Side Effects You May Experience After Thyroid Removal
There are two main reasons you may experience side effects after thyroid removal.
The first has to do with the fact that your body is no longer producing thyroid hormone on its own and the other has to do with the operation itself.
Side effects related to your thyroid medication/dose:
- Brain fog
- Cold body temperature
If you are not started on the right dose of thyroid medication after your operation then you may experience any of these side effects listed above.
The presence of these side effects may indicate that you need a higher dose than what you are currently taking.
Potential complications of thyroid surgery include:
- Bleeding at your surgical site
- Infection at your surgical site
These side effects may occur directly from the surgery itself and don’t necessarily have anything to do with taking your thyroid medication.
These side effects are rare but they do happen and your body will monitor you closely for any of them.
When Should You Call Your Doctor
- A lump or swelling in your neck. This is the most common symptom of thyroid cancer.
- Pain in your neck and sometimes in your ears that doesn’t go away and is not caused by a cold or allergies
- Hoarseness that is not related to a cold
- Difficulty swallowing
- Difficulty breathing or constant wheezing
- A cough that continues and is not related to a cold
- Bone pain
What Causes Thyroid Cancer
In most cases, the cause of thyroid cancer is unknown. However, certain things can increase your chances of developing the condition.
Risk factors for thyroid cancer include:
- having a benign thyroid condition
- having a family history of thyroid cancer
- having a bowel condition known as familial adenomatous polyposis
- acromegaly a rare condition where the body produces too much growth hormone
- having a previous benign breast condition
- weight and height
Thyroid cancer occurs when cancerous cells are detected in the tissues of the thyroid gland. A six monthly follow up care plan is advised after the culmination of the treatment for thyroid cancer.
This plan may include physical examinations and medical tests on a regular basis to monitor the recovery of the patient in the years to come. The reason being that in approximately 10 to 30 percent of thyroid cancer patients, recurrence or metastasis of the disease has been identified.
Of these patients, approximately 80 percent develop recurrence with disease in the neck alone and the rest 20 percent develop recurrence with distant metastases. The most common site of distant metastasis is the lung. The prognosis for patients with clinically detectable recurrences is generally poor, regardless of the cell type.
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Essential Tips To Cope Up With The Side Effects Of Thyroid Removal:
Here in this section we will talk about some of the tips so as to help you cope up with the side effects of thyroid removal procedures
- We discussed earlier that after your thyroid removal surgery, you may have difficulty in swallowing. It is essential for you to rely of soft and healthy foods.
- You can use more sauces and gravies, or the more of the moist foods after the surgery which would be easier to swallow as compared to the dry foods.
- Go for long and slow cooking so as to soften the meat and vegetables you prepare for your diet.
- Chop the vegetables or meat finely before or after cooking.
- Apart from this, take healthy and nutritious diet so as to help self with healing. Talk to a dietician for your appropriate diet after the thyroid removal.
- Using Aloe vera, Bio-oil to soften the skin around the wound and prevent dryness while its healing period can be beneficial.
- You can also use non scented moisturising cream to your scar once your wound is healed.
- Talk to your doctor and take prescribed medications in case you have high fever, swollen or painful neck and also in case of infection.
|Written, Edited or Reviewed By:Pramod Kerkar, M.D., FFARCSI, DA Pain Assist Inc.This article does not provide medical advice. See disclaimerLast Modified On: April 6, 2018|
Papillary Thyroid Cancer Patient Follow
The papillary thyroid cancer patient follow-up can be performed by surgeons, endocrinologist, oncologists and others. But what is most important is that those individuals which are following the papillary thyroid cancer patient are truly experts in the management, evaluation, and treatment of the disease. The Thyroid Cancer Center believes that the papillary thyroid cancer patient follow-up is best managed by an endocrinologist with defined expertise in the evaluation, management, and follow-up of papillary thyroid cancer patients. Communication between the endocrinologist, surgeon, radiologists, and other members of the papillary thyroid cancer team is critical. This is the absolute foundation of the Thyroid Cancer Center.
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Thyroidectomy: Recovery And Next Steps
In some cases, patients return home the same day as the surgery, but somepeople spend the night in the hospital. There, the team can observe thepatient and monitor calcium levels in the blood.
When the thyroid gland is surgically removed, the body still requiresthyroid hormone to keep vital functions in balance.Thyroid hormone replacement therapyinvolves taking synthetic or naturally derived thyroid hormones in pillform.
How Does Age Matter Once Youve Had Thyroid Cancer
To date, the the American Thyroid Association guidelines focus on three categories to calculate the risk that someone who has been treated for differentiated thyroid cancer will face recurrence.4 When assessing your risk of developing thyroid cancer again, the current ATA system classifies thyroid cancer status into low, intermediate or high risk for recurrence, taking into account the stage, whether the cancer is invasive, if neck lymph nodes are involved, as well as other factors.
