Doctor insights on:
Thyroidectomy Pros And Cons
Why thyroidectomy?: Hi. Was it thyroid cancer? Most likely reason for total thyroidectomy. Best diet: healthy one! Whole grains, nuts, legumes, fruits & veggies, healthy oils (canola & olive), lean meats, nonfat dairy; little or no white flour, white rice, simple sugar, high fructose corn syrup. Best of luck with your thyroid cancer!
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.
A routine surgery...: Will aim to remove all thyroid tissue. This is done sometimes for goiter, thyroiditis, or cancer. There is typically a single, midline neck incision that is used for removal of the organ. Afterwards you may receive radioactive iodine to kill any cells that might have been missed. You will need thyroid replacement on a daily basis after the surgery for the rest of your life.
Normally a few days: For routine thyroid surgery, such as for graves disease or a benign nodule, surgery can be done on an outpatient basis and recovery is fairly fast. Hormone replacement begins immediately. For cancer surgery, the procedure may be more extensive and recovery may be longer. If there are complications, such as low blood calcium, or a hoarse voice, then other outpatient treatments will be needed.
What for?: There are many reasons to have a thyroidectomy: cancer, suspicious nodules, goiter or nodule with compressive symptoms, uncontrolled hyperthyroidism, genetic syndromes with high likelihood of cancer. You should be seen by a surgeon who does a lot of thyroid procedures and have a full discussion about your reasons. If you are having trouble deciding get a second opinion.
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.
It removes: A portion of your thyroid. You will definitely need life-long replacement with brand name T4 after the surgery. There are some risks, including potential damage to laryngeal nerve and parathyroid glands, but risks should be minimal with a good surgeon. Depends upon the indication for the surgery in the first place.See 1 more doctor answer
None: None. Tt isn't limited with diet postoperatively.
Common: In this day & age where people are getting imaging studies more frequently, "incidental" thyroid nodules are found more easily, leading to more biopsy and more surgery. Approx 50, 000 new thyroid cancer cases are expected in 2011 resulting in approx 2000 deaths. The decision to proceed with surgery depends on discussion between you and your treating physicians (surgeon, pcp & endocrinologist).See 1 more doctor answer
1 week: Light physical activity was recommended after thyroidectomy for 1 week. Pain is usually mild after thyroidectomy!
Thyroidectomy: Is the surgical removal of the thyroid glandSee 2 more doctor answers
2 weeks: I usually recommend my patients to avoid exercising and heavy lifting for two weeks following thyroid surgery.
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.
Yes: General anesthesia can make some patients very sick with nausea or even vomitting. Thyroidectomy can also cause neck pain and general anesthesia can cause a sore throat due to intubation! subtotal thyroidectomy can lead to hypothyroidism with symptoms of lethargy, weakness, cold intolerance and weight gain.
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