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Doctor insights on: Can Thyroid Cause Problems After Parathyroid Removal

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Can a surgeon accidentally removing a 1.5 cm mass of extra thyroid tissue or parathyroid gland cause significant hormone/thyroid problems in future?

Can a surgeon accidentally removing a 1.5 cm mass of extra thyroid tissue or parathyroid gland cause significant hormone/thyroid problems in future?

Possibly: Damage or excess removal of those tissues may result in underactive thyroid. There are 4 parathyroid glands so damage to one or two should not cause hypoparathyroidism. Either way such a patient should be followed with periodic testing of thyroid function and parathyroid functions such as serum calcium levels by the endocrinologist or head and neck surgeon. ...Read more

Dr. Stephen Scholand
13 Doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more


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I have a TSH level of 22.38 and my T4 is 6.1 and Free T4 is 1.7. I had a portion of my thyroid removed last year during a parathyroid tumor removal.?

I have a TSH level of 22.38 and my T4 is 6.1 and Free T4 is 1.7. I had a portion of my thyroid removed last year during a parathyroid tumor removal.?

22.38: That seems like a very high number and the pituitary gland must be seen by xray to make sure it is of normal size.
Has your parathyroid gland been checked recently?
Please let me know what happens. ...Read more

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What is a parathyroid and a regular thyroid. How do u fix elevated numbers on both. How can u treat thyroid problems. What can it affect?

What is a parathyroid and a regular thyroid. How do u fix elevated numbers on both. How can u treat thyroid problems. What can it affect?

Please clarify: I appreciate your enthusiasm, but you'll need to clarify. Do you have an elevated serum calcium with an elevated parathyroid hormone level? You're probably in for surgery that will make you much healthier in a very short time. Do you have an elevated thyroid hormone, or an elevated tsh? The implications are very different. Wishing you the best; if you clarify we can help more. ...Read more

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I've been getting muscle cramps and spasms a lot lately. Is this possibly a thyroid or parathyroid problem?

I've been getting muscle cramps and spasms a lot lately. Is this possibly a thyroid or parathyroid problem?

Not the most likely-: Causes. Thyroid problem could possibly cause cramping but other symptoms are far more likely to be seen first in your thyroid isn't working right. Since one of the functions of the parathyroid is to control calcium levels, and low calcium levels can produce muscle spasm, it is also possible. Nevertheless, thyroid and parathyroid problems shouldn't come at the top of the list of considerations. ...Read more

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Can vit d supplementation for chronic deficiency that's caused 2ndry hyperparathyroidism end up shrinking one side of thyroid aprox 7mm in 10 months?

Can vit d supplementation for chronic deficiency that's caused 2ndry hyperparathyroidism end up shrinking one side of thyroid aprox 7mm in 10 months?

Vit D & thyroid: 35 F from US asks can Vit D meds for deficiency that's caused 2nd hyperparathyroidism end up shrinking one side of thyroid 7 mm in 1o months. ANS: I cannot figure out how this would happen due to Vit D. What does your health care team who knows you better think? ...Read more

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What's the thyroid vs. The parathyroid?

What's the thyroid vs. The parathyroid?

Anatomy: The thyroid gland is a major regulator of many functions of the body by producing thyroid hormones. It sits in the lower neck on both sides. The parathyroid glands regulate calcium metabolism. There are 4 of them and they lie behind (and often in contact with) the thyroid. ...Read more

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What is the difference between parathyroid and the thyroid?

What is the difference between parathyroid and the thyroid?

Thyroid vs parathyro: The thyroid is a butterfly shaped gland at the front of the neck. It is involved with metabolism. The parathyroid glands just happen to live next to the thyroid. They are responsible for maintaining the proper calcium level in the blood. ...Read more

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What is the difference between the parathyroid and the thyroid?

Calcium/Metabolism: Parathyroid are a group of 4 endocrin glands located behind the Thyroid gland. Produces Hormone that controls the Calcium in our bodies. How much Calcium is in your bones and in Blood.
Thyroid is also an Endocrine Gland located in Neck and produces Thyroxin (T4) (Hormone) which controls Metabolism, growth and development and temperature. Thyroid also produces another hormone calledTriiodothyronine (T3) ...Read more

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Can you tell me about the difference between parathyroid and the thyroid?

Can you tell me about the difference between parathyroid and the thyroid?

Different hormones: Both glands are in the neck on both sides of the trachea. The larger thyroid gland produces thyroxin and is associated with recurrent laryngeal nerves which control vocal cords. The parathyroids are endocrine glands producing parathormone to control calcium serum levels. ...Read more

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Nodules haven been found on my thyroid, parathyroid, pituitary, and liver (fatty infiltrations? . I have hypothy. 2nd addison's. What could this be?

Nodules haven been found on my thyroid, parathyroid, pituitary, and liver (fatty infiltrations? . I have hypothy. 2nd addison's. What could this be?

