Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. I'm not well versed in blood test readings and such yet, this topic concerns my surgery complications and I hope someone can shed some light. It does get better though, just slowly. How will my life be different after surgery? I even walked the town and went out for dinner after having the procedure -- I felt a bit nauseas that evening, and very tired the next day -- other than little bruising and swelling, I was good to go! How big did it get? TT was done in Oct 2012 & several LNs on the left side were removed using modified radical dissection. Mosby Elsevier, Spain, 2008: 681-2. Using pain medication after surgery may reduce discomfort, making it easier for you to keep moving your neck so that you have less stiffness later on. 8600 Rockville Pike The ablation procedure is much like an FNA, though my tumor was deep and it was pretty painful. My Endo said RAI could happen anytime within 6 months ideally. My surgeon told me I could do anything I wanted including exercise but even 5-6 weeks post opt I could not lift weights or barely jog without swelling shortly after. Several types of thyroid cancer exist. Both surgeon and Endo (at the time) did not recommend RAI - so no RAI. 2 of 5 central LNs were infiltrated with papillary Ca. I feel like I'm becoming depressed. Be sure to follow them. BMI has dropped from 26 to 25. Fitzpatricks Dermatology in General Medicine (seventh edition). McGraw Hill, China, 2008:1470-4. Im due for blood work again that was about 8 months ago. We do not endorse non-Cleveland Clinic products or services. Dr. Alan Feldman answered 43 years experience It looks as if I had tracheostomy done. In July 2015 I had a TT, then in November a neck dissection with the removal of dozens of lymph nodes in the deeper regions of my neck. I'm a younger guy (32) and while not really vain, I just want to look like "me" again. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Avoid any activity that raises your blood pressure for one week (eg. In addition to persistent hoarseness, injury to the recurrent laryngeal nerve may lead to other symptoms after surgery. There is no relationship between when you take Provera and have a thyroidectomy. Your provider may check your vocal cord function. American Thyroid Association. My profile picture is what my neck looked like before the surgery. No one told me about the long-term swelling after surgery so it has freaked me out a bit. After surgery, you will be monitored in the recovery room, sometimes for up to six hours. Types of Thyroidectomy Traditional Thyroidectomy. 13 posterior LNs were free. <>>> How do doctors decide the THR doses? Wen Q, Wang Z, Traverso A, Liu Y, Xu R, Feng Y, Qian L. Front Endocrinol (Lausanne). I just had a total thyroidectomy in March/2016, and have been on 125 yrs old crippled with osteoarthritis , had a thyroidectomy 10 years ago following uncontrollable NW London Hospitals Referring Patients to 'liothyronine with Statins - get informed and know the risks, Absolutely no apetite after thyroidectomy. 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. Do not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Epub 2016 Dec 2. Impact of Multifocality on the Recurrence of Papillary Thyroid Carcinoma. The sides of my head and ears are totally numb and my chest is numb. Has anyone else experienced this? If you had a subtotal thyroidectomy and are not immediately put on thyroid hormone medications, watch carefully for symptoms of hypothyroidism and contact your healthcare provider if they occur. My voice is strong, but slightly raspy. Over the past year since surgery, I have been getting labs done ev. Find other members in this community to connect with. I'm eating too much and getting depressed. So in May 2014, I got my first year U/S - and it showed a 5mm nodule in the left thyroid bed (same area as the cancer nodule taken out with the TT) - a subsequent FNA confirmed PTC recurrence. 3 0 obj He said it was normal. What Do Herpes Sores Look Like at Different Stages. It is hard to describe like the area is swelling and like it is being squeezed at the same time. I went to minute clinic today because I feel like I have a ear/sinus infection. This is mainly to reduce the risk of a neck hematoma (blood clot) and breaking open your stitches. ThyCa: Thyroid Cancer Survivors' Association, Inc. All went well with the surgery, although it was a LONG one (over 10 hrs). Lateral lymph node recurrence after total thyroidectomy and central neck dissection in patients with papillary thyroid cancer without clinical evidence of lateral neck metastasis: Comment on data sparsity. If youve checked off signs and are not feeling yourself, discuss this with your primary care doctor. During a thyroidectomy, there are a few ways your surgeon can access your thyroid, including: Depending on your situation, your surgeon will remove: During surgery for a thyroid cancer diagnosis, your surgeon may sample lymph nodes around your thyroid gland. loispol1 Member Posts: 84. Right side was OK. Excision biopsy was done to remove the 2.5cm swollen LN, Sep 2012. I hate the thought of more surgery after going through TT and neck dissection. None of the patients experienced permanent hypoparathyroidism or recurrent laryngeal nerve damage. Typically an expanding hematoma (collection of blood in the wound bed where the thyroid lobe was Talk with your surgeon regarding this issue asap. I know how frustrating it is to be so swollen but if you do massages and compression garments it will go down. I haven't had my surgery yet but my sister has and that does not seem right to me. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Thyroid. It stings b/c of the pressure my neck has on it. Is this normal? Your surgeon will remove the drain one or two days after the surgery. You may also notice swelling, firmness, a pulling sensation,or even some trouble swallowing. Kalus AA, Chien AJ, et al. Eur Thyroid J. Did you find any tricks to help it go away? You have a higher risk of developing thyroid disease if you have one of the following: Vitiligo 2017;76(5):871-8. eCollection 2022. The woman that did it was named Carol Michaels and she has books and videos targets at cancer survivors of all kinds. I'm seeing my surgeon in two weeks, and can't wait to tell him what a lousy job he did on me. doi:10.1097/MD.0000000000002812, Almquist M, Hallgrimsson P, Nordenstrm E, Bergenfelz A. 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". Sad. Any advice or suggestions would be great! Caught early, treatment can prevent complications. I will definitely ask about neck swelling. If you saw my other thread, you know I've had an allergic reaction to steri-strips so that might be causing some swelling. Im desperate for relief! I love it and my insurance paid for it. The ENT mentioned if it doesn't go away after a while, we can always look into plastic surgery options. I was going to take a photo but didnt want to put people off their breakfast! Are there any clear guidelines anywhere for when swelling crosses the line from normal to abnormal? -Anti-Tg = 36 IU/mL (< 60) It feels like the swelling is getting worse. I had no idea it would be like this- the internet makes TT seem like a piece of cake. If youre experiencing any of the following symptoms or situations after your thyroidectomy, its important to call your healthcare provider: It can be stressful to undergo surgery. Did you do massages on it? In the mean time put a wet warm washcloth on it at least 4 times a day to see if that reduces the swelling, or brings puss to the surface of the wound. 2003;48(6):970-2. I need to get educated on the different blood test readings, I'm very tired and my sleep pattern is totally destroyed. 2016;95(7):e2812. American Thyroid Association statement on outpatient thyroidectomy. Just wondering if this seems normal. She assisted me in getting a flexitouch pump which I use every day. it feels like there are hands wringing my neck at all times, and its hard to move my head. Binary logistic regression was used for the multivariate analysis. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. If found, a pathologist will check the lymph node sample during surgery for evidence of thyroid cancer. It makes hormones that control every part of your metabolism, from your heart rate to how quickly you burn calories. Do any body have this problem? But MAJOR discomfort for awhile after that. He said that obviously if I have trouble breathing or swallowing I need to get in immediately. I too have been doing some things I probably shouldn't have. Treatment includes immediate surgery to remove the hematoma and address any areas of bleeding. Find out what may be causing the itch and what can bring relief. Soft and fine hair with lots of shedding The surgeon says they may not find anything but because my thyroid is out there is a better chance of picking up something. Hormones are chemicals that coordinate different functions in your body by carrying messages through your blood to your organs, skin, muscles and other tissues. My surgeon has a really thick accent, so I still am not sure exactly what he said he didbut I *think* he said he took out the front lymphs. Last night I kept waking up thinking I was choking. Dr said level should go down to 0.2. A lump under the chin is frequently associated with swelling around the chin, jaw, or throat. Once your surgeon is done, theyll close the incision with stitches (sutures). I'm 5 weeks post TT and very little swelling left (really only noticeable to me). Never ignore your gut feelings on how you feel and if you think you'll forget things to ask when you see your endo questions or just exactly how your feeling write it down that's what I should of done. Could this be connected? Im so discouraged. These include: While a total thyroidectomy is more extensive surgery than a subtotal thyroidectomy, several studies suggest that the safety of the two procedures is similar with regard to complications, though temporary low calcium levels (and hypothyroidism due to the removal of the entire thyroid) are more common with the total procedure. Thank you I will try it.Will try it regardlesd. The content on this site is for