This team of researchers drilled down further to look at whether age at the time of a patients diagnosis has any direct impact on the chance that thyroid cancer will come back. In particular, they looked at the association between age at diagnosis and rate of thyroid cancer recurrence and whether age has any influence on the accuracy of thyroid cancer reappearing based on the ATA diagnosis methods.1
To study the effect of age alone on risk of cancer recurrence, this team of researchers evaluated 1,603 patients with differentiated thyroid cancer. The patients had a median age of 49 years and a disease-free survival time of 44 months, meaning the chance of avoiding relapse of thyroid cancer was about four years for those at under age 50.1
The patients had undergone treatment at four different institutions and had undergone both thyroidectomy and radioiodine therapy. They were followed for at least one year after treatment.
- Hurthle cell
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What Occurs During Thyroidectomy
- You will be given general anesthesia to relax your muscles, prevent pain and make you fall asleep.
- An incision is made along a crease in the base of your neck.
- Your surgeon might remove part of the thyroid , most of the gland , or all of the gland .
After the surgery
- You are usually watched in the hospital overnight.
- You will have a small scar on the front of your neck.
- You might be required to take thyroid hormone medication.
- There is swelling at the incision site.
- There is bleeding at the incision site.
- You have a fever of 101 degrees or higher.
- There is a redness or warmth at the incision site.
- You experience tingling in your hands, feet, or lips.
- You notice numbness or tingling in your face, hands, or lips.
What Will Happen During A Partial Thyroidectomy
- General anesthesia is usually given before a partial thyroidectomy. This medicine will keep you asleep and free from pain during surgery. You may instead be given local anesthesia to numb the area. You may feel some pressure during surgery, but you should not feel any pain.
- After one or more incisions are made, your surgeon will remove part of your thyroid gland. If you have cancer, your surgeon may also remove the tissue and lymph nodes around your thyroid gland. If you are awake during surgery, you may be asked to speak to your healthcare providers.
- One or more drains may be placed into your incision to remove extra fluids from the surgery area. Your incision will be closed with stitches or surgical glue and covered with a bandage.
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Papillary Thyroid Cancer Complications
Even with radioactive iodine therapy and surgery, its still possible that papillary thyroid cancer , the cancer may recur. Recurrent thyroid cancer may occur yearseven decadesafter the initial treatment for the disease. Fortunately, though, recurrent thyroid cancer is treatable.
Patients with stages 1 or 2 thyroid cancer have an 85% chance of reaching complete remission after their initial cancer treatment. The 5-year survival rate is 80% for stage 1 patients and 55% for stage 2. Patients with stage 3 or 4 cancer have similar 5-year survival ratesbetween 15% and 35%.1
Thyroid cancer is treated, in part, by surgically removing all or part of the thyroid gland, a procedure known as a thyroidectomy. This is followed by radioactive iodine ablation of thyroid cells that may remain after this operation.
The most common sites where recurrent thyroid cancer appears are in the lymph nodes in your neck. Papillary thyroid cancer may also re-develop in other parts of the body, such as the bones and lungs.
- Thyroid Cancer: Complications. Mayo Clinic Health Information Web site. Available at: http://www.mayoclinic.com/health/thyroid-cancer/DS00492/DSECTION=complications. April 10, 2009. Accessed February 26, 2010.
What Are The Symptoms
Thyroid cancer can cause several symptoms:
- You may get a lump or swelling in your neck. This is the most common symptom.
- You may have pain in your neck and sometimes in your ears.
- You may have trouble swallowing.
- You may have trouble breathing or have constant wheezing.
- Your voice may be hoarse.
- You may have a frequent cough that is not related to a cold.
Some people may not have any symptoms. Their doctors may find a lump or nodule in the neck during a routine physical examination.
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What About Other Treatments That I Hear About
When you have cancer you might hear about other ways to treat the cancer or treat your symptoms. These may not always be standard medical treatments. These treatments may be vitamins, herbs, special diets, and other things. You may wonder about these treatments.
Some of these are known to help, but many have not been tested. Some have been shown not to help. A few have even been found to be harmful. Talk to your doctor about anything youre thinking about using, whether its a vitamin, a diet, or anything else.
Thyroid Removal When You Need To Be Concerned About Thyroid Nodules
May 24, 2019// by Dr Hagmeyer
So you have been having low thyroid symptoms and the visit to your doctor ended up where your doctor determined that you have thyroid nodules, if you are like most people that news was probably pretty scary. Thoughts of cancer or having to have your thyroid removed may have raced through your mind. The good news is that the vast majority are not cancerous, but that does not mean you should take this news lightly.
