Doctor insights on:
Headaches After Total Thyroidectomy
1 year post Thyroidectomy...on 125 ug Levo, levels been stable. Have had sudden headaches, fatigue. Had TSH Fri, 6.8 and 9.6 within 3 hr. Pituitary?
Hypothyroidism?: Levo dose may need to be adjusted according to TSH level. See your doctor. ...Read more
Papillary thyroid cancer with thyroidectomy in '08. Nausea all day low appetite headaches fatigue TSH. 007 not pregnant are my symptoms from low tsh?
Possibly: Unfortunately, your symptoms are non-specific. Meaning that many different things could be causing them. It is possible that your TSH suppression could be contributing to your symptoms.. ...Read more
Anything fine: After a thyroidectomy there is generally restriction on what you can and cannot eat. Generally you may have some neck soreness immediately post-op which may be better to eat soft foods or liquids, but this should resolve in a day or two. ...Read more
Thyroidectomy diet: "there are no uniform general dietary restrictions for patients who have had thyroid surgery, however your surgeon may ask you to temporarily institute a low iodine diet if you need to receive radio-iodine treatment for cancer after thyroidectomy." http://www. Utsouthwestern. Edu/utsw/cda/dept48055/files/317737.Html. ...Read more
Metabolism: After the thyroid is removed, the body still needs thyroxin to help in metabolic processes. Perhaps the amount of synthetic or natural thyroxin replacement needs to be adjusted. ...Read more
It can: The risk of nerve injury with surgery should be about 1%. If it happens, 50% can recover. The recurrent laryngeal nerve controls the voice and damage can cause severe hoarseness and weak voice. Superior laryngeal nerve damage can cause loss of pitch. The overwhelming majority of people have no problem, some have mild weakness that returns, and very few have permanent damage. Chances are good. ...Read more
Thyroidectomy: This would not be done unless absolutely necessary. Any surgery can have complications such as infection swelling etc. Later complications can come from scarring and the need for thyroid medication for the rest of your life - you could not be without it ever! Review with the surgeon or at least get a second opinion if you are not sure! ...Read more
It'd be a good idea: To speak with an endocrinologist to help you sort out whether or not you need a thyroidectomy. If endocrinologist thinks its reasonable to get surgery, they can refer you to an endocrine or ENT surgeon. The surgeon will evaluate you and also decide if they think surgery is indicated. Choosing surgery is a big choice so getting good opinions is important. ...Read more
You do: But it is not essential for life so you don't need to replace it. ...Read more
Total Thyroidectomy: The most important consideration here is that you are on a hormone replacement for your thyroid and that it is being monitored to assure that you are in a good range. This can take several weeks to optimize in many circumstances. Your endocrinologist or internist will guide you here. Once you are normalized, then you are just like anyone else trying to lose weight... Diet, exercise, etc. ...Read more
2 different glands!!:
Prostate near urethra behind pubic bone;
thyroid just above sternal notch in neck;
. Ectomy means 'removal of'. ...Read more
Yes: Hi. Yes, you can. Most thyroidectomies are done for thyroid cancer. You will need to take thyroid hormone replacement for life, but doing so, your thyroid hormone-influenced metabolic rate will be normal. Increasing your metabolic rate through exercise is a different mechanism than the basal set point that thyroid hormone helps regulate. Take your thyroid hormone, eat healthily, and exercise. ...Read more
The common ones: Besides the usual bleeding, infection, and excess scarring (less than 1%) that can happen anytime you have an incision through the skin, the most common side effects of thyroid surgery are voice changes (5-10%) and low calcium (10% for total thyroidectomies). These are usually transient - they go away. Getting your thyroid hormone balanced after surgery can be tricky in some patients. ...Read more
1 week or so: Most of my patients are back to work in ~1 week, using narcotic pain meds for only 3-4 days on average. Full activity can be resumed in 2 weeks. Roughly 15% of people will require thyroid supplementation after partial thyroidectomy. Although there is plenty of debate, I recommend thyroid lobectomy over subtotal thyroidectomy for reasons I don't have room to discuss. Good luck! ...Read more
How many days after total thyroidectomy can I expect to be able to care for my 9mo daughter by myself?
