Doctor insights on:
Natural Treatment After Thyroidectomy
What are the risks of radio iodine treatment? As I don't know whether to choose that or thyroidectomy.
Works: It's the treatment of choice for graves. It's usually successful. It can't be given during pregnancy but there's no problem with a later pregnancy after treatment is complete. Be aware that you will almost certainly need to take a thyroid supplement for the rest of your life afterwards. ...Read more
Had total thyroidectomy 4 weeks ago. Rai treatment 2 days ago. Woke up this morning with pain at my incision site. Is this normal? No pain before
Safe: Treatment with radioactive iodine is common after thyroidectomy for thyroid cancer. It decreases the chance of recurrent disease significantly. It is generally well tolerated. The most common side effect is a dry mouth due to less saliva production. Radiation exposure to your body is relatively low. The chance of radiation side effects is related to the dose. ...Read more
What can I expect after having a thyroidectomy and radioiodine treatment for ptu (propylthiouracil)?
I had a thyroidectomy which cancer was discovered. DR suggestedRAI. Curious on this treatment. Can cancer return after RAI? Is RAI harmful?
I had a a total thyroidectomy to remove a 3 CM malignant nodule. Do I need rai treatment? If I do, how do I protect my family? I have a 13 years old.
Probably so.: Assuming it was a 3cm papillary or follicular thyroid cancer, most physicians would advise you to have rai (i-131) at this point, as it will improve your chances of survival. The center that gives you the rai should be able to explain the radiation safety precautions to you. It is important to remember that rai has been saving lives for over 6 decades and is given thousands of times per year. ...Read more
What determines if I need rai treatment after thyroidectomy? I have two nodules which are pappilary thyroid cancer.
Depends: Most of the time after thyroidectomy recurrences are treated with rai, but not always younger people surical removal is preferred choice, you have to discuss with your oncology team which is the best method for that particular person. ...Read more
Would any doctor perform a thyroidectomy on me with a ft4 of 49.4? As medication is not working and radio treatment is not recommended to me.
Could be an option: Therapies for hyperthyroidism are medications, radioactive iodine therapy, and surgery. I would discuss all medical therapies before committing to surgery. Sometimes it may just take dose adjustments. Remember surgery trades on problem for another--hypothyroidism. Albeit it may be easier to treat, but you will still be on a medication permanently. If you fail medical therapy, surgery can work. ...Read more
How soon after a 7 day course of provera (medroxyprogesterone) can a total thyroidectomy be performed? Can the surgery be done soon before or during the provra treatment?
Anytime: Hi. There is no relationship between when you take Provera and have a thyroidectomy. Since the generally accepted indication for total thyroidectomy is thyroid cancer or a strong suspicion of it, keep track of your priorities. The anesthesiologist and the surgeon will go over what meds you're taking, but they will NOT be concerned about medroxyprogesterone. Good luck! ...Read more
No but: The parathyroid can be inadvertently removed, temporarily or permanently damaged during the thyroidectomy. You just need to work with your doc to determine which case pertains to you. ...Read more
Would any doctor perform a thyroidectomy on me with free T4 of 88.6? It's been a year since on medication and radio treatment is not recommended.
I'm on levothyroxine 125 mcg after thyroidectomy and RAI 131 treatment. One. 1 month checkup diagnosed with type1 diabetes with a 6.9 A1C. related?
Diabetes and thyroid: It is not uncommon to have both thyroid disease and diabetes, as well as hyperlipidemia (high cholesterol). Type I diabetes means that you do not make any insulin and need to be on insulin replacement for life. I recommend seeing an endocrinologist to follow these chronic conditions and to be sure that you are on the appropriate medication, diet, and exercise plan. ...Read more
Please help! What is the treatment of choice for papillary carcinoma thyroid discovered in a hemi thyroidectomy specimen?
Options: Typically, if the carcinoma is 1cm or larger, then the other half of the thyroid is removed. If it is smaller than 1cm and unifocal (as opposed to multifocal), then the other side can be observed or removed. However, it really depends on multiple factors that you and your surgeon will have to discuss. ...Read more
I had a total thyroidectomy with pathology of hyalinizing trabecular tumor. My TSH keeps going up. What is the treatment for this? Is it benign
Just had a total thyroidectomy and 10 days after rai treatment for papillary cancer body scan revealed that the lymph nodes are affected on left side.?