Not sure: Secondary adrenal insufficiency and hypothyroidism from a pituitary tumor + parathyroid tumor could result from men 1. Parathyroid ultrasound imaging is very difficult and needs specially trained radiologists to interpret. Thyroid tumors don't go with that, though. At the very least you need an endocrinologist. Calcium, phos, pth? ...Read more

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Can you live without your thyroid or parathyroid gland?

Yes: Many people have their thyroid gland removed and thyroid hormone is easy to replace. If all your parathyroids are taken out which is generally a complication of surgery for thyroid then vit d and calcium can be used to treat. ...Read more

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Fibrin glue in thyroid and parathyroid surgery: is under-flap suction still necessary?

Fibrin glue in thyroid and parathyroid surgery: is under-flap suction still necessary?

Separate problem: The glue is used to help seal the surgical sites. The suction drain is to collect any post surgical fluids and prevent accumulation. The drains usually are removed in a few days. Okay to ask your surgeon. ...Read more

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Can any doc tell me what's the difference between parathyroid and the thyroid?

Parathyroid: Parathyroid glands are located next to the thyroid. This is their only relation to the thyroid. ...Read more

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I have too much calcium in my blood and it is not my thyroid or parathyroid. What is it?

I have too much calcium in my blood and it is not my thyroid or parathyroid. What is it?

Other causes: Other conditions such as too much vit d, a condition known as sarcoid, or if you have tumors in your bone from some other tumor for example breast. ...Read more

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Which has more affect on digestion parathyroid or thyroid? Will a parathyroidectomy improve digestion?

Parathyroid: Not sure what you mean by "digestion", and it is not clear from your question what hormones are abnormal. If you have hyperparathyroidism and you are 41, you should probably have surgery to prevent bone loss. There are sometimes weird symptoms from the hyperparathyroidism, but I doubt surgery will improve GI symptoms. ...Read more

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Is the parathyroid & thyroid related? If my hypo is treated with levo or not, would my parathyroid be affected too? I also have low vit d.

Is the parathyroid & thyroid related? If my hypo is treated with levo or not, would my parathyroid be affected too? I also have low vit d.

Probably not: The vast majority of people with thyroid disease do not also parathyroid disease. Treatment with l-thyroxine should not affect parathyroid function. It is ok to take both l-thyroxine and vitamin d. ...Read more

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I had thyroid cancer and had my thyroid removed. Am I more likely to have an issue with my parathyroid now? Is there any relation?

Unlikely.: Fewer than 5% of patients have parathyroid problems following thyroid surgery. Most of the time the problem is temporary but rare patients have permanent parathyroid damage. This is more likely to occur following total thyroidectomy as compared to thyroid lobectomy. ...Read more

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Parathyroid tumor - if you had one removed, will you have to take meds like if you removed your thyroid?

Parathyroid tumor - if you had one removed, will you have to take meds like if you removed your thyroid?

No: Unlike the thyroid, people generally are born with 4 parathyroid glands. When one of them is removed, the other glands are still there to do the work. ...Read more

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My thyroid u/s show mild cervical lymphadenopathy small nodule inferior posterior left lobe of thyroid Additional parathyroid adenoma/lymphadenopathy?

Specialists: These findings are best evaluated by a Thyroidologist/endocrinologist collaborating with a skilled head and neck surgeon. More than likely a needle biopsy of the thyroid nodule and possibly a ct scan of the neck will be recommended. The radiologist will thoroughly review these images with the specialists. ...Read more

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thyroid u/s showed mildly heterogeneous echotexture of thyroid glan mild cervical lymphadenopathy small hypoechoic nodule rep parathyroid adenoma?

thyroid u/s showed mildly heterogeneous echotexture of thyroid glan mild cervical lymphadenopathy small hypoechoic nodule rep parathyroid adenoma?

Heterogeneous: This suggest thyroiditis, which can be inflammation or infection. Thyroid blood test and signs and symptoms will determine that. ...Read more

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Can parathyroid tumors/masses appear on US to be on/attached/contiguous w/the thyroid gland? How large can parathyroid masses grow? Are they benign?

Parathyroid glands: ...are located on the back of the thyroid gland. ("Parathyroid" literally means next to the thyroid) They are usually benign, but often secrete parathyroid hormone. This can symptoms from very high blood calcium levels, often before the gland is noticeably enlarged. ...Read more

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I recently had a parathyroid scan. The findings were : Slightly asymmetric retention of sestamibi within the right thyroid region of the planar image?

I recently had a parathyroid scan. The findings were : Slightly asymmetric retention of sestamibi within the right thyroid region of the planar image?

Parathyroid scan: What is missing from your question is why the doctors are checking on the parathyroid glands.
Did your doctor measure a few things related to the parathyroid?

Parathyroid has been my "hobby" since 1974 -
What does your doctor mean by "slightly asymmetric. ..?
Have you had blood drawn to measure parathyroid hormone levels?

Please keep me posted. ...Read more

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My daughter has a 1.1cm hypoechoic density on the lt. Thyroid gland inferior to the parathyroid gland (hx: hoshimoto's) should we be concerned?

