Doctor insights on:
Chronic Cough After Thyroid Surgery
Can allergies and chronic sinusitis cause excessive post nasal drip and swollen neck glands for 8 weeks? In sched for sinus surgery in 2 months.
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
What can be done for recurrent larylngeal nerve injury (thyroid fna). Slow progression ( 2 yrs), mildly raspy, voice fatigue, some pain with speech. ?
Laryngologist: When the rln is injured, the vocal cord is paralyzed. Be seen by a laryngologist if you havent already. Some injections (dermal fillers) can be done to improve the voice by moving the vocal cord over a few mm. There is s more permanent solution with a procedure called thyroplasty which uses a silastic implant to push the paralyzed cord into a position that improves the voice. ...Read moreSee 1 more doctor answer
Some sinus post nasal drip dailyTotal thyroidectomy in January 2015 taking B12 and last blood TSH .065. Get very fatigue at noon . Adj.med. why tired?
See doctor: There are many potential answers. TSH value suggests that your thyroid replacement dose may be too high which can make you exhausted after a period of hyperactivity (as well as osteoporosis). Sinus infection can also lead to fatigue. Thus you need to see your doctor to sort this out. ...Read more
What causes flu-like symptoms post op hip replacement. This occurs daily since surgery 4 wks, ago.
What bariatric procedure could I have with a hx of GERD @ 20 years W/gastritis. Treated with Nissen Fundoplication that failed after 2 years?
Up to you: the kind of procesure you are going to need will be dicided on your weight,and how much you need to lose,,and the other co-morbid problems you have you surgical history will make a difference but that challange is to the surgeon. discuss your history with the surgeon,and you both decide what is the right thing for you. ...Read more
Chronic sinusitis, UTI's: antibiotics not effective, deviated sep surgery: yes. IGg levels low, but post pneu vacc antibodies 9 of 15. FATIGUE. Help! ?
See allergist/immuno: The low IgG and the abnormal post-pneumococcal response (normal is >11/15) points to an impaired immune system. Antibiotic does not work well without an adequate immune system. Recommend you consult an allergist/immunologist ASAP since gammglobulin replacement will likely be needed. ...Read more
I had total thyroidectomy due to huge multinodular goiter with compression 1 week ago. Is a 1.5" diameter X 3" long swelling needing narcotics typical?
Frequent post nasal drip, each episodes last 6 weeks. Causes breathing problems, choking, constant throat clearing. Is it exacerbated by my goiter?
After finishing antibiotics, cough syrup, prednisone medications to treat bronchitis, is it normal after 1 week to feel chest congestion and cough ?
Not necessarily: But some remaining secretions can cause it. Get fluids, vit c, mucolytics for 3 more days if not better get medical assistance. ...Read more
How to treat hyperthyroid after bilateral parathyroidectomy. Three weeks ago i had a bilateral parathyroidectomy & no surgical complications. 5 days after surgery i started experiencing rapid pulse rate, sweating, and loss of appetite which continued to w
While : While it is possible that the hyperthyroidism is unrelated to your recent surgery and just happened to start now, it is more likely that you are suffering from a traumatic thyroiditis, inflamation of the thyroid caused by trauma during the surgery. If that is the case the Methimazole won't do any good, as the gland is not overactive, it is just leaking hormone that is normally stored there. In that case the problem should resolve on its own over a few weeks. If the symptoms are a problem, perhaps an increase in the beta blocker dose will help. ...Read moreSee 1 more doctor answer
After severe viral bronchitis meds done, still major sinus drainage & choking, with air sensitivity. Is this normal recovery or new sinus condition?
33 yrs old. Is it normal to experience Iritis twice after 2 months post cataract surgery. Any precaution required to work condition travelling?
Red eye post surgery: Iritis/uveitis after cataract surgery is not uncommon. If no surgical complication and implant in proper place ('in bag') it is due to rebound inflammation as steroids decreased. See eyemd to be sure haptics & IOL in proper place. Have steroids on hand during travel. Though rare: If persists after surgery, may need a blood work up for uveitis. ...Read moreSee 1 more doctor answer
Review meds with MD: Some of the medications for BP (ACE inhibitors like lisinipril, quinapril, captopril, etc) are known to give dry cough in a small percentage of patients. Do NOT stop meds by yourself without discussing with your MD. Cough also can happen in patients who smoke or with bronchitis/ emphysema or heart failure ...Read more
I am 8 months post op for inguinal hernia repair. I'm in PT for another surgery 4 months ago and have testicular edema. I think it is related.
Possible but unlikel: But this far out would be unlikely. Best to see surgeon or urologist for evaluation. Dr R ...Read more
Intermittent low grade fever daily for past months. Had sinus surgery, lasting cough, recent diagnosis of gallstones. What is the cause? Exaustion?
Getting excess saliva since 5 months, it 'spits' out while speaking.Have chronic migraine, fibromyalgia, TMJ & hyperthyroidism(diagnosed 3 months ago)?
Recovering from respiratory infection. Likely viral. Still coughing after 3 weeks. I especially cough while eating, after every bite. No gerd. Causes?
M31, which is better anesthesia option, general or spinal for inguinal hernia surgery. Have residual mild cough after flu. Thanks.
Graves pt. Rai 2 years ago. Synthroid (thyroxine) 50mcs for two months. Periorbital edema severe. From hypothyroidism? Blood work normal.
Graves' Orbitopathy: Graves' orbitopathy can occur before, after or at the same time as development of autoimmune hyperthyroidism. It's activity is unrelated to your thyroid level and its course is episodic. If you have swelling, it may mean you have active inflammation in your orbit. You should see an oculoplastic surgeon to be evaluated for oral steroids. This can stem some of the damage from active inflammation. ...Read moreSee 1 more doctor answer
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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