### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, for awhile since they found a couple large nodules in my goiter- have said I have multi-nodular goiter, but it s benign...however then they said one of the nodules is cystic, but stable, that was over a year ago..because my endocrinologist wants it removed, yet why can t they do it? evidently some sort of specialized ent dr needs to...anyway - I have some sort of lumpy stuff under my armpits, I found a very large knot under my chin bone on the left side also one under my chin, my thyroid feels inflamed, I also found another knot behind my knee. I am seeing a pain mng. dr. for strange rib problems/ back & neck...he told me to see another endocrinologist...the thing is I am tired of running around trying to find a dr that will help me, my throat hurts really badly especially with the lump- now I noticed parts of my gums are whit an infected looking, I have been in pain and really tired with night sweats etc. I don t know what to do- every time I go to the dr. they don t do much but give me something for what feels like side effects or infection IDK- then they tell me to go see a dr- I HAVE BEEN TRYING TO! It s like an endless circle of hell? what can I do? should I go to the er now?

### output:

Hi, thanks for sharing your health concerns with Chat Doctor!  If I were your treating Doctor for this case of multiple body lumps, I would like to go for some biopsy/FNAC test from the axillary or knee swellings as the thyroid goiter is there for so many years; it might be a bad disease like malignancy or lymph nodes! Therefore, no wastage of time.... I suggest you to go for an FNAC and CT scan of the region (s) for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.