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The pain characteristically worsens after eating and is not relieved by over-the-counter medications

[1] [2] Patients should be counseled about the potential risk and instructed to report symptoms of thyroid tumors, including: A lump or swelling in the neck Hoarseness or voice changes Difficulty swallowing Shortness of breath It is important to note that the relevance of rodent C-cell tumor findings to humans remains uncertain