2. Gastrointestinal motility disorders
 3. Inflammatory bowel disease (IBD)
 4. Anal irritationitching (pruritus ani)
 5. Nervous habitpsychological factors
 
 _Recommended Actions:_
 
 1. Consult gastroenterologist
 2. Keep stoolfood diary
 3. Dietary changes:
 - High-fiber diet
 - Avoid trigger foods
 4. Consider:
 - Probiotics
 - Fiber supplements
 - Relaxation techniques (stress management)
 
 _Investigations:_
 
 1. Colonoscopy
 2. Endoscopy
 3. Gastrointestinal motility tests
 4. Stool tests (infectioninflammation)
 
 _Treatment Options:_
 
 1. Medications (e.g., antispasmodics, laxatives)
 2. Biofeedback therapy
 3. Cognitive behavioral therapy (CBT)

Which is a bigger contributor to type 1 and 2 diabetes?

Diabetes is condition for which exact cause is unknown. But being unhealthy interms of obesity and other comorbid conditions increase the risk of developing diabetes, there are other causes such as family history/ presence of autoantibodies/ polycystic ovarian syndrome etc which increase the risk.

More Endocrinology Health Queries

I've been having this odd experience where my hands and the soles of my feet feel really warm. It tends to happen more in the afternoon or later in the day. Any idea what might be causing this?

I've been prescribed Grilinctus for my Covid symptoms, but I'm also dealing with blood sugar issues. Should I be concerned about taking Grilinctus in my situation? Is it safe for someone managing blood sugar levels?

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