Firstly, hello! There is no relationship between when you take Provera and have a thyroidectomy. Quick background: Full TT performed in May 2013 at Hopkins for several nodules, only one with cancer - a 7mm nodule PTC - BRAF+, No lymph node involvement, margins "invasive carcinoma deep in to the margins". It feels uncomfortable to touch, like size of golf ball and seems to swell even more when touched making it odd to swallow.is this normal? Symptoms of thyroid storm include a fever (over 102 degrees F in most people), profuse sweating, a rapid heart rate, and sometimes delirium (severe confusion). it feels like there are hands wringing my neck at all times, and its hard to move my head. Any advise would be appreciated. I too have been doing some things I probably shouldn't have. My Endo said RAI could happen anytime within 6 months ideally. I am gaining weight and now my legs and feet are swelling a lot, like twice the normal size. I need to get educated on the different blood test readings, I'm very tired and my sleep pattern is totally destroyed. Occurring in roughly one in 300 procedures, most hematomas occur within 24 hours of surgery, though research indicates they may occur later in 10% to 28% of cases. My doctor told me the swelling will go away but You've attached to a thread from 2009 and none of the previous posters are, currently active on the site, at this time. What should I be asking my endo about? Though thyroid surgery is considered a relatively safe procedure, complications may sometimes occur. I still have swelling at the incision site. I am also needing to prepare for the RAi scan in 3 weeks time and was told not to take any supplements whatsoever, does anyone know if its still ok to take antidepressants while preparing and undergoing RAI? Columbia Thyroid Center. Left side surgical was hard & slightly numb to feel anything. If you have what feels like razor bumps or acne on the back of your neck or scalp, you may have acne keloidalis nuchae. Eur Thyroid J. I can swallow Synthroid but I am having to crush or take liquid forms of any other pills. 2015 Feb;51(2):164-9. doi: 10.1016/j.oraloncology.2014.11.004. It takes time, lots of time. A nerve has been cut that must connect/control my left shoulder muscle. My concern now is that it's been 2 month and 5 days and my neck is still swollen. You may remain in the hospital overnightor be allowed to return home if you had outpatient surgery and are stable. -Tg= 1.8 ng/mL (1.7- 55.60) Werner and Ingbar'sThe Thyroid: A Fundamental and Clinical Text. Recurrence in regional lymph nodes after total thyroidectomy and neck dissection in patients with papillary thyroid cancer. A seroma is a fluid-filled pocket that can develop after breast surgery. . I alos have pain and tightness in sternal area and towars my left shoulder. STIs are the most common cause of genital sores. If hoarseness persists, especially if it is still present six months after surgery, it's likely that the recurrent laryngeal nerve was injured. I have had two pretty severe choking episodes, one of which I thought I was going to have to call 911 because I could barely get any air in. I have been looking online for photos of people after thyroidectomy, and I dont see anyone with swelling like this in the neck. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Hope you feel better soon! Or at least the last year . While Im eager to get RAI behind me, I want to be sure Im healed enough to handle the process well. I'm seeing my surgeon in two weeks, and can't wait to tell him what a lousy job he did on me. Be patient 2 weeks is not very long you have quite a while of healing to go. Did it go away? You will probably be able to shower, but should try to keep your neck as dry as possible. I have gained about 15 pounds on top of it all. She has had one removed already. Another blood test is recommended in Jul 2013, followed by a low dose radio iodine scan. Size has not grown since. I wanted to see how any of you guys fared with recovery and swelling of the neck? Please let me know how to keep my sanity after all of this. For some reason I seem to get the worst symptoms on Sunday, when the only way to see a doctor is through the E.R. Did you also have lymph nodes removed? New upper neck mass after thyroidectomy, radioactive iodine ablation for thyroid cancer Endocrine Today | A 24-year-old with bilateral pain in her upper neck inferior to her ears and. endobj Will I need thyroid hormone replacement therapy after my surgery? Copyright 2016 Elsevier Ltd. All rights reserved. She is the author of "The Thyroid Diet Revolution. Dr said this is recommended 6 to 12 months after initial RAI. When things get really full, sometimes I use kinesio tape in addition. hashthy I had a TT a week ago and developed a large bump about 1/2" above incision site. Factors predictive of the development of surgical site infection in thyroidectomy - An analysis of NSQIP database. I still have trouble swallowing at times. Close surveillance may be necessary for early detection of lateral LN recurrence in PTC patients with tumor size 1cm, and central LN metastasis with extranodal extension. Thyroidectomy is the main surgical treatment for thyroid cancer and is a treatment option for certain thyroid conditions, including: Your thyroid is a small, butterfly-shaped gland located at the front of your neck under your skin. It is not a substitute for professional medical advice. The pathologist (same one as I had the year before) told me that based on his experience, my PTC would be a 'nuisance' and that I needed to have surgery - and would perhaps need more in the future as the thyroid tissue continued to regenerate "like a starfish" he said. None of the patients experienced permanent hypoparathyroidism or recurrent laryngeal nerve damage. MeSH I had a cervical neck fusion c5 c6 the doctor somehow cut tissue by my thyroid or goiter i have had this problem years before neck surgery .I had this feeling for some time after my surgery. In time, your incision will turn pink and then white, and most are completely healed in six to nine months. Thanks! You may need thyroid medicine to suppress over-production of thyroid hormones. The knowledge and experience here is amazing and Im so grateful as Im sure everyone is. 2 0 obj Difficulty swallowing. 