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Doctor insights on: Tonsillectomy Influencing Thyroid

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What are the normal thyroid lab test values status post total thyroidectomy? W/o any meds

What are the normal thyroid lab test values status post total thyroidectomy? W/o any meds

TSH 0.5-3: Thyroid level recommendations are the same with or without a thyroidectomy and regardless of medications. The TSH should ideally be between 0.5-3. ...Read more

Dr. John Landi
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


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What percentage of radio active thyroid iodine patients lose all thyroid function?

What percentage of radio active thyroid iodine patients lose all thyroid function?

Depends on dose: For graves disease, typical doses of rai are 5-25 mci. The dose depends on your uptake and size of gland. Some doctors give low doses to try to make your thyroid normal. But this usually does not work. Either the low dose leaves you still hyperthyroid, or it makes you hypo, just like a higher dose. For this reason, many just give a high-ish dose so you become hypo quickly and go on synthroid (thyroxine). ...Read more

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Had u/s of thyroid,showed Thyroiditis,enlarged cervical lymph nodes, thyroid labs are normal, I already take synthroid , now pth 119, related?

Had  u/s of thyroid,showed Thyroiditis,enlarged cervical lymph nodes,  thyroid labs are normal,  I already take synthroid ,  now pth 119, related?

Thyroiditis: I suspect that you are being treated for Hashimoto's thyroiditis which has a nonspecific enlarged thyroid gland seen on ultrasound. Prominent cervical lymph nodes are not unusual in these cases but generally don't appear otherwise pathologic. Synthroid keeps your thyroid hormone levels normal. Your elevated PTH suggests a parathyroid adenoma which is best evaluated by an endocrinologist or surgeon ...Read more

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Thyroid enlarged, positive for anti-TPO ab28.0 -0.0-60.0 iu/ml.Wbc 4.2-4.1-10.9, gran# 2.0-2.0-7.8, egfr 78.4. Causing poor memory, fatigue&anxiety?

Thyroid enlarged, positive for anti-TPO ab28.0 -0.0-60.0 iu/ml.Wbc 4.2-4.1-10.9, gran# 2.0-2.0-7.8, egfr 78.4. Causing poor memory, fatigue&anxiety?

Thyroiditis: Your tpo ab's aren't that high, but probably indicate thyroiditis. Make sure your thyroid levels are still normal and that replacement isn't requited. Your doctor can check for you. ...Read more

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Will surgery for removal of hyperparathyroid correct metabolism , weight gain, poor memory, and thought processing?

Will surgery for removal of hyperparathyroid correct metabolism , weight gain, poor memory, and thought processing?

Possibly.: Assuming you have high blood calcium from one or more abnormal parathyroid glands successful surgery may improve memory and brain function but may have little effect on body weight. ...Read more

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Will thyroid hormones or antithyroid medications interfere with a tc99m pertechnetate thyroid scan?

Will thyroid hormones or antithyroid medications interfere with a tc99m pertechnetate thyroid scan?

Not usually: Technetium is usually trapped by thyroid gland and used to determine in young children and infants the configuration of thyroid gland, hypoplasia, absence, or increased size or hyperplasia, or abnormal location. Radioactive iodine is used in older patients for determine function of thyroid gland, increased function or hyperthyroiidism or decreased function, hypothyroidism. ...Read more

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Normal or sub clinical? Many symptoms/ fan history of hashi T3- 127 Anti thyroid- .9 Thyroid antibody- 2.2 T4- 1.2 TSH- 3.88

Normal or sub clinical? Many symptoms/ fan history of hashi
T3- 127
Anti thyroid- .9
Thyroid antibody- 2.2
T4- 1.2
TSH- 3.88

Looks normal: Hard to tell your units, but your labs look normal. Sub clinical hypothyroid would require your TSH to be abnormal. Your doc could consider repeating a TSH in a few months if there were continued concern of thyroidal illness. ...Read more

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Taking ptu (propylthiouracil) for overactive thyroid and Clomid also; does smoking affect thyroid hormones?

Taking ptu (propylthiouracil) for overactive thyroid and Clomid also; does smoking affect thyroid hormones?

Eye disease: Smoking will greatly increase your risk for developing grave's exophthalmopathy. Essentially, the eyes are pushed out because of immune deposits behind them. This will make it difficult for you to close your eyes. People go blind from this depending on severity. We don't understand why smoking increases your risk but it does. ...Read more

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Not well, enlarged thyroid, two benign nodules that are autonomous, TSH low, T4 low end of normal, thyroglobulin antibodies present - thoughts?

Not well, enlarged thyroid, two benign nodules that are autonomous, TSH low, T4 low end of normal, thyroglobulin antibodies present - thoughts?

