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Doctor insights on: Swelling After Thyroidectomy Thyroid Surgery

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I'm considering surgery to treat my overactive thyroid as the medication is not improving it, are there any dangerous side effects of thyroidectomy?

I'm considering surgery to treat my overactive thyroid as the medication is not improving it, are there any dangerous side effects of thyroidectomy?

Low risk: Risks are bleeding, infection, damage to nerve to voice box (1%), scar (100% but well hidden), low thyroid (100%--you will need thyroid hormone), low calcium--common but usually does not need treatment and recovers normally--rarely is very severe.

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Dr. Mark Loury
137 Doctors shared insights

Thyroid Surgery (Definition)

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


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Swelling after thyroid surgery 3 days ago, the left lobe (a 4 CM nodule was on it) and the isthmus? Was removed. The whole area (including right under my chin) is huge. Is this normal?

Swelling after thyroid surgery 3 days ago, the left lobe (a 4 CM nodule was on it) and the isthmus? Was removed. The whole area (including right under my chin) is huge. Is this normal?

This: This is excessive swelling and should be seen asap. Typically an expanding hematoma (collection of blood in the wound bed where the thyroid lobe was removed) also causes excessive pain. If that is happening, see your surgeon right away.

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I had total thyroidectomy due to huge multinodular goiter with compression 1 week ago. Is a 1.5" diameter X 3" long swelling needing narcotics typical?

I had total thyroidectomy due to huge multinodular goiter with compression 1 week ago. Is a 1.5" diameter X 3" long swelling needing narcotics typical?

Post-op pain: This really depends on how the surgery went. Opioids for post-op pain is fine, it has been 1.5 weeks so the need for the opioid should have reduced as you should be healing quite well.

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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.

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Swelling around nail, yellow discloroation 26 yr old male, (if relevant: total thyroidectomy (papillary carcinoma) jan 2011). Swelling around the tip of finger to first joint of right ring finger. Yellow discoloration on cuticle and further around nail. P

Swelling around nail, yellow discloroation 26 yr old male, (if relevant: total thyroidectomy (papillary carcinoma) jan 2011). Swelling around the tip of finger to first joint of right ring finger. Yellow discoloration on cuticle and further around nail. P

Nail: Nail bed infections are called paronychia (try pronouncing that one) and they happen when the skin and soft tissue next to the nail bed get infected from a break in the skin. They are usually caused by staph and strep which are common skin contaminants. When they stay localized to the nail bed then hot soaks and some over the counter antibiotic ointment works well. However when you start to feel pain in the arm and up into the lymph nodes under the arm, then physicians worry about "blood poisoning" or spread of the bacterial infection from the nail bed into the lymph system. So that's a doctor visit and I wouldn't wait too long to be seen. Doubt it's related to your thyroid cancer however.

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Is there any doctor that would perform a thyroidectomy with a ft4 of 48.8?, I seem to be resistent to medication and I'm willing to risk the surgery.

Is there any doctor that would perform a thyroidectomy with a ft4 of 48.8?, I seem to be resistent to medication and I'm willing to risk the surgery.

Graves treatment: The treatment of graves disease includes medications, radioactive iodine, or surgery. All are acceptable forms of treatment you should see an endocrinologist to help guide you and determine whether you really are resistant. Also, consider radioactive iodine as an alternative to surgery. If you decide on surgery, it should be done by an experienced thyroid surgeon, not just any general surgeon.

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I am shceduled for a total thyroidectomy at 3:15pm today and used crystal meth last night. Will there be complications with surgery?

I am shceduled for a total thyroidectomy at 3:15pm today and used crystal meth last night. Will there be complications with surgery?

TELL YOUR SURGEON: It is critical you inform the surgical team. You are at potential anesthesia risk!! Furthermore, ASAP, get into a drug rehab program, you are engaging in totally risky behavior, with a horrible drug. You need help in this area NOW, not later.

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How soon after a 7 day course of provera (medroxyprogesterone) can a total thyroidectomy be performed? Can the surgery be done soon before or during the provra treatment?

How soon after a 7 day course of provera (medroxyprogesterone) can a total thyroidectomy be performed? Can the surgery be done soon before or during the provra treatment?

Anytime: Hi. There is no relationship between when you take Provera and have a thyroidectomy. Since the generally accepted indication for total thyroidectomy is thyroid cancer or a strong suspicion of it, keep track of your priorities. The anesthesiologist and the surgeon will go over what meds you're taking, but they will NOT be concerned about medroxyprogesterone. Good luck!

