Doctor insights on:
Graves Disease After Thyroidectomy
Hashimotos: The anti-tpo antibodies may still be there, but there is nothing for them to do, absent thyroid. Hashi is an autoimmune disease, and such people are susceptible to other autoimmune diseases, so the overall immune phenomena does not completely go away. Hashi and graves can overlap, and eye disease of graves can occur later, but rarely, so don't worry about it. ...Read more
Thyroid Levels: Hashimoto's and and graves' disease are both caused by autoimmunity (where antibodies attack one's own proteins). Hashimoto's more often results in low thyroid hormone levels. Where graves' disease almost always results in high thyroid hormone levels. ...Read moreSee 1 more doctor answer
Have graves disease with graves ophthalmology(bulging eyes).Need to stop thyroid. Which is better radioactive iodine or surgical removal?
Depends: Depends on specific thyroid condition.Get a more detailed answer ›
Im taking 150mg of levothyroxine after total thyroidectomy & RAI a month ago due to papillary thyroid cancer.My TSH level is 0.091uIU/mL.Is it normal?
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
Normal Tpo Ab and Tg Ab; no Hashi's or Graves'. Have a multinodular goiter & Hypothyroidism.
If not Hashi's, what causes my Hypothyroidism? Pituitary?
No short answer: Ptc treatment depends on age, gender, uni or multifocal, affected nodes, and other factors. If only one site, no nodes, <2cm, between 18-45 yrs old, female then surgery alone with ultrasound and blood testing followup sufficient. Multifocal, male, >2cm, <18, >45, extension outside thyroid, positive nodes, tall cell variant then postop radioactive iodine. Consult with endocrine who manages ptc. ...Read moreSee 1 more doctor answer
When will i stop gaining weight after thyroid ablation for graves' disease. Thyroid labs at good levels on synthroid (thyroxine)?
Possible!: Grave's is an autoimmune disease when thyroid antibodies bind to thyroid stimulating receptors. Overporduction of thyroid, which also increase your metabolic rate, burning more calories than normal. If your thyroid levesl are now kept normal, you may probably gain weight if your appetite is the same as when you had untreated grave's disease. ...Read more
No: Separate process.Get a more detailed answer ›
Can an underactive thyriod become overactive after being burnt out with radioactive iodine 12 years earlier?
Yes, but uncommon: Some patients with graves' disease, and others with overactive thyroid nodules will undergo radioactive i-131 therapy to control thyroid levels. Usually, the thyroid hormone levels go low as the near-entire thyroid gland is destroyed. In a minority of cases, the underlying autoimmune stimulation of graves' will cause a small remnant to slowly grow back, and eventually cause overactivity again. ...Read moreSee 1 more doctor answer
What can cause high TSH level after several years of Synthroid (thyroxine) for post ablative (graves) hypothroidism?
Usually low Thyroid : Post ablative hypothyroidism is a condition where the thyroid gland is not functioning well and thus the patient needs more thyroid hormone. A "high tsh" actually mean there is not enough thyroid in the blood, thus an increase in dosage of the synthroid (thyroxine) is needed. Go see your family doctor and he/she will make adjustments and recheck the TSH level. This is very sensitive to thyroid in the body. ...Read moreSee 1 more doctor answer
What is the significance of radioactive iodine scan in various throid diseases like myxedema, hashimoto's thyroiditis and graves disease?
Hot vs. cold nodule: Iodine uptake by thyroid tissue depends on functioning cells. The most common use for thyroid scan is to assess if a nodule is functional or not. A functional/hot nodule may cause hyperthyroidism but is not likely to be malignant. See this site for more info. http://www.nlm.nih.gov/medlineplus/ency/article/003829.htm. ...Read more
Does subclinical hyperthyroid caused by graves always progress to hyperthyroid and is treatment necessary for subclinical hyperthyroid?
Watch carefully: Eventually, you will likely develop either overt hyperthyroidism, or you could possibly become hypothyroid. But not always, and this could take years. If you feel well, and your heart/bones/psyche/ etc are ok, you and your doctor (best: Endocrinologist) could elect to watch this and not treat now, but watch carefully. ...Read moreSee 1 more doctor answer
Neither.: If you have normal TSH and T4 you have neither of those diseases yet. You may develop hashimoto's in the future but may not. Progression should be monitored with TSH and possibly ft4. ...Read more
Increased likelihood: Yes, likelihood of thyroid CA is increased with chronic thyroid disease like yours. It does not mean though that you already have or definitively will have CA, but you MAY develop it. You must be monitored to have a chance to catch CA early. At this time the only advise I give is to be consistent with your treatments and follow ups as it is recommended by your treating MD. ...Read moreSee 1 more doctor answer
Why could I swing back & forth from hypothyroid and hyperthyroid (thyrotoxicosis)? Neg. antibodies for Hashi's and Graves'. Have multinodular goiter.
Thyroid: It often depends on when you take your medicine. I think it best to take thyroid medicine at bedtime. Give it a bit of time and your levels should be stable. Yes, they could be stable and high or stable and low. Once you have settled on that please see your doctor. ...Read more
After radio iodine ablation for graves' disease, is a very high thyroid per oxidase ab and thyroglobulin ab result a cause for concern? Been one year
Had my thyroid radiated 17 years ago. Have hashimomtos disease, hyperthyroid, and graves. Is it safe/good for me to take iodine pills?
It is: Unnecessary and could cause potential problems. Don't do it. ...Read more
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