Small, painful thyroid nodule- any advice please?x

Hello everyone,

I was wondering if anyone has had a similar experience, as I am rather lost.

Sorry for the long explanation:

  1. In Oct 24, I felt pain in the front of my neck for 6 months with sore throats. Reflux ruled out. GP sent me for an US thyroid. A tiny 6mm, U4, hyperechoic nodule, suspicious features was found right where the pain was. Put on 2 week cancer path. Wasn’t bothered and I was looking forward to getting rid of the pain. 
  2. In Dec 24, I transferred to a new hospital (existing patient for blood issues). An US scan said nodule was hypoechoic, U3, 7mm. I expressed how painful it was and this was dismissed as it can’t be painful they said. 
  3. In January 2025, an FNA was carried out twice- nothing retrieved. FNA was painful in contact with the nodule but this was dismissed again as me timing it correctly, as it can’t be painful they said. 
  4. 2 weeks after the FNA my neck swelled and I experienced fainting. Hospital said it was normal and to I had to wait 2-4 weeks to heal. 
  5. 6 months later they scanned me again. Nodule was 6mm, I explained how painful it still was and they said it can’t be it’s too small and it’s all in my head. I was discharged. 
  6. Over the next 7 months, I started having a racing heart rate randomly and collapsed multiple times with pressure in my neck. Cardiac tests all clear. I developed more pain swallowing, talking, pain in my ear and on the nodule side. I also experience low blood pressure and low blood sugar issues, so have had to reduce my diet. 
  7. In July 2026, I saw an endocrinologist privately as per GP advise. It showed an 8.5mm nodule, U3 with these features: “central isoechoic, hypochoic components with a peripheral hypochoic border, internal vascularity, made of slightly irregular contours medially.” 

The main problem I have is the pain and pressure in my neck, which preceded the find of the nodule. But I’ve been told it’s all in my head as it’s too small to be painful. 

Has anyone else ever had a small nodule that’s is painful please? If so, how did you do to manage it and how did you get taken seriously? I am not entirely sure what I am doing wrong. 

Thank you for your time and best wishes to you all x 

  • Hi KAGD,

    Welcome to Cancer Chat.

    It sounds like you've been struggling with this for a while and I'm sorry to hear that you've experienced all the difficulties with getting answers or feeling listened to.

    It's good that you've seen another specialist recently. I'm not sure if there are any next steps following that, for example any more tests or appointments required.

    Do keep in touch with your doctor with any concerns/questions or ongoing difficulties - it's of course important that you get answers and some easing of the symptoms too.

    I can see you've been speaking to others on the forum, so I hope that has been helpful.

    Hopefully you'll get some more replies to your post here soon.

    Wishing you all the best,

    Ben
    Cancer Chat Moderator

  • Hi Ben,

    Thank you ever so much for your kind message and for reaching out to me. 

    I do feel very hopeless to be honest and I just can’t fathom why the doctors don’t seem to be listening to my symptoms. I have 3 children and used to be very active with them. but the pain and pressure in my neck has caused this to decline. 

    As far as I know, I don’t have any follow ups after my last scan. I got discharged from the hospital I was at originally as they basically implied that the pain was all in my head and the recent scan was carried out 6 weeks ago via a new consultant, but I’ve not heard anything back from them yet. Fingers crossed they get in touch soon

    Thank you, I am hoping someone who has had a small nodule with similar features and experienced pain can give me some pointers on how to be listened to and how to manage the pain moving forward, as there’s been no respite for 2 1/2 years now. 

    Wishing you all the best and thank you again for your message x