Doctor insights on:
Chronic Cough After Thyroid Surgery
Thyroidectomy: I have a total thyroid surgery last Friday morning and now I have constant coughing? ANS: complications of thyroidectomy are common in my experience. Laryngeal nerve injury or paralysis could cause cough. Taking out/injuring the parathyroids may cause low Ca which can also make you have muscle cramps and could contribute to cough. Let us know what you find out. ...Read more
The cough reflex is a protective mechanism that uses muscles in your throat and chest to expel mucous and saliva that may contain pathogens that would otherwise possibly be inhaled via aerosol or to expel pathogens infecting the throat and respiratory system. Cough benefits the host by reducing load and benefits the pathogen which may then spread via aerosol. ...Read more
If you had a serious case of MRSA 8 months ago can you have a chronic cough - the MRSA was located in my leg after the 3rd surgery to fix my achilles?
Yes: Aortic dissection or aortic dissection surgery can irritate the phrenic nerve which control the diaphragm. If it is irritated by the aneurysm or with the surgery it can result in a chronic cough. This should be brought to the surgeon's attention as a chronic cough could provoke additional injury to the aortic if it is severe enough. ...Read more
I had fundoplication surgery dec 2011 for my chronic cough. It turns out I had at best (before the surgery) mild acid reflux. My cough was caused by a?
Is cough gone?: A nissan fundoplication is a surgery that's been done for years to treat acid reflux; now, however, it's often done laparoscopically. Reflux can cause cough, hoarseness, wheezing, heartburn, etc. If your symptoms are better, know that even mild reflux can cause symptoms. If the cough persists, it's back to the drawing board. Asthma, sinus infections, and/or allergies are frequent reasons. Lgromko. ...Read more
Have chronic cough need cateract surgery will take ativaan for anxiety but this won'the help if I start coughing?
Determine cause: Chronic cough is most commonly due to 3 conditions: asthma, post-nasal drip, or GERD (heartburn). You might have one or a combination of all three. Post-viral cough is also very common and can last for weeks. Further workup by Allergist is helpful as they can perform a more detailed assessment including skin testing, pulmonary function testing, etc. Treatment will depend on cause. ...Read more
Thyroid nodules: 35 F notes I have 8 small thyroid nodules and cough 5 months. Asks: Should I be concerned? ANS: I would think the two are not likely related. Depending on what you call small. If ones you can feel then may be related. So ask your Dr to investigate the cause of your cough. A common cause is what is called an ACE cough if you are taking an ACE inhibitor. ...Read more
Chronic cough with mucus and phlegm sometimes short of breath do have cysts on thyroid what could this be?
Symptoms ; joint pain & chronic cough. ANA TITER 1:640, C3= 89, RNP +, ASMA =42, Thyroid peroxidase AB= 663, liver enzymes elevated. Help?
Autoimmune disorder: With this profile, you clearly have an autoimmune disorder. The manifestations can be very targeted or diffuse. Autoimmune diseases include lupus, Goodpasture's syndrome, psoriasis and psoriatic arthritis, juvenile arthritis, Sjogren's syndrome, autoimmune hepatitis and primary biliary cirrhosis. See your doctor ASAP, this can be treated before organ damage is irreversible. Good luck. ...Read more
Hard to say: One can get estimates by asking around. There are doctor's bills for office visits, the actual surgery, and hospital visits if he charges separately for hospital care days (presuming one has to stay in the hospital). Hospital bills are hard to predict, and there are separate bills for lots of different items such as labs, meds, x-rays, etc... And also anesthesiologists, radiologists, pathologists. ...Read more
I'm having thyroid surgery in two weeks. Should I start trying to eat less and what kind of food should I be eat?
