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?
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
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. ...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
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. ...Read more
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. ...Read more
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
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 ...Read more
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. ...Read more
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. ...Read more
Feeling constant Aching Elbows (joints) after a Total Thyroidectomy and is 2wks overdue on menstrual cycle (N/P) while taking Thyroidoxine - Eutroxsig?
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
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
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
Thyroidectomy: This would not be done unless absolutely necessary. Any surgery can have complications such as infection swelling etc. Later complications can come from scarring and the need for thyroid medication for the rest of your life - you could not be without it ever! Review with the surgeon or at least get a second opinion if you are not sure! ...Read more
It'd be a good idea: To speak with an endocrinologist to help you sort out whether or not you need a thyroidectomy. If endocrinologist thinks its reasonable to get surgery, they can refer you to an endocrine or ENT surgeon. The surgeon will evaluate you and also decide if they think surgery is indicated. Choosing surgery is a big choice so getting good opinions is important. ...Read more
You do: But it is not essential for life so you don't need to replace it. ...Read more
Total Thyroidectomy: The most important consideration here is that you are on a hormone replacement for your thyroid and that it is being monitored to assure that you are in a good range. This can take several weeks to optimize in many circumstances. Your endocrinologist or internist will guide you here. Once you are normalized, then you are just like anyone else trying to lose weight... Diet, exercise, etc. ...Read more
2 different glands!!:
Prostate near urethra behind pubic bone;
thyroid just above sternal notch in neck;
. Ectomy means 'removal of'. ...Read more
The common ones: Besides the usual bleeding, infection, and excess scarring (less than 1%) that can happen anytime you have an incision through the skin, the most common side effects of thyroid surgery are voice changes (5-10%) and low calcium (10% for total thyroidectomies). These are usually transient - they go away. Getting your thyroid hormone balanced after surgery can be tricky in some patients. ...Read more
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- Life after total thyroidectomy
- Pregnancy after total thyroidectomy
- Headaches after total thyroidectomy
- Taste changes after total thyroidectomy
- Early menopause after total thyroidectomy
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- No period after total thyroidectomy