fatigue after partial thyroidectomy

2020 Jan;167(1):109. doi: 10.1016/j.surg.2019.04.071. The normal job of the thyroid gland is to produce thyroid hormone, which helps control the body's metabolism (how the body uses energy). trust your body and give yourself time to heal and most importantly dont be down on yourself. Maybe ever so slightly hoarse for a few days. They intend to keep me overnight to keep an eye on my Calcium levels. I took it easy for about 3 weeks. I have my fingers crossed for you that it is not cancer. I was pleasantly surprised that the surgery and recovery was not bad at all. This option may be indicated if a thyroid nodule is small and localized to one side of the . It was discovered in 2011, was about 4.4cm then, and has been monitored periodically since then with ultrasounds and biopsies (benign). I had my left thyroid removed in December, 2008 because of a nodule. While it doesnt seem like much, seeing it actually on your neck after the fact is quite a shock. Keep in covered if youre outside. The