Extremely variable: But some people are able to resume normal activities the next day. Check w/your doctor about your specific situation. ...Read more
I am booked in for a total thyroidectomy on Tuesday and I have my pre op on Monday. What should I expect for them?
My son had a partial thyroidectomy done two days ago. How would he find out of the nodule removed was hot or cold?
Not important now: During the study phase, knowing if a nodule is hot or cold helps to better characterize possible etiologies of the nodule in search of a diagnosis. A thyroid uptake & scan is noninvasive and used for this purpose. However, after a partial thyroidectomy, the tissue specimen is sent for direct visualization (histopathology) for a final diagnosis obviating the need of a thyroid scan. ...Read more
After a thyroidectomy, my weight is going up even though my blood results are normal. I eat very healthily and go to the gym 4 days a week?
Hard problem: Metabolism slows down with increasing age and you will gain weight even if you eat only as much as you did before. It is easier said than done, but you need to reduce your caloric intake. It may help to have a support group of your peers to facilitate sticking to a regimen. ...Read more
I had a hemi thyroidectomy (right side) because I had a tumor. Shouldn't I be on medication if now the left one is enlarged and overcompensating? I
Need Blood Test/ultr:
You need a ultrasound and tsh, freet4, T3 (liothyronine) levels and you may or may not need a boipsy of the left lobe of thyroid to find the proper treatment
consult your endocrinologist if you have not done so. ...Read more
Had to have a total thyroidectomy in 2012. Taking armour, but unable to afford to continue to pay for meds. How long will I live without meds? Thanks
Thyroid: You need to contact your doctor and have her/him seek out a way to get your thyroid meds regularly at a price you can afford. Not only is it possible, it must be done! ...Read more
Ihad thyroidectomy last year becauseof hurtheladenoma. After surgy my weight was64 I in eltroxen200 my weight is drop to 60now is it due to large dose?
Thyroidectomy: Difficult to fully understand your question. But, I think you are wondering why your weight dropped after surgery for hurthle cell adenoma. You suspect it might be the dose of the thyroid hormone and it is quite possibly the case. Make sure your endocrinologist is following your TSH level and making adjustments to rx (levothyroxine is typically used in usa). ...Read more
Absorbable sutures: They can be used in thyroidectomies, both hemis and totals. I have done it that way since 1999. ...Read more
Thyroidectomy: If they did a complete thyroidectomy, your thyroid levels should be low; you should become hypothyroid and need to be on levothyroxine. However, sometimes surgeons do not do a complete thyroidectomy, depending on why the surgery was done. If they did a non-complete resection, but then the thyroid gland is not normal (eg. Hashimoto's), then you may get hypo even though there is tissue left behind ...Read more
Usually nothing: About 75-80% of people who get a partial thyroidectomy remain euthyroid (have normal thyroid hormone levels) after surgery. About 20+% will need extra thyroid supplementation with thyroid hormone pills. I check everyone's thyroid function about 4-5 weeks after surgery. People may have a higher risk of hypothyroidism (low thyroid) later in life that would need thyrpid hormone supplementation. ...Read more
Safe narcotics: Greetings. Personally, I feel all narcotics are safe medications as long as they are used appropriately as prescribed. I try to write for a lower potency which will provide adequate relief. Codeine is always a good choice. ...Read more
Why thyroidectomy?: Hi. Was it thyroid cancer? Most likely reason for total thyroidectomy. Best diet: healthy one! Whole grains, nuts, legumes, fruits & veggies, healthy oils (canola & olive), lean meats, nonfat dairy; little or no white flour, white rice, simple sugar, high fructose corn syrup. Best of luck with your thyroid cancer! ...Read more
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