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Doctor insights on: Smoking After A Total Thyroidectomy

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How soon after a total thyroidectomy can you smoke cigarettes? Will smoking before the surgery affect anything?

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! ...Read more

Dr. Brendan Stack Jr.
370 Doctors shared insights

Thyroidectomy (Definition)

Is the surgical removal ...Read more


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What foods to avoid after a total thyroidectomy?

What foods to avoid after a total thyroidectomy?

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

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Can I increase my metabolic rate through exercise even after a total thyroidectomy?

Can I increase my metabolic rate through exercise even after a total thyroidectomy?

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

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How much tissue is left behind after a total thyroidectomy?

How much tissue is left behind after a total thyroidectomy?

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

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What is the best diet for a person after a total thyroidectomy?

What is the best diet for a person after a total thyroidectomy?

No best diet: The most important thing you need to do after a total thyroidectomy is to take your thyroid hormone replacement. There is no specific diet which is best but if you were hyperthyroid you will tend to regain lost weight and watching your total calories is a good idea. ...Read more

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My level of TSH is 20.76 after a total thyroidectomy in 6?

My level of TSH is 20.76 after a total thyroidectomy in 6?

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. ...Read more

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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?

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

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Is there calcitonin hormone deficiency after a total thyroidectomy?

Is there calcitonin hormone deficiency after a total thyroidectomy?

Yes: You will have calcitonin deficiency after total thyroidectomy but this hormone is not needed for survival and no replacement is needed. ...Read more

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Will my heart rate be elevated after a total thyroidectomy?

Will my heart rate be elevated after a total thyroidectomy?

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

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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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How would pregnancy symptoms differ after a total thyroidectomy? Will I be more sick, fatigued, etc.

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

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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?

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

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Can you tell me diets after thyroidectomy?

Can you tell me diets after thyroidectomy?

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

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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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Side effects of thyroidectomy - any possible bad things?

Side effects of thyroidectomy - any possible bad things?

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

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Can thyroidectomy (sub-total) affect fertility in women?

Can thyroidectomy (sub-total) affect fertility in women?

Only if...: Thyroid levels are not normal. Prolactin should also always be checked in thyroid conditions. ...Read more

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I am losing weight after partial thyroidectomy, is this ok?

I am losing weight after partial thyroidectomy, is this ok?

Variable: I think it would depend on other health issues. Are you already underweight? Are there other symptoms? Are you on thyroid hormone supplementation? What is your TSH level? ...Read more

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What foods should a post-subtotal thyroidectomy patient eat?

What foods should a post-subtotal thyroidectomy patient eat?

Advance diet: You may have a sore throat for a few days due to intubation (a tube was in your throat during surgery). Your sore throat will resolve in a few days. Advance from a soft diet. ...Read more

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Do I have to see a specialist to get a thyroidectomy ordered?

Do I have to see a specialist to get a thyroidectomy ordered?

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

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Why don't you get a calcitonin insufficiency after thyroidectomy?

You do: But it is not essential for life so you don't need to replace it. ...Read more

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Had a total thyroidectomy need to know what improvements to lose weight?

Had a total thyroidectomy need to know what improvements to lose weight?

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

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Please help! What is the difference between prostatectomy and thyroidectomy?

Please help! What is the difference between prostatectomy and thyroidectomy?

2 different glands!!: Prostate near urethra behind pubic bone;
thyroid just above sternal notch in neck;

. Ectomy means 'removal of'. ...Read more

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I'm having a thyroidectomy and I'm worried about side effects. What are common ones?

I'm having a thyroidectomy and I'm worried about side effects. What are common ones?

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