A goiter is an abnormal enlargement of the thyroid gland—an organ at the base of the neck that manages hormone production. In developed countries, autoimmune disease is the main cause; hyperthyroidism also contributes to the condition. In addition to visible swelling, goiters can lead to coughing, hoarseness, and a tight feeling in the throat. As they grow bigger, they can put pressure on the esophagus and make swallowing difficult.

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