Doctor insights on:
Life After Total Thyroidectomy
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
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
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
A routine surgery...: Will aim to remove all thyroid tissue. This is done sometimes for goiter, thyroiditis, or cancer. There is typically a single, midline neck incision that is used for removal of the organ. Afterwards you may receive radioactive iodine to kill any cells that might have been missed. You will need thyroid replacement on a daily basis after the surgery for the rest of your life. ...Read more
Normally a few days: For routine thyroid surgery, such as for graves disease or a benign nodule, surgery can be done on an outpatient basis and recovery is fairly fast. Hormone replacement begins immediately. For cancer surgery, the procedure may be more extensive and recovery may be longer. If there are complications, such as low blood calcium, or a hoarse voice, then other outpatient treatments will be needed. ...Read more
What for?: There are many reasons to have a thyroidectomy: cancer, suspicious nodules, goiter or nodule with compressive symptoms, uncontrolled hyperthyroidism, genetic syndromes with high likelihood of cancer. You should be seen by a surgeon who does a lot of thyroid procedures and have a full discussion about your reasons. If you are having trouble deciding get a second opinion. ...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
It removes: A portion of your thyroid. You will definitely need life-long replacement with brand name T4 after the surgery. There are some risks, including potential damage to laryngeal nerve and parathyroid glands, but risks should be minimal with a good surgeon. Depends upon the indication for the surgery in the first place. ...Read more
Depends: In experienced surgeon's hands the complications are minimal. For example my patients have a less than 1% incidence of hoarseness, infection or hematoma. The risk of permanent hypoparathyroidism is less than 1:1000 also in my hands. ...Read more
Common: In this day & age where people are getting imaging studies more frequently, "incidental" thyroid nodules are found more easily, leading to more biopsy and more surgery. Approx 50, 000 new thyroid cancer cases are expected in 2011 resulting in approx 2000 deaths. The decision to proceed with surgery depends on discussion between you and your treating physicians (surgeon, pcp & endocrinologist). ...Read more
1 week: Light physical activity was recommended after thyroidectomy for 1 week. Pain is usually mild after thyroidectomy! ...Read more
Thyroidectomy: is the surgical removal of the thyroid gland ...Read more
Ideally none: A total thyroidectomy is done to remove all visible or gross thyroid tissue. We know as surgeons, that despite out best efforts, there may be a small amount of tissue left behind. That is why it is important to have post surgical radioactive iodine therapy if you are being treated for thyroid cancer. ...Read more
Yes: General anesthesia can make some patients very sick with nausea or even vomitting. Thyroidectomy can also cause neck pain and general anesthesia can cause a sore throat due to intubation! subtotal thyroidectomy can lead to hypothyroidism with symptoms of lethargy, weakness, cold intolerance and weight gain. ...Read more
14 months after total thyroidectomy, would only one side grow back to complete normal size? Is this possible?
I have gained over 10lbs since my total thyroidectomy 4 months ago and i eat a lot. Is this normal to gain the weight?
Not usually: First of all, it is important to return to your endocrinologist or internist to have your thyroid levels checked. It is possible that you are not taking enough thyroid medication. It would also depend on the reason for having the total thyroidectomy. If is was for an overactive thyroid, your metabolism might have been "revved up" before surgery and now, if normal, you could gain weight easily. ...Read more
I had a partial thyroidectomy in 03, i had my 2nd child in 05, my levels have been off an i've gained a lot of weight. How can I correct this problem?
Total thyroidectomy 10 years ago. numbers stable. last four months low numbers. levo increased from 50mcg to 88 to 150 to 175. why am I not absobing?
This is common: The reason that it is important to continue checking thyroid function regularly for the remainder of life after thyroidectomy is because the requirements for thyroid hormone replacement can change at any time without any identifiable cause. It is not unusual for a person to require high doses of thyroid replacement following total thyroidectomy. There is no reason for concern about absorption. ...Read more
Absorbable sutures: They can be used in thyroidectomies,, both hemis and totals. I have done it that way since 1999. ...Read more
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