Whether the goiter needs to take medication to reduce swelling, according to the specific cause of the disease to determine, such as physiological enlargement, thyroid function is normal, generally do not need to take medication; such as pathologic enlargement need to take medication. The details are as follows: 1. Physiological enlargement: physiological enlargement of the thyroid gland may occur during puberty or pregnancy, and at this time, the thyroid function is generally normal, and there is no need to take medication to eliminate the enlargement of the thyroid gland. 2. Pathologic enlargement: (1) hyperthyroidism: hyperthyroidism caused by goiter, you need to take antithyroid drugs, the enlarged thyroid gland may be reduced. (2) Thyroid nodules: Thyroid nodules and other causes of goiter need to be clarified by thyroid ultrasound to determine the nature of the nodule, if it is a malignant nodule or has local compression symptoms, surgery is required. If the nodule is malignant or has localized pressure symptoms, surgery is needed. If the nodule is benign and has no pressure symptoms, it can be closely followed up and does not need special treatment. Therefore, it is recommended to further consult the endocrinology department to improve the thyroid function, thyroid ultrasound, and if necessary, thyroid pathology to determine the nature of the enlargement, and then decide whether to take medication or surgery.