Doctor insights on:
Total Thyroidectomy Complications
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
Total thyroidectomy for papillary cancer. Two nodules 0.5cm and 0.7cm. Surgical biopsy stage pt1an0. Possible metastasis? Need rai?
Need more info: Radioactive iodine is often used for graves' disease which is a hyperactive thyroid condition. I am assuming you were given this option or partial thyroid removal to control the problem. The radioactive therapy is usually preferred but sometimes surgery is better depending on many issues. You need to discuss with endocrinologist and surgeon. ...Read more
Depends: I depends on how the surgery was done. If you had a large incision on your abdomen then you should not be lifting more than 10-15 pounds for several weeks. If you had it done through the vagina or laparoscopically (small incisions) you don't have to worry about lifting restrictions. I also suggest that nothing go in the vagina for 6 weeks. Talk to your doctor about the specific details. ...Read moreSee 2 more doctor answers
Thyroid cancer patient, my thy numbers 2 years after total thyroidectomy: tsh= 0.32, tg ab= 23, tg=0.2, pth= 68, vitamin d= 12. Number meanings?
See a Specialist: Tg ab and tg are a marker for remaining thyroid tissue (and presumably thyroid cancer), TSH is the hormone that stimulates thyroid tissue to grow and produce thyroid hormone, PTH is the hormone that controls your calcium metabolism. You should discuss your lab interpretations with a specialist, especially given your history of thyroid cancer. ...Read moreSee 2 more doctor answers
Is radioactive iodine a fairly safe treatment after total thyroidectomy for thyroid cancer? I'm 42 years old.
Radioactive iodine: It is safe and effective. It has been used millions of times and the side effects are low. It is being used more judiciously recently based on 2015 ATA guidelines. Low risk cancers don't usually need RAI. Intermediate risk can benefit from a low dose to ablate the thyroid remnant. High risk benefit from conventional RAI 70-100+ mCi. ...Read moreSee 2 more doctor answers
Depends: It depends how long after gastrectomy. If the swelling happens a few days later, it can be due to infection or bleeding. If it's just mild swelling, sometime it is just due to bloated intestines. If the gastrectomy was several weeks or months ago, the considerations include ascites (abdominal fluid), a hernia, versus tumor regrowth. Talk with your surgeon to learn more. ...Read more
Wt loss thyroid gone: The thyroid regulates your metabolism and if your thyroid medicine is not just right it can be very hard to loose weight. Have your levels checked on a regular basis and try to cut out the wheat products. A gluten free diet is very beneficial in terms of weight loss and control, as well as over all health. ...Read more
On levothyroxine following total thyroidectomy. Will a tsh level of 2.5 prevent me from conceiving?
Uncommon: Infection after tha is a known complication that occurs in 0.1-2% of hip replacement procedures. Factors that can affect this incidence include patient conditions such as obesity, diabetes, or immune system diseases, as well as the length of surgery time, wound closure methods, and experience of the surgeon. Some hospitals and surgeons have higher rates of infection. ...Read moreSee 2 more doctor answers
A fib: Risk of emboli going to brain causing stroke. Rapid ventricular response(heart rate to high) may cause angina, dizziness, passing out, heart attacks, other heart irregular rhythms. Let you cardiologist manage case. Is complex to explain here. It is certainly manageable. ...Read moreSee 1 more doctor answer
LAVH usually better: Depends on what the reason is, what your body type is and why they are doing it and how good your doctor is at doing lavh. But usually there is less pain and an easier recovery time after lavh. But doing it robotically often has less pain that lavh. ...Read moreSee 2 more doctor answers
Yes: If you have had thyroid gland removed you will need thyroid replacement supplementation as you no longer have a gland that can produce thyroid hormone. Fortunately that is not a difficult thing as it would just be a matter of taking a pill daily for the rest of your life. Think of it as a vitamin supplement to provide what your body needs to function normally. ...Read more
Dietary: One would need to eat smaller & more frequent meals & chew foods very well as the new intestinal connection or internal intestinal pouch will not be able to hold as much food as a normal stomach. Sometimes a person is checked with blood tests for anemia or b vitamin deficiency. ...Read more
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