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Doctor insights on: Post Op Thyroidectomy

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2 wks post op thyroidectomy. Skin pulls up when I swallow. The MD had a term for it but I can't remember ? Suggested I massage scar manually. Name?

2 wks post op thyroidectomy. Skin pulls up when I swallow. The MD had a term for it but I can't remember ? Suggested I massage scar manually. Name?

Scar tissue: After some types of surgery one may develop adhesions that are fibrous bands and I think that is what your surgeon was referring to. Also the surface of the skin may have a scar. His/her suggestion is well taken. Use a good hand lotion when massaging.Be gentle. ...Read more

Dr. William Culviner
367 doctors shared insights

Thyroidectomy (Definition)

is the surgical removal ...Read more


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10 hours post op, total thyroidectomy. Surgeon said was harder to remove than first thought due to hidden swelling. Normal to have lots of pain/stiff?

10 hours post op, total thyroidectomy. Surgeon said was harder to remove than first thought due to hidden swelling. Normal to have lots of pain/stiff?

Normal?: No it is not "normal" but it does happen. I presume you are still in the hospital - if so you must ask your surgeon for medication to control your pain. Hope all goes well. ...Read more

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I am 2 days post op after a total thyroidectomy. What can I do for shoulder and neck stiffness?

I am 2 days post op after a total thyroidectomy. What can I do for shoulder and neck stiffness?

Do not disturb: at only 2 days out, you certainly would not want to disturb anything. Best thing is just very gentle active stretching and possibly very gentle massage to the back of the neck but by no means around R over the incision site. This stiffness in all probability is secondary to the way you had to be positioned to get to the thyroid gland. ...Read more

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Firm, non-tender, crescent-shaped lump above total thyroidectomy scar three weeks post-op. Would massage be of benefit, or should I give it time?

Firm, non-tender, crescent-shaped lump above total thyroidectomy scar three weeks post-op.  Would massage be of benefit, or should I give it time?

Yes: massage+time: This may benefit from time and massage. However there may be another minor problem such as suture abscess or hematoma. This may require incision and drainage or aspiration or injection. Your surgeon is the best person to determine this. ...Read more

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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?

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

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I am booked in for a total thyroidectomy on Tuesday and I have my pre op on Monday. What should I expect for them?

Thyroidectomy: The thyroidectomy will cause some pain and discomfort but will be fine before long. After the surgery you will be carefully prescribed with appropriate thyroid dose. Wish you well and please keep me informed. PS: Endocrinology (includes thyroid) is a major part of my work. ...Read more

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I have had a full thyroidectomy, my blood is normal 2 06. I can't understand why since the operation 10 months ago i'm gaining weight?

I have had a full thyroidectomy, my blood is normal 2 06. I can't understand why since the operation 10 months ago i'm gaining weight?

Difficult to know: As a surgeon, I have heard this complaint on occasion. There are many causes of weight gain, and thyroid levels are only one. Have you discussed this with your doctor or endocrinologist? ...Read more

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A 40 year old man had thyroidectomy 2 years ago and now he has decrease in sexual excitement. Does it has somerhing to do with his operation?

A 40 year old man had thyroidectomy 2 years ago and now he has decrease in sexual excitement. Does it has somerhing to do with his operation?

Maybe: With the removal of or part of the thyroid gland, can lead to a form of hypothyroidism. A person can present with fatigue, depression and many other symptoms. These symptoms may indirectly cause a decreased sex drive. Please consult your doctor to properly diagnose the issue and proceed towards proper therapy..Simple lab tests will determine if the thyroid issues are contributing. ...Read more

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If you have hyperthyroidism before a partial thyroidectomy, will I have it after the operation?

If you have hyperthyroidism before a partial thyroidectomy, will I have it after the operation?

Possibly: Depends on reason for surgeryif surgery is for graves disease, total thyroid extinct warranted. If done for hot nodule, surgery to remove nodule will be curative. ...Read more

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After a full thyroidectomy a year ago, i keep getting sore throats, can there be a connection to the operation please?

After a full thyroidectomy  a year ago, i keep getting sore throats, can there be a connection to the operation please?

Unlikely: Recurrent sore throats is not a common or likely side affect of thyroidectomy. If let your surgeon know and if he is not concerned (depending on your individual case), then an ENT visit will be worthwhile assuming the original surgeon wasn't an ENT :). ...Read more

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What are good diets after thyroidectomy?

What are good diets after thyroidectomy?

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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What's the recovery time from a thyroidectomy?

What's the recovery time from a thyroidectomy?

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

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My question is should I undergo thyroidectomy?

My question is should I undergo thyroidectomy?

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

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What are the common complications of thyroidectomy?

What are the common complications of thyroidectomy?

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

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How common is it for someone to need a thyroidectomy?

How common is it for someone to need a thyroidectomy?

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

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I just had a total thyroidectomy, will I lose weight?

I just had a total thyroidectomy, will I lose weight?

You shouldn't: Your doctor will supplement you with just enough thyroid hormone to keep your metabolic rate normal for you. ...Read more

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Why am i gaining weight after my total thyroidectomy?

Why am i gaining weight after my total thyroidectomy?

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

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Will my singing voice return after total thyroidectomy?

Will my singing voice return after total thyroidectomy?

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

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