My daughter has a 1.1cm hypoechoic density on the lt. Thyroid gland inferior to the parathyroid gland (hx: hoshimoto's) should we be concerned?

Would biopsy: I would generally biopsy any lump on the thyroid gland 1cm or larger. Hashimoto's does make the results of the biopsy a little more confusing sometimes, but that wouldn't keep me from doing an ultrasound guided needle biopsy. Talk to a surgeon who regularly performs thyroid surgery. ...Read more

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Thyroid ultrasound: several hypoechoic foci measuring 7mm in length, could represent nodes, less likely prominent parathyroid. Should I be worried?

Thyroid ultrasound: several hypoechoic foci measuring 7mm in length, could represent nodes, less likely prominent parathyroid. Should I be worried?

Probably not: We never treat pictures (i.e.Ultrasound), we treat the patient. If they are in thyroid, 7mm nodules are very common (and obviously tiny) particularly in women. If they are outside thyroid, additional imaging ct scan of neck with contrast may be needed. Discuss findings along with symptoms, pertinent blood work (ex. Thyroid function tests, ca++) with your primary care physician or endocrinologist. ...Read more

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What does 'Heterogeneous thyroid glands bilaterally with diffusely increase vascularity' mean? And also what is a 'hypertrophied parathyroid gland'?

Endocrinologist: It means that there is abnormal enlargement of the thyroid gland, which has three zones, symmetrically. An enlargement of a parathyroid gland is called hyperplasia. These findings are abnormal and are considered a multiglandular problem which requires the evaluation and treatment advice from an endocrinologist. ...Read more

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Had thyroid cancer 2 years ago. They took out my thyroid and 14 lymph nodes and 1 parathyroid. Should I be worried about x rays?

Not necessarily: I think you are referring to radiation and the risk of thyroid cancer. You thyroid is gone so no risk to that but radiation in general can be harmful to other organs so only have radiology if necessary. ...Read more

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Can metastatic papillary thyroid cancer spread to the parathyroid? Is this rare? Can recurrent pap thyroid cancer show up on parathyroid?

Can metastatic papillary thyroid cancer spread to the parathyroid? Is this rare? Can recurrent pap thyroid cancer show up on parathyroid?

Parathyroid: Presumably you have had surgery followed by radioactive iodine. This could damage the parathyroid and cause hypoparathyroidism, although this usually does not happen. Thyroid cancer spreads locally (within the neck), and that could damage the parathyroids more, but again, this does not usually happen. Check this out with your endocrinologist. ...Read more

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I have hyperparathyroidism....had thyroid cancer in 1987 and had a total thyroidectomy...my parathyroid calcium level is 188. What should I do?

I have hyperparathyroidism....had thyroid cancer in 1987 and had a total thyroidectomy...my parathyroid calcium level is 188. What should I do?

Find source.: In order for Ca++ to be elevated from parathormone, a parathyroid lesion must be present. If total thyroid performed usually the 4 parathroids are removed unless op report describes which of the 4 glands remain. Here a scan of the neck should be performed and a sestimibii scan also carried out to find origin of the symptoms. ...Read more

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Subcentimeter complex cystic focus within or immediately adjacent to inferior posterior aspect of left thyroid lobe. Could be parathyroid gland? 8mm

Could be: Go see your doctor to get your labs drawn. If calcium, parathyroid hormone and thyroid hormone are normal. Then all you have to do is follow this nodule with another u/s in the future (approximately 1 year) to make sure it's not changing. ...Read more

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46 yo female. My calcium level in blood test is 10.2. Is that high? Had thyroid scan for nodules. Would that also show parathyroid if there's an issue?

46 yo female. My calcium level in blood test is 10.2. Is that high? Had thyroid scan for nodules. Would that also show parathyroid if there's an issue?

High Clcium: Check with your local lab normals. And ask team who ordered rd it they know H better. Scan no likely to show parathyroids. ...Read more

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2 yrs ago parathyroid dumped calcium, coded, 19 gram tumor and one pt gland removed. Ever since my thyroid lvls very high 50+ taking 200 mcg synthroid (thyroxine)?

2 yrs ago parathyroid dumped calcium, coded, 19 gram tumor and one pt gland removed. Ever since my thyroid lvls very high 50+ taking 200 mcg synthroid (thyroxine)?

Hypothyroidism: I assume you had the thyroid removed also. Yes TSH is the way to follow the adequacy of the treatment, you may even need a higher dose of synthroid (thyroxine). Some time people benefit from taking t3 and t4 or different preparations might work ...Read more

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If I receive an MRI of my brain, will the tracer allow my thyroid, parathyroid, and sinuses to be seen too, or will that require a different tracer?

If I receive an MRI of my brain, will the tracer allow my thyroid, parathyroid, and sinuses to be seen too, or will that require a different tracer?

It's not the tracer: But where they take the cuts. Sinuses are seen but MRI is a bad test for that but not the neck where thyroid and parathyroid are ...Read more