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Thyrocare A goiter is an abnormal enlargement of your thyroid gland. Although goiters are usually painless, a large goiter can cause a cough and make it difficult for you to swallow or breathe. The thyroid is a butterfly-shaped gland that sits low on the front of the neck.Your thyroid lies below your Adam’s apple, along the front of the windpipe. The thyroid secretes several hormones, collectively called thyroid hormones. The main hormone is thyroxine. Thyroid hormones act throughout the body, influencing metabolism, growth and development, and body temperature.Hyperthyroidism: Excessive thyroid hormone production. Hyperthyroidism is most often caused by Graves disease or an overactive thyroid nodule.