Doctor insights on:
Graves Disease After Thyroidectomy
Will a total thyroidectomy cure Graves disease? Planning on conceiving as soon as possible, so the other options are less desirable.
Yes: Graves' disease is autoimmune mediated against the thyroid gland, which effectively results in over production of levothyroxine (HYPERthyroidism). This can result in sweating, palpitations, weight loss, GI distress, jitteriness, fatigue, etc. When the thyroid gland is removed HYPOthyroidism ensues. You will need to be placed on levothyroxine lifelong which will be titrated to appropriate dose. ...Read more
Went to see an endocrinologist about my graves' disease, and he thinks I should have a thyroidectomy, are there any risks I should know?
Various opinions: In your age group, the most recommended treatment for graves disease is taking anti-thyroid drugs (methimazole). If this does not result in remission of your disease, most endocrinologists would recommend treatment with radioactive iodine. Surgery for graves disease is not commonly done in the us, though is more common in europe and the far east. ...Read more
Been very skinny all my life, diagnosed with graves disease and had total thyroidectomy last week, I really hope I can gain weight, do I have a chance?
Better chance: The presence of an overactive thyroid often leads to weight loss. Thus having a normal thyroid function through replacement gives you a better chance to gain weight. Don't worry, you will likely wish you have the same problem 30 years from now. (PS: If you are genetically lean-look at your parents' body type, then huge weight gain may not be on the horizon). ...Read more
I had a total thyroidectomy 8 years ago due to Graves Disease. My tsh is either under or over, can't get it to stabilize?
Thyroidectomy: When patients have had a thyroidectomy, generally they will need to take replacement thyroid hormone. I always recommend taking brand name thyroid replacement hormone because generic medications will sometimes result in fluctuations in your TSH level. It is best to have the T4 level checked as well. Make sure that you take your thyroid replacement hormone one hour before breakfast. ...Read more
Graves disease, mixedema and exopthalmos, scheduled for compete thyroidectomy bc not responding to treatment. Will these 2 resolve after surgery?
Exopthalmos maybe: Graves disease (hyperthyroidism) is much easier treated by radioactive ablation with i131 than surgery.Complications of surgery do not occur. The radioactive iodine destroys the gland making patient hypo or nothyroid. While exophthalmos generally improves with correction of hyperthyroidism, not always the case. Myxedema is not related to hyperthyroidism but is the same as severe hypothyroidism. ...Read more
I had a total thyroidectomy due to Graves' disease 7 years ago. Recent positive ANA test at 1:640 homogenous. No symptoms/tested due to fertility tx.
Duplicate question: Believed I have already answered this question. The presence of Grave's disease (an autoimmune disorder) points to your predisposition to possibly other autoimmune disorders. ...Read more
Wisdom teeth: I would recommend at least 6 weeks or until your surgeon tells you you are completely healed and your calcium level (from incidental parathyroidectomy with TOTAL thyroidectomy) and thyroid hormone supplementation are within normal limit. There is no rush with regards to scheduling an elective procedure. ...Read more
My TSH is low, my T3 (liothyronine) and T4 is high. I don't have graves disease or thyroiditis. My dr. Suggested a partial thyroidectomy to correct this. Is that ok?
Can beta blockers be taken to help relieve symptoms of grave's eye disease, with levothyroxine, and after total thyroidectomy?
No: Beta blockers are useful for the tachycardia that is present with the hyperthyroidism from graves. Total thyroidectomy will cure the hyperthyroidism but since the antibodies against the orbital tissues are still produced there is no guarantee that the eye symptoms will stabilize or improve. In fact they may get worse. Levothyroxine will have no effect on the eyes since it doesn't stop antibodies. ...Read more
Several therapies: Medical therapy consists of several medications to control or block thyroid hormone. Sometimes medical therapy does not consistently control problem. Other therapies are radioactive ablation with I131 with destruction of the gland. An alternative therapy is surgery where thyroid gland is removed, ...Read more
Various ways: In your age group, the most common recommendation would be to take antithyroid drugs (methimazole) to control the hyperthyroidism. After 6 months, one could see if you have gone into remission so that you could discontinue the med. If if hasn't gone away by up to 2 yrs of treatment, we would recommend radioiodine treatment or surgery to ablate the thyroid. ...Read more
Graves disease: There are no one specific symptoms of graves' that occur first. It's different for different people but in general, graves' symptoms are: nervousness, more sweatings, fatigue, can't stand heat, weight loss, more bowel movements, more appetite. Signs: high blood pressure, hand tremor, clammy skin, rapid pulse, flushing.. ...Read more
Neonatal Graves: One to 5 percent of neonates born to women with graves' disease have hyperthyroidism due to transplacental transfer of TSH receptor-stimulating antibodies. The incidence is higher in women with high titers of these antibodies. If you have graves disease your obstetrician needs to follow you and the baby carefully for the best outcome. ...Read more
Autoimmune thyroid: Naned after dr graves it encompasses one or both bulging eyes usualyy related to an abnormal thyroid condition. It can also cause blurred vision, possible blindness, tearing, redness, abnormal eyelid positions and /or double vision. It is related to usually an abnormal condition even being on meds that might not be the correcdt dose. See an eye md/do as well as endocrinologist. ...Read more
It is developed: But some people have higher vulnerability of acquiring it. This risk is genetic. ...Read more
Rarely It can be: Often graves' disease is not fatal, but it can be so because it has the potential to cause cardiac arrythmias (irregular heart beat) such as atrial fibrillation causing blood clot which can then cause strokes etc, if treated appropriately, you should be ok. Follow doc regularly because u may end up going hypothyroid eventually which also requires treatment. Good luck. ...Read more
Anyone: Although the condition most often occurs in women and in middle-age, it can occur in men, or in people of any age. In infants under the age of 6 months, any thyroid problems may be due to antibodies from the mother rather than their own antibodies, and so may improve without treatment as the maternal antibodies clear. ...Read more