2003;48(5):641-59. Did you have swelling after your surgery? 3 0 obj Just go} She is having a second operation on a parathyroid gland. I also haven't been able to find any photos or much info on neck lymphedema. I'm glad I'm giving you hope, because I definitely remember how scared and hopeless I felt and that it wouldn't ever get better. As the area started to heal & soften, I could feel a swollen LN about 1.5cm sometime in Jan 2013. When I sneeze it's very painful and irritates my gag reflex. I have no clue what is "normal" on part of my discharge papers it says swelling can last for up to 4 weeks, in another part it says to call the doctor if there is swelling. Im so discouraged. I massaged it for hours last night but it doesnt do anything. Factors that increase the risk of hypoparathyroidism after thyroid surgery include a diagnosis of thyroid cancer, a longer duration of thyroid disease before surgery, a central incision, and the removal of a large amount of thyroid tissue. Dr. Philip Kern answered. In thyroid cancers over all prognosis is excellent.. Surgery to remove your whole thyroid may take up to four hours. I am the one who suggested doing it sooner rather than later, because we are already in quarantine as a society with the virus, so I thought~ lets just do this now while Im in the habit! stream Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. 2 of 5 central LNs were infiltrated with papillary Ca. Dermatologists care for people of all ages. The primary reason for concern is that neck bleeding, which can be life-threatening, may occur after a person has returned home after outpatient surgery. You poor thing! Before doing these, however, make sure to ask your surgeon about their appropriateness for you, any additional exercises they believe might be helpful, how often you should perform them, and whether there are any exercises you should avoid. You can expect permanent results in all but one area. A retrospective analysis was performed on 246 patients with PTC who underwent total thyroidectomy and central neck dissection from 2004 to 2010. From what I understand they would use an implant to close half of the vocal chord so that it functions more appropriately. What? 30 lymph nodes were removed and 7 with cancer. Once you have recovered from anesthesia and are fully awake, youll likely be able to have something light to eat and drink. Youll likely be able to go back to your normal, light activities the first day after your thyroidectomy. (second edition). Hello all. Epub 2016 Dec 2. And all the cases I had read about had tried RAI before. I did suffer from Parotid damage 6 months post RAI but I didn't suffer from dry mouth and only had swelling at the 6th month interval and no swelling since. heavy lifting, strenuous exercise, etc.). If you saw my other thread, you know I've had an allergic reaction to steri-strips so that might be causing some swelling. Does it get better? Its so great to have found a support site and to feel that we are not alone:) My journey with thyroid cancer has been a whirlwind of mixed emotions. Surgery. I would have thought I was bleeding internally. It's also important to talk about how to properly take your medication, as food and many drugs and supplements can interfere with absorption. I'm considering surgery to treat my overactive thyroid as the medication is not improving it, are there any dangerous side effects of thyroidectomy? Advertising on our site helps support our mission. Im due for blood work again that was about 8 months ago. Epub 2017 Apr 17. John. I will definitely ask about neck swelling. In the operating room, you will be in a semi-seated position, with or without your chin tilted back and with support under your neck and shoulders. It looks as if I had tracheostomy done. 2022 Dec 1;22(1):1246. doi: 10.1186/s12885-022-10326-8. Fortunately, if nausea does develop, there are treatments that can alleviate your symptoms, and the use of medications such as dexamethasone has greatly reduced vomiting. You have a nodule or goiter thats releasing excess thyroid hormone, resulting in hyperthyroidism, and its not responding to other treatment options. If it is longer than a week I would call the doctors and see if they want you to come in earlier or such. How big did it get? Oh and how long did your coughing last. Discuss what's on your mind with your healthcare provider. I'd say things didn't settle completely for me for about 4 months out. I cannot emphasize enough how efficient, caring and absolutely AMAZING each and every person was that I encountered during my 3 days there -- And from the small details to the BIG issues, every moment, every procedure, every appointment progressed in a perfect cadence - it was pure perfection! I was reading some of your other posts and saw that you have been doing well after your procedure. prognosis of it? Unauthorized use of these marks is strictly prohibited. I went back to work 17 days after my TT and my swelling looked fairly close to normal. How can I reduce swelling after thyroidectomy? Your thyroid is a butterfly-shaped gland located in the front of your neck. It may also improve the safety of the procedure for those with Graves disease. The surgeon says they may not find anything but because my thyroid is out there is a better chance of picking up something. Thyroid. The treatment of graves disease includes medications, radioactive iodine, or surgery. Background: This study analyzed the incidence, pattern, and predictive factors for lateral lymph node (LN) recurrence in patients with papillary thyroid cancer (PTC) without clinical evidence of lateral LN metastasis. As far as safety, a 2018 study suggests that outpatient surgery may be safe, but the researchers admitted that the study may be biased (people who were are at greater risk are more likely to be hospitalized, whereas those at lower risk were more likely to be offered the procedure on an outpatient basis). And then there is Dr. Hay - who is incredibly brilliant and so patient focussed --it is really beyond belief.