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How long will hematomas last after thyroidectomy surgery?

How long will hematomas last after thyroidectomy surgery?

2-3 weeks: Hematomas are collections of blood. They initially coagulate then liquefy after 1-2 weeks. After they liquefy your body will resorb them or you can have them drained.

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My wife 42, after total thyroidectomy surgery, a month later she received i-133 therapy 120 units. Full body scan shows no metastasis. Prognosis of it?

My wife 42, after total thyroidectomy surgery, a month later she received i-133 therapy 120 units. Full body scan shows no metastasis. Prognosis of it?

Thyroid surgery: It depends on the type of cancer and extent of the tumor. The lack of spread is a good thing. She will require periodic thyroid ultrasound in addition to the routine examinations and follow up with her physicians.

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Having a total thyroidectomy on Tuesday for GD but PTU (propylthiouracil) has caused low t4/ft3 (ft3 0.8) I know I can't have the surgery hyper but is hypo a Problem?

Having a total thyroidectomy on Tuesday for GD but PTU (propylthiouracil) has caused low t4/ft3 (ft3 0.8) I know I can't have the surgery hyper but is hypo a Problem?

Thyroid replacement: Once your thyroid has been removed, you will need thyroid replacement to normalize your metabolic function since you will no longer produce any thyroid hormones. Let your doctor guide you through the dose adjustment process.

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I had a total thyroidectomy 2 weeks ago and after the surgery, my calcium dropped to 7.4. I was in the hospital for 3 extra days. My calcium is now 7.1 and parathyroids have gone. Your thoughts?

I had a total thyroidectomy 2 weeks ago and after the surgery, my calcium dropped to 7.4. I was in the hospital for 3 extra days. My calcium is now 7.1 and parathyroids have gone. Your thoughts?

Hypocalcemia: Hypocalcemia after total thyroidectomy is common. You might be on oral calcium supplements for a time, but the vast majority of parathyroids will start to work eventually. Long term hypocalcemia is rare after thyroidectomy. It usually just takes time.

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Couses of having headaches after thyroidectomy I did surgery last 3 months ago, best treatment pls.

Consider another T4: Not sure if headaches are directly related to thyroidectomy. My experience is that rarely some patients do have headaches with synthroid (thyroxine). Changing that to tirosint or other thyroid hormone preparations can help. If not, see a neurologist.

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How long after a complete thyroidectomy and radioactive iodine until you get your stamina back? My surgery was october 19, 2010 and ri was done nov 30

How long after a complete thyroidectomy and radioactive iodine until you get your stamina back? My surgery was october 19, 2010 and ri was done nov 30

Post thyroidactomy: You should feel normal (if not hyper) after around 3-4 weeks from starting your thyroid replacement therapy. Not feeling well. Is usually due to both either over or under replacement. Check your levels and adjust treent.

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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!

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How long will I have to weight to sing after my thyroidectomy? Surgery is Jan 28th, band is playing a benefit Feb 7th. I do backups only.

How long will I have to weight to sing after my thyroidectomy? Surgery is Jan 28th, band is playing a benefit Feb 7th. I do backups only.

Should be OK: Hi. We must assume the thyroidectomy is being done for thyroid cancer. In the hands of a good surgeon, recurrent laryngeal nerve (the nerves that drive the vocal cords) damage is extremely unlikely, and the surgical wound heals quite quickly. So if you're comfortable, go ahead and sing! And good luck with your thyroid disease process! And it's how long you have to wait, not "weight".

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Graves disease: want to start trying to conceive within 3 months. Is surgery (total thyroidectomy) the only option?

Graves disease: want to start trying to conceive within 3 months. Is surgery (total thyroidectomy) the only option?

NMS but: You should really talk to an endocrinologist about this. In the meanwhile, don't set any deadline for your pregnancy until you get the thyroid under control.

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I am a thyroidectomy patient they did my surgery last 3 months ago. Then my right vocal cord get paralized, some idea to get my voice back pls..

I am a thyroidectomy patient they did my surgery last 3 months ago. Then my right vocal cord get paralized, some idea to get my voice back pls..

Injection or more: You can try with speech therapy which maximizes your voice based on how you speak. Other options include injections of either permanent or temporary products into your vocal cord to keep it more in contact with your mobile vocal cord. Finally, you can have an implant that keeps your paralyzed vocal cord more in contact with your mobile one.

Dr. David Schleimer
1,498 Doctors shared insights

Swelling (Definition)

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


Dr. Lonnie Smith
13 Doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more