informational purposes only. I ended up in A and E via docs as they couldnt understand why the choking feeling or dizziness etc. Should I have imaging? Did he put in drainage tubes? I would have thought I was bleeding internally. This community is sponsored by ThyCa: Thyroid Cancer Survivors' Association, an Inspire trusted partner. <> After these results, he has reduced the dose to 100 mg and 125 mg on alternate days and get these tests done again in 4 weeks. And I kept having this weird dream where my esophagus was made out of bacon and the bacon was coming up and into my mouth and choking me. The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. I was informed that this is expected from working so closely to the nerves that control the tongue and facial movements however, this has never happened to me in any of my prior surgeries. 2018;60:273-278. doi:10.1016/j.ijsu.2018.11.013, Hope N, Kelly A. Pre-operative Lugols iodine treatment in the management of patients undergoing thyroidectomy for Graves disease: a review of the literature. While Im eager to get RAI behind me, I want to be sure Im healed enough to handle the process well. Lee YC, Na SY, Park GC, Han JH, Kim SW, Eun YG. July 2010 #5. 2~ey)E#V|~},>>=4x/E~[lR|g,T"1dJl$o~p}w~MEdHb-T\?M(-mL=?-dRY$-E|oz7ILfUe(Qs3n^/lhV)1 2..1*&|,0^Xkoqve cd?q YqwAwexdlc>a I had a Total Thyroidectomy with Central Compartment Neck Dissection on August 10. Accessibility You can search by location, condition, and procedure to find the dermatologist thats right for you. There is a lot of swelling afterwards so you have to stay 1 - 2 days in the hospital for monitoring and they use steroids to reduce swelling. )L{`,;0|ZE&wn)*SEo{n>xl|ZG[LqXe9|F9"6X)<5*S #e'om. Muscle cramps. All patients underwent either a subtotal or near-total thyroidectomy 0.5-6 yr after onset of pain . full body scan shows no metastasis. They asked if I could come back this week to see speech therapy for swallowing and to go to their lymphedema clinic. Xu S, Huang H, Huang Y, Wang X, Xu Z, Liu S, Liu J. BMC Cancer. 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. John. Youre undergoing a second thyroid surgery. It feels like it is swollen but I do not see or feel any swelling. Anyone suffer from facial swelling after TT and neck dissection? I had a ton of stiffness and pulling feeling in my neck aside from the feeling of not being able to swallow. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. Your incision may appear red and hard at first,and you may notice some slight swelling and bruising around the scar. Through a standard incision in your neck. All of the cells in your body need energy to function. Is it normal to be still swollen after 6 days? During surgery my doctor had to remove some outer muscle layers of my esophagus and outer layers of my trachea. FOIA The hardening typically peaks about three weeks after surgery and then subsides over the next two to three months. #,OuLjRhbTwZF'! x\[o~7Ra iOqIhX+v_Y$ Swelling is very notable and regardless of massaging the area multiple times during the day with vitamin e rich lotion, it's not getting any better. Untreatable and itchy hives. The only thing that's resulting from this is soreness and stinging on each end of the incision, plus it appears to look more swollen afterwards. She explains that it started . Bleeding after surgery that could lead to, Injury to a recurrent laryngeal nerve, which can cause temporary or permanent, Damage to your parathyroid glands, which are located behind your thyroid. Unfortunately, a surgeon makes ~50K off of each PTC recurrence and a radiologist will make ~3K off every ablation. 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. Logical. its making ankles, swollen fingers and swelling between knuckles. Methods: This is excessive swelling and should be seen asap. Difficulty swallowing. 2013;23(10):1193-202. doi:10.1089/thy.2013.0049. Does .6 indicate there may still be cancer there? 2014 Jun;271(6):1355-60. doi: 10.1007/s00405-013-2630-x. Check with your doctor first! Most types grow slowly, though some types can be very aggressive. The other nerve controls my smile. Know that thyroidectomies are a common surgery and are generally safe if performed by a qualified and experienced surgeon. At times my ears and just underneath the ear hurt as well. doesnt take me seriously until low and behold another issue presents itself. Left side surgical was hard & slightly numb to feel anything. 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). If hoarseness persists, especially if it is still present six months after surgery, it's likely that the recurrent laryngeal nerve was injured. I couldn't stand the wear, tear and blood stains on my steri strips so I replaced the outer ones with the stern strips my nurse put in my bag. It wouldn't hurt to send them. Advertising on our site helps support our mission. To learn more, please visit our. Last week I talked with my surgeon's office at MD Anderson. World J Surg. About 8 months later my TG was 9 un-stimulated. Kim, I am so sorry for your discomfort but thank you for sharing. I'll say it's not quite golfball size but close. None of the patients had clinical evidence of lateral LN metastasis at the time of diagnosis. If you have a total thyroidectomy, or the entire thyroid gland is removed, you will require prescription thyroid replacement therapy after their procedure. I used to see a therapist and it really helped. it seems to hurt so much more if my neck gets cold. I tried heat, ice, gentle massage. My neck, of course, was sore and stiff and coughing was no funouch!! The one whic After I had my surgery the surgeon told me that she noticed my right nodule was enlarged. Eur Arch Otorhinolaryngol. The knowledge and experience here is amazing and Im so grateful as Im sure everyone is. The doctor suggested not to get the Tg done this time. Does this only happen if they remove lymph nodes and/or you don't have a drainage tube? I realize that travel and expenses etc to get to Mayo may preclude you from this option -- but if there are resources or any opportunities to do so -- go for it. It came after resuming some "normal" activity and to be truthful, lifting a few things I shouldn't have. 2017;6(1):20-25. doi:10.1159/000450976, Padur AA, Kumar N, Guru A, et al. 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. endobj and they all talk - ongoing talk - just about you! If the nerve was injured, more severe symptoms may be noted after surgery. I had total thyroidectomy June 3, and the incision site is still swollen - about the size of an egg. 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. Dry skin with deep cracks and scale 2017 Feb;161(2):465-471. doi: 10.1016/j.surg.2016.07.031. That nerve had was removed. 30 lymph nodes were removed and 7 with cancer. Will I need thyroid hormone replacement therapy after my surgery? And every day after that got a tiny bit better (though I noticed more of a difference after every few days). It could be an infection. I have lymphedema in my chin and neck, with swelling. From what I understand they would use an implant to close half of the vocal chord so that it functions more appropriately. Seemed like just time helped in the end. I still have trouble swallowing at times. I went to my appointment and forgot most of what I was going to ask or say please let us know how you get on if that's ok. The risk of infection is present with any type of surgery but is relatively rare with thyroid surgery. I had mine done on June 26th and the scar looks fantastic, but I still have some fluid and swelling on and off and the right side of my neck is still painful to the touch. }>>S\)Daudn+>%| N-*}u2O5{,A/ I O@KOgophy2+n^!z-2Xn~"r/ z+Y+G?Ox/A$0wSAn/w0Ca5[)XUu#B`nFJ{D/8Re I am so grateful for all of the information that is exchanged on this forum, and wanted to share my recent experience at Mayo with Ethanol Ablation. They commonly include: Most often calcium levels improve in a few weeks but may continue to be low for up to six months. Zhang H, Hu S, Wang X, He J, Liu W, Yu C, Sun Z, Ge Y, Duan S. Technol Cancer Res Treat. Treatment in the intensive care unit includes cooling, intravenous fluids, medications such as propylthiouracil (PTU), and management of arrhythmias. It makes swallowing and turning my head difficult. I stayed one night in the hospital. Those work really well. References I was taught how to apply it correctly by a lymphedema therapist and now I buy it through Amazon and just do what the therapist showed me. There are many symptoms of hypothyroidism, but some of the more common ones include: Side effects of thyroid surgery are common and often include neck pain, a sore throat, difficulty swallowing, and hoarseness. I am almost 6 months after my TT and left neck dissection (51 lymph nodes) and 4 months since RAI. Sweating less (or more) than before 2 Tracheal perforation related to thyroidectomy is usually detected during surgery, and recovery without major complications is possible with . Right now i am so confused and angry and wish I had more definite answers on the prognosis. Ice packs make me comfortable but once ice wears off, then it stings again. Widening nose I have been doing my physical therapy exercises daily in attempts to help with the swelling. Health care providers perform thyroidectomy to treat thyroid disorders. Had 6 months tests about a month ago, Tg is undetectable and lymph node ultrasound was normal. Z7gFskZKJB``nsL|g,g/7? Your thyroid is a butterfly-shaped gland located in the front of your neck. While complications can affect anyone, there are some risk factors that increase the chance of the adverse effects. If you are not given calcium, it's important to be aware of the symptoms of hypocalcemia. {P.s. Dermatologists care for people of all ages. If your able to get the pump even better. I am so frustrated to still be in pain and to still be so exhausted all the time! Symptoms may include an area of firmness and swelling on the front or side of the neck (usually beneath the incision), neck pain, and symptoms of airway obstruction such as shortness of breath, lightheadedness, or stridor (a high-pitched wheezing sound that's usually most noticeable with inspiration than exhalation).