Suggests autoimmune: Your symptoms and lab values suggest an autoimmune inflammatory problem. You need expert evaluation and should see a qualified doctor as soon as possible. Doctors that specialize in thyroid disorders are endocrinologists. However, many medicine doctors from family medicine and internal medicine are very adept at helping with thyroid disease. ...Read more

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Is the risk of thyroid carcinoma increased with diagnosis of hashimoto thyroiditis when multiple thyroid adenomas are present. Tyab 2470?

Is the risk of thyroid carcinoma increased with diagnosis of hashimoto thyroiditis when multiple thyroid adenomas are present. Tyab 2470?

Not if they function: If the adenomas are "cold" or do not function, then they are likely to be malignant. They do not show up on radionuclide scan because they do not function. Otherwise they are unlikely to be malignant. However, since you have many of them, you likely need and should get further workup, like aspiration biopsy, etc., along with treatment for your hashimoto's. ...Read more

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High T3 (liothyronine) and T4 thyroid results but no thyroid disorder. Is this normal?

High T3 (liothyronine) and T4 thyroid results but no thyroid disorder. Is this normal?

Check free T4: The most common cause for having a high total T4 and T3 (liothyronine) level, with a normal tsh, is being on a birth control pill. Being on a birth control pill raises binding proteins that affect thyroid levels, but the biologically active thyroid level remains normal. This is best measured by a free T4 level. ...Read more

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U/s confirmed many nodules.Bx schedules, high platelets, wbc, pot. &anemic.Chronic fever.Low acth 3. Checking addison's, cancer, hashimotos. Any thoughts?

U/s confirmed many nodules.Bx schedules, high platelets, wbc, pot. &anemic.Chronic fever.Low acth 3. Checking addison's, cancer, hashimotos. Any thoughts?

Expert specialist: Care is needed and it appears you are in the loop. It sounds as if you have multiple nodules in the thyroid, and concerns about thyroid disease. Biopsy will help with the question of cancer, but follow up with an endocrinologist is essential. ...Read more

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What's the TSH level to maintain for 57+ female with Hypothyroidism, whose one & half of thyroid glands were removed for goiter surgery 15+ yr back ?

Don't base on TSH: I believe it is a mistake to base dosage on TSH alone; TSH is a surprisingly poor marker for tissue thyroid levels in many common conditions; one should assess Free T3 (liothyronine) and Free T4 and also take how the patient is feeling into account. Here are good articles about how 11 renowned specialists optimize thyroid hormone levels: http://tinyurl.com/6gvsxqu Also see http://tinyurl.com/nrww2qg ...Read more

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Is there a connection between those who have papillary thyroid cancer (total thyroidectomy) infertility issues, and early onset of perimenopause ?

Is there a connection between those who have papillary thyroid cancer (total thyroidectomy) infertility issues, and early onset of perimenopause ?

Apples oranges : Unrelated diseases, after total thyroidectomy if thyroid hormone is replaced adequately will not effect fertility , or give early on set of peri- menopause, if any radiation was given to pelvis will result those two problems. ...Read more

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Could hashimoto's thyroid disease affect the size of a person's thyroid lobes? Thyroid sono showed mine to be slightly smaller than normal , overall.

Could hashimoto's thyroid disease affect the size of a person's thyroid lobes? Thyroid sono showed mine to be slightly smaller than normal , overall.

Yes: Hashimoto's is a chronic inflammatory condition of the thyroid gland. Over time, the thyroid can become smaller and firm. This is not unusual for hashimoto's. ...Read more

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Why is there a persistent feeling that something is lodged in/near thyroid, one year after tonsillectomy surgery? Female, age 30.

Why is there a persistent feeling that something is lodged in/near thyroid, one year after tonsillectomy surgery? Female, age 30.

You need an ENT: specialist to look into your throat, you can still talk to the surgeon who performed your tonsillectomy, this feeling may or may not be related to the surgery, wish you well ...Read more

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I still have swollen lymphnodes in my neck after tonsillectomy 13 days ago?Been swollen 3 months

Need a post op visit: Ask your doctor to check this during your post surgical check up. You can review your history of taking antibiotics prior to the surgery and weather you had a culture done before surgery or during surgery. It may take a while to resolve since you have had the enlarged lymph node a long time. Aso tell the doctor if it is still tender or if that has resolved. ...Read more

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Day 3 after tonsillectomy. Very swollen & tender lymph glands causing sore neck, teeth, face, and head. Is this normal? What can I do to relieve pain?

Day 3 after tonsillectomy. Very swollen & tender lymph glands causing sore neck, teeth, face, and head. Is this normal? What can I do to relieve pain?

Yes: If taking antibiotics , after 3 days , might wanna consider changing antibiotic.First 3 days are the worst .You should start to feel progressively better every day thereafter.An antiinfllamatory in combination with the antibiotics usually causes almost complete resolution of these symptoms. ...Read more

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My 6 yr old is 2 weeks post-op tonsillectomy. She has a Throat infection and a large lump on her neck. What could this be?

My 6 yr old is 2 weeks post-op tonsillectomy.  She has a Throat infection and a large lump on her neck. What could this be?

