Doctor insights on:
Hyperthyroidism After Thyroidectomy
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
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
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?
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
Hyperthyroid 5 years with toxic nodule pre hemi thyroidectomy supressed TSH elevated T4 T3 (liothyronine) 10 days post op TSH supressed low T4 T3 (liothyronine) am i hyper or hypo?
Difficult to answer: Since you're on ptu (propylthiouracil) which inhibits thyroid function and hormone production. Would have to know when and how much ptu (propylthiouracil) you've been taking and serial lab values to determine the answer. If your TSH is still suppressed, you're probably still hyperthyroid, but more or longer therapy w/ptu (propylthiouracil) may help. Methimazole may be safer than put. Think about radio iodine therapy w/your doctor. ...Read more
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
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
Need path results.: Start it ASAP after surgery, as long as you won't have post-op radioiodine therapy (RAI) used for some thyroid cancers-- in which case start AFTER RAI. Usually you don't know if you need RAI for sure until final pathology results come in about a week post-op. Some surgeons start Synthroid (thyroxine) right after surgery and stop if path determines need for RAI. Others will wait for path first, then ...Read moreSee 2 more doctor answers
Depends on cause: If they thyroid was completely "dead", it is unlikely to recover. But there are a number of transient hypothyroid conditions that could have prompted your doc to put you on synthroid (thyroxine) in the first place. Transient conditions include subacute thyroiditis, post-partum thyroiditis. ...Read more
After cushing surgery i'm in hormone replacement cortisol 25 ml.Is headache normal after 3 weeks after surgery? Thank you hormones replacement
Ask surgeon: You need to discuss this with your surgeon. ...Read more
10 days ago had right hemi thyroidectomy now TSH supressed and free T4 and T3 (liothyronine) very low should I wait for equilibrium of thyroid or take levoxthyroxin?
Not an issue for: Self treatment. Why did you have hemi-thyroidectomy? Please consult with your doctor rather than trying to adjust the medication on your own. There may be reason to let you go into hypo-thyroid state, depending on the pathology that called for resection of the thyroid. ...Read more
Thyroidectomy 32 yrs ago.. Synthroid (thyroxine) 150mcg. I had papillary thy.Ca.
Recent TSH 0.01 t4free 2.0 T3 free3.7. I feel hypo not hyper, does this mean ca?
Replacement: After your thyroid is removed, you should take thyroid pill as hormone replacement. You will need periodic blood testing until the right dose is found. After that, you stay on the dose and medication for the rest of your life. It's not a hard process. ...Read moreSee 1 more doctor answer
Should i consider radioactive iodine therapy for regrowth of tissue after -partial, then total thyroidectomy?
It depends : That would depend on the original diagnosis and reason for thyroidectomy. If it was for benign modular disease or goiter then it shouldn't be necessary. If it was treatment of cancer then it is probably advisable but there are other factors that would need to be explored with your doctor. ...Read more
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