Doctor insights on:
Swelling After Thyroidectomy Thyroid Surgery
Surgical removal of the thyroid can be performed safely in experienced hands. Risks include general anesthesia, bleeding, infection, injury to nerve that moves vocal cord causing hoarseness and swallowing difficulties, injury to parathyroid glands causing low calcium and need for medications, need for thyroid medications, scar and ...Read more
After cushing surgery i'm in hormone replacement cortisol 25 ml.Is headache normal after 3 weeks after surgery? Thank you hormones replacement
Ask surgeon: You need to discuss this with your surgeon. ...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
No short answer: Ptc treatment depends on age, gender, uni or multifocal, affected nodes, and other factors. If only one site, no nodes, <2cm, between 18-45 yrs old, female then surgery alone with ultrasound and blood testing followup sufficient. Multifocal, male, >2cm, <18, >45, extension outside thyroid, positive nodes, tall cell variant then postop radioactive iodine. Consult with endocrine who manages ptc. ...Read moreSee 1 more doctor answer
Im taking 150mg of levothyroxine after total thyroidectomy & RAI a month ago due to papillary thyroid cancer.My TSH level is 0.091uIU/mL.Is it normal?
Hashimotos: The anti-tpo antibodies may still be there, but there is nothing for them to do, absent thyroid. Hashi is an autoimmune disease, and such people are susceptible to other autoimmune diseases, so the overall immune phenomena does not completely go away. Hashi and graves can overlap, and eye disease of graves can occur later, but rarely, so don't worry about it. ...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 moreSee 1 more doctor answer
No!: Knee replacement surgery can be done with various types of anesthesia: spinal, epidural, nerve blocks, and general anesthesia. Only GA involves a breathing tube which might irritate the airway. So knee replacement carries a low risk for hoarseness. However, it is rare even with GA. The breathing tube is a smooth flexible plastic. Experienced anesthesiologists use them all the time w/o problems. ...Read moreSee 4 more doctor answers
How to treat hyperthyroid after bilateral parathyroidectomy. Three weeks ago i had a bilateral parathyroidectomy & no surgical complications. 5 days after surgery i started experiencing rapid pulse rate, sweating, and loss of appetite which continued to w
While : While it is possible that the hyperthyroidism is unrelated to your recent surgery and just happened to start now, it is more likely that you are suffering from a traumatic thyroiditis, inflamation of the thyroid caused by trauma during the surgery. If that is the case the Methimazole won't do any good, as the gland is not overactive, it is just leaking hormone that is normally stored there. In that case the problem should resolve on its own over a few weeks. If the symptoms are a problem, perhaps an increase in the beta blocker dose will help. ...Read moreSee 1 more doctor answer
Lots of things: Ice it a lot. Get a knee sleeve ice machine and use it when ever you are sitting down or resting for the first 6-12 weeks. I can't stress how much these ice machine sleeves help. Bregg makes a great machine. I believe it is called polar tec. Do lots of isometric quadriceps contractions. Elevate it when your not walking around. Ice after any activity for 10-20 minutes. Where a compression sock. ...Read moreSee 1 more doctor answer
To ablate remnant tissue after complete thyroidectomy(initially had multiple noduls, 1-ca node), what maximum dose of radioactive iodine be taken?
Depends: The dose is related to the risk of recurrent disease. The larger the primary tumor, the higher the risk. In your age group (under 45 yo) the risk is relatively low, even with having a positive lymph node. The recommended dose would be as low as 30 mci or as high as 100. ...Read more
Peroneal nerve: Isolated foot drop after surgery is likely due to pressure on the lateral aspect of the leg just below the knee during surgery. As seen in the picture, the peroneal nerve is at risk of pressure injury where it crosses the fibula. This kind of "palsy" due to pressure may recover spontaneously over weeks to months. If not, orthotics or surgery to graft a nerve along the injured area may help. ...Read moreSee 1 more doctor answer
Wisdom teeth: I would recommend at least 6 weeks or until your surgeon tells you you are completely healed and your calcium level (from incidental parathyroidectomy with TOTAL thyroidectomy) and thyroid hormone supplementation are within normal limit. There is no rush with regards to scheduling an elective procedure. ...Read more
Swelling is the enlargement of organs, skin, or other body parts. It is caused by a buildup of fluid in the tissues. The extra fluid can lead to a rapid increase in weight over a short period of time (days to weeks). Swelling can occur all over the body (generalized) or only in one part ...Read more
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