Yes: For thyroid surgery, an anterior neck incision is used and the risk is low. The recurrent laryngeal nerve is examined during placement and removal of the anesthetic breathing tube, your surgeon will be well trained to avoid this nerve during surgery. If the nerve becomes dysfunctional, it is usually temporary. Take family/friend to ask these details of your surgeon. Be well. ...Read more
Subtotal: This is an arcane surgical term referring to removing most but NOT all of the thyroid. It was historically done to reduce risk of recurrent laryngeal nerve injury and hypoparathyroidism. Currently, thyroid surgeries are mostly half (hemi) or all (total). ...Read more
Usual course: Typically people have some stiffness and soreness in the neck for the first week or two. Sometimes swallowing can be difficult (especially liquids) and the voice can be hoarse for the first month (about 10% of people). Energy levels can fluctuate because of the surgery, as well as, thyroid hormone levels changing. Other specific issues can be addressed by your surgeon. ...Read more
Decrease blood flow: If the patient has graves' disease or other hyperthyroidism and is scheduled for surgery, doses of iodine can be given to temporarily decrease the blood to the thyroid and aid in surgery--typically sski is given. Radioactive iodine is given to ablate the thyroid in hyperthyroidism. Some feel it should not be given in grave's if there are eye problems from the graves or it may make the eyes worse. ...Read more
Low calcium: Typical symptoms might include a numb or tingly feeling around the mouth or in the hands and feet, or muscle cramps. In severe cases carpal spasm can develop - see the picture here: http://www. Nejm. Org/doi/full/10.1056/nejmicm074227. ...Read more
Where is a good place to get this in florida or east coast to get endoscopic thyroid surgery dan?
Why?: There are a number of centers near florida that do endoscopic thyroid surgery, like tulane la, atlanta ga. The only real advantage to this type of thyroid surgery is that you would have a smaller scar in the neck or no scar if done through the axilla (arm pit). However, the procedure usually takes more time, therefore more anesthesia. There is no evidence that complications are less frequent. ...Read more
I ask I'm almost 1half month done my thyroid surgery why it's still I fell my neck is to tired thank u?
I ask I go for thyroid surgery How many weeks can I go to work I'm nanny I do some cleaning to house thank you?
Within a few days?: You should ask the surgeon about this, but it all depends on what surgery is being done on your thyroid - if it is a deep procedure, say a subtotal thyroid extort, it could take up to a week for full recovery, while simple biopsies take a day to do and you are back at work the next day. Ask your surgeon ...Read more
After thyroid surgery, the amount of calcium get decreased. What are the food need to include for getting this balanced?
Should resolve: After thyroid surgery you can shock your Parathyroid glands which may cause a short period of hypocalcemia. This can be treated with calcium carbinate (tums) or dairy products like milk. The transient hypocalcemia should resolve once the parathyroid glands recover, UNLESS they were mistakenly removed. You should also get your calcium levels checked by a doctor. ...Read more
I had thyroid surgery it will be 2 weeks tomorrow my strips are still on does this mean I have a problem am I not healing right?
Steri strips: This is normal. It means you are a good patient and didn't disturb the strips. They will fall off in a few days, no worry. ...Read more
When you can eat: Whenever you can resume eating, you can eat meats again. There is no time frame needed to refrain from eating red meats. ...Read more
No: Get your BP/heart rate checked.......it is normal. ...Read more
It can be: But if it continues please see a doctor ...Read more
I'm done thyroid surgery I'm home already it's that normal sometimes I'm feeling dizzy thank you?
Need more info: Hi. Except in pregnancy, thyroid surgery is generally only done for thyroid cancer or to rule out thyroid cancer. What was the surgical pathology on your thyroidectomy? We need to know surgical pathology AND your TSH and free T4 post-op. Give us that info, and maybe we can help. Good luck! ...Read more
Surgical removal of the thyroid can be performed safely in experienced hands. Risks include general anesthesia, bleeding, infection, injury to nerve that moves vocal cord causing hoarseness and swallowing difficulties, injury to parathyroid glands causing low calcium and need for medications, need for thyroid medications, scar and ...Read more
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