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What Is Your Complication Rate
The answer you want to hear is the surgeons own complication rate for the procedurenot the average 1 percent reported in the medical literature. If the surgeon only does two thyroid surgeries a year and one patient had a problem, that makes it a 50 percent risk, said Roman. Dont be shy about asking for this information. Said Sosa, Its the ethical responsibility of the surgeon to report the truth and to know their own data.
What Are The Risks Of Thyroid Surgery
All surgery brings risk for complications like bleeding and infection. Thyroid surgery can also involve risks for damage to vocal cord nerves, which could cause hoarseness, and damage to your parathyroid glands, which are located behind and very close to your thyroid and regulate your bodys calcium levels.
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What To Expect At Home
You may have a drain with a bulb coming from your incision. This drain removes any blood or other fluids that might build up in this area.
You may have some pain and soreness in your neck at first, especially when you swallow. Your voice may be a little hoarse for the first week. You will probably be able to start your everyday activities in just a few weeks.
If you had thyroid cancer, you may need to have radioactive iodine treatment soon.
Get plenty of rest when you get home. Keep your head raised while you are sleeping for the first week.
What You Need To Know
- Thyroid cancer, thyroid nodules and other conditions may require thyroidectomy.
- Once the thyroid gland is removed, the person takes replacement thyroid hormone to keep the bodys functions in balance.
- Thyroidectomy can be performed through an incision at the front of the neck, or through the mouth .
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Removing Your Thyroid Gland
Thyroid surgery is done through an incision in the lower part of the front of your neck. It takes about 2 to 3 hours.
During your surgery, your surgeon will examine your whole thyroid gland and remove the parts that have cancer. Theyll also check the lymph nodes next to your thyroid gland and remove any that have or might have cancer cells.
- If half of your thyroid is removed, its called a lobectomy or hemi-thyroidectomy.
- If your whole thyroid is removed, its called a total thyroidectomy.
Your surgeon will talk with you before your surgery so you know what to expect.
There are 2 nerves very close to your thyroid gland that help your larynx work. These nerves are called the recurrent laryngeal nerve and the superior laryngeal nerve. They may be affected during your thyroid surgery.
- Your recurrent laryngeal nerve goes behind your thyroid to your voice box. If your tumor is close to this nerve or this nerve is injured during your surgery, your vocal cords could be damaged. This can make your voice hoarse. Voice hoarseness is common after thyroid surgery and usually goes away with time.
- Your superior laryngeal nerve helps you raise the volume and pitch of your voice. If this nerve gets weak or injured, the pitch and tone of your voice can be affected. This may make it hard for you to raise your voice or sing.
When To Call Your Healthcare Provider
- You have a fever of 100.5 °F or higher.
- You have drainage from your incision.
- You have trouble breathing.
- The skin around your incision is warmer than usual.
- You have more discomfort in the area around your incision than usual.
- The area around your incision is more red than usual.
- You have new or increased swelling around your incision.
- You have numbness, twitching, or tingling around your mouth, fingertips, or toes.
- You have any questions or concerns.
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How Is Thyroid Surgery Performed
Thyroid surgery takes place in a hospital. Its important not to eat or drink anything after midnight before your surgery.
When you arrive at the hospital, youll check in and then go to a preparation area where youll remove your clothes and put on a hospital gown. A nurse will insert an IV in your wrist or your arm to administer fluids and medication.
Before surgery, youll meet with your surgeon. Theyll do a quick examination and answer any questions you may have about the procedure. Youll also meet with the anesthesiologist who will be administering the medicine that makes you sleep throughout the procedure.
When its time for surgery, youll enter the operating room on a gurney. The anesthesiologist will inject medicine into your IV. The medicine may feel cold or sting as it enters your body, but it will quickly put you into a deep sleep.
The surgeon will make an incision over the thyroid gland and carefully remove all or part of the gland. Because the thyroid is small and surrounded by nerves and glands, the procedure may take 2 hours or more.
Youll wake up in the recovery room, where the staff will make sure youre comfortable. Theyll check your vital signs and administer pain medication as needed. When youre in stable condition, theyll transfer you to a room where youll remain under observation for 24 to 48 hours.
Feeling Conflicted About Thyroid Medication
You need to be involved in the decisions regarding your care, and how you feel about your medication and its effects are of central importance. With a thyroid condition, your symptoms can be a good reflection of how well the medication is working. But the constellation of symptoms and side effects associated with thyroid disease can make it difficult to know whether you feel better overall with or without your thyroid medication.
Since you may be conflicted about your thyroid medication, it is a good idea to think about your reasons for feeling so conflicted, to discuss these reasons with your doctor, and to fully understand the consequences of untreated thyroid disease.
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How Does The Doctor Know I Have Thyroid Cancer
Most thyroid cancers are found when patients see a doctor because of new neck lumps . Sometimes doctors find neck lumps during a physical exam. Yet other times thyroid cancer may be found during an ultrasound test for other health problems.
If signs are pointing to thyroid cancer, more tests will be done.