See her MD: This could be an abscess that has formed or old clotted blood in the area beneath the tissues. Its best for her to return to her ENT who performed the surgery ASAP Any difficulty swallowing or drooling should go straight to the ER ...Read more

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I have a red bumps and red veins at back of my throat,should i be worried and i had tonsillectomy before 1 year one lymph node at my right side of my neck ?

I have a red bumps and red veins at back of my throat,should i be worried and i had tonsillectomy before 1 year

one lymph node at my right side of my neck  ?

Varicose veins: It is not unusual to have small, dilated and visible veins in the back of the throat. The red bumps are probably small lymph follicles. I would not be overly concerned, but something like this requires a good exam just to be certain. See an ENT. ...Read more

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What happens during a tonsillectomy?

What happens during a tonsillectomy?

Tonsillectomy basics: from Mayo Clinic: http://www.mayoclinic.org/tests-procedures/tonsillectomy/basics/what-you-can-expect/prc-20019889

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What can I expect from a tonsillectomy?

Sore throat: Adults tolerate less well than kids, but sore throat and concern for bleeding.
Better techniques have reduced concerns and complications. ...Read more

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I'm curious what occurs during a tonsillectomy?

Clarify question: You mean the surgery? The surgery involves removal.There are many tools used to remove the tonsils. Most important for mom is what happens after tonsillectomy. Make sure they are hydrated and ANY bleeding you need to call your doctor and likely will need to have another trip to the OR for cautery. It generally happens in 3 % ...Read more

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What is your take on having a tonsillectomy nowadays?

Tonsillectomy: Tonsillectomy is a major surgery with risks of severe pain and bleeding. Tonsillectomy is an excellent treatment for obstructive problems like sleep apnea, especially in children and for chronic and/or recurrent tonsillitis. ...Read more

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What is tonsillectomy or adenoidectomy?

What is tonsillectomy or adenoidectomy?

Adenotonsillectomy: The tonsils sit at the back of the mouth and the adenoids sit at the back of the nose in the throat. They are lymphoid tissue that have a minor role in the immune system. In situations of repeated infection or ongoing obstruction (causing breathing issues or sleep apnea), ENT surgeons may recommend removal of one or both of these. Adenoids tend to shrink away themselves by teenage years. ...Read more

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Is a tonsillectomy safe during pregnancy?

Is a tonsillectomy safe during pregnancy?

If necessary: If surgery must be done during pregnancy--for example, due to a tonsil abscess--the safest time is during 2nd trimester. But a physician anesthesiologist can give safe anesthesia if necessary at any stage or pregnancy. We use only meds with a long record of safety during pregnancy. If surgery is elective, though, best to wait. Tonsillitis can often be treated with antibiotics. ...Read more

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Average adult weight loss with tonsillectomy?

Average adult weight loss with tonsillectomy?

UNLESS CHRONICALLY: Enlarged tonsils is causing sleep apnea, no weight loss is expected. If you have your tonsils removed though, because of the likelihood you won't be able to eat solids for several days, you may lose a couple pounds. ...Read more

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Can a tonsillectomy cause allergies to fruit?

Can a tonsillectomy cause allergies to fruit?

No: Tonsillectomy should have no correlation with development of food allergies. ...Read more

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How to stop getting hiccups after tonsillectomy?

Post op Hiccups: Put a small ice cubes in mouth and swallow them without chewing! ...Read more

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Can having a tonsillectomy reduce your gag reflex?

Can having a tonsillectomy reduce your gag reflex?

Sometimes: It isn't really well studied but some of my patients have told me the surgery helped with the gag reflux. You can't count on it, but if your tonsils are huge it stands to reason that decreasing the obstruction can open things up and diminish gagging in the presence of food or an upper respiratory infection. ...Read more

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Can you get a tattoo 2-4 days after tonsillectomy?

Can you get a tattoo 2-4 days after tonsillectomy?

Tattoo: I would suggest that you do not. Tattooing does introduce pathogens into the system and you probably already have some from the tonsillectomy. Please recover fully before you start doing anything like getting a tattoo ...Read more

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Can you get a tattoo 2 weeks before tonsillectomy?

Can you get a tattoo 2 weeks before tonsillectomy?

Sure: Just make sure the Tattoo place you go to is accredited, clean and practices safe, sterile procedures. ...Read more

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When can toddler eat solid food after tonsillectomy?

When can toddler eat solid food after tonsillectomy?

8-10 days.: The critical period for healing after a tonsillectomy in the toddler age group is about 8-10 days. I believe solid food in very small pieces can be eaten at any time. But popsicles, milkshakes, custard, jello, gator aid are my recommendations for the first 10 days. A high carbohydrate, high protein and low fat diet is my recommendation for the first 8-10 days. ...Read more

Dr. Dale Tylor
417 doctors shared insights

Removal Of Tonsils (Definition)

A tonsillectomy is the surgical ...Read more