It's ok: If it lights up on post treatment wbs, that means it's getting kill. Give it time. Follow your doc advise. The followup lab and wbs will determine if the rai worked. Good luck. ...Read more
Is radioactive iodine a fairly safe treatment after total thyroidectomy for thyroid cancer? I'm 42 years old.
Radioactive iodine: It is safe and effective. It has been used millions of times and the side effects are low. It is being used more judiciously recently based on 2015 ATA guidelines. Low risk cancers don't usually need RAI. Intermediate risk can benefit from a low dose to ablate the thyroid remnant. High risk benefit from conventional RAI 70-100+ mCi. ...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 found another lump on left side of neck, how likely is cancer still roaming my body after thyroidectomy w/rt lymph node removal and i121 treatment?
A new lump in your neck with your history of lymph nodes and thyroidectomy needs you to go back to your doctor and/or surgeon as quickly as possible.
It is not always possible to get a swift appointment to busy doctors but don't be shy! ...Read more
I never had high blood pressure before thyroidectomy andits treatment with medicines. My TSH levels were 0.50 last week and yesterday, my blood pressure went to 183/97.What should I do?
Left thyroid papillary carcinoma. Some follicular cells show hurthle cell/oncocytic changes. Is the treatment generally thyroidectomy & rad. Iodine?
I had a partial thyroidectomy and the radioactive iodine treatment for the other side due to goiter-nodule with small cancer. Synthroid (thyroxine) reduced-why?
For RAI to Work: The overall treatment is a little confusing as cancer is usually surgically removed, but there are a few reasons to lower your Synthroid (thyroxine). It may be held for a while so your left over thyroid tries to work and will suck up the RAI. The other reason is when the thyroid cells die they will release thyroid hormone. This could temp make you hyperthyroid. Eventually your dose will be adjusted again. ...Read more
I have a question regarding radiation brain, although I have only received RAI. Since my total thyroidectomy and radioiodine treatment two years ago, I feel as if my brain is mush. Brain fog, short-term memory loss, inability to focus/take in new informat
Check your levels:
Have your ENT or Endocrinologist check your thyroid levels, etc - they may be the culprit. It's a common complaint: https://www. Inspire. Com/groups/thyca-thyroid-cancer-survivors-association/discussion/memory-loss-after-thyroidectomy/
When you achieve the proper level (or as close as possible) I expect you'll feel these troubles minimize or go away. Best! ...Read more
No max dose: There is no max dose of i131. I assume you are talking about treatment after having thyroid cancer. To ablate remaining thyroid tissue following total thyroidectomy, the dose range is 30 to 150 mci, depending on the risk of recurrent disease. Higher doses can be used to treat metastatic disease, but it is rare to go above 200 for any one treatment. Secondary cancer can occur with high total doses. ...Read more
I-131 ablation therapy aftr thyroidectomy for ca nodules. Dose 113 units suggested. Simgle dose. Is it safe?
Thyroid cancer: The usual treatment of thyroid cancer is surgery followed by i-131. About 100 mci is typical dose, and is relatively safe, although they will educate you on precautions. There are many issues, and you should see a specialist (usually endocrinologist). What kind of thyroid ca? How big? Lymph nodes involved? After i-131, you need a follow up scan, ultrasound, thyroglobulin. ...Read more
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
My wife 42, after total thyroidectomy surgery, a month later she received i-133 therapy 120 units. Full body scan shows no metastasis. Prognosis of it?
I recently had a thyroidectomy, and now have a thyroglobulin level of 0.2. My doctor gave me the choice of doing rai treatments or not. I need advice?
Depends on the stage: Of thyroid cancer and chance of recurrence. If you have a low stage and risk of recurrence, rai is frequently more harmful than beneficial. However, if you had a large tumor, aggressive variant, or metastasis then rai would likely be a good idea. It would also be important to know if it was a stimulated level. ...Read more
I'm 10 weeks pregnant. Dad has radio iodine therapy aftr thyroidectomy. How long should I stay away from him? Any other precautions taken for me?
How long ago?: In first trimester should not take any chance for radiation exposure. Commonly used I-131 is pretty safe, it has half life of about 8 days in wks pretty safe for normal people, with in few days. It also depends how far away are you from patient (your dad) close contact is needed, hospital will releases only if public safety is not compromised. Speak to his doctor for precautions ...Read more
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