Doctor insights on:
Smoking After A Total Thyroidectomy
How soon after a total thyroidectomy can you smoke cigarettes? Will smoking before the surgery affect anything?
Smoking: Ask your surgeon, but likely not recommended right after surgery. He or she will inform you when you can resume your regular activities. May be good opportunity to quit!
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.
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.See 1 more doctor answer
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.
You have significant: Post-surgical hypothyroidism which needs to be treated with an appropriate dose of BRAND NAME T4 replacement to return your levels to normal. Check w/your doctor.
3 months after a total thyroidectomy and my doctors are still struggling to get my levels within range. Could this be causing my constant dizziness?
Levels after...: This is unusual but not unheard of. Your thyroid levels being too high or too low could cause the symptoms you report. You may be the uncommon patient who needs their thyroid replacement in an un standard way. Examples include: changing the brand of your T4, being given a combo of T4 and T3, (liothyronine) or using a desiccated thyroid preparation.
Unlikely: In general removing your thyroid gland should not change your heart rate as long as you start thyroid hormone replacement soon after the procedure. If you are having your thyroid gland removed because it is overactive (such as graves' disease) there is a small risk of a complication called thyroid storm, which is very serious and would raise your heart rate.
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.See 1 more doctor answer
How is it that almost 2 years after a total thyroidectomy that my doctor says he needs to lower my levothyroxine dose?
Your thyroid: Needs are not stable throi the years. That is why we check you 2 x a day
How would pregnancy symptoms differ after a total thyroidectomy? Will I be more sick, fatigued, etc.
Not much: Tsh, fsh, and lh all share a common "arm" as hormones produced by the pituitary gland. However, while there is some cross reactivity, pregnancy is much more complex than just a thyroid hormone alteration. You will still need to be on replacement (synthyroid) therapy, but it will not affect your pregnancy per se.See 2 more doctor answers
How long after a total thyroidectomy does it take to tell if your parathyroids have been taken out or injured. Its been 4 weeks now take 9 cal 3 vit?
Blood calcium levels: The most accurate determination of normally functioning parathyroid glands is normal blood calcium levels. These levels can only be accurate without taking supplements. Parathormone levels are another way of measuring parathyroid function. In patients with removal of glands because of hyperparathyroidism elevations can persist awhile postoperatively.See 1 more doctor answer
Feeling constant Aching Elbows (joints) after a Total Thyroidectomy and is 2wks overdue on menstrual cycle (N/P) while taking Thyroidoxine - Eutroxsig?
Could be: Sign of indaquate thyroxine replacement. Discuss your symptoms with you endocrinologist
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.
None: None. Tt isn't limited with diet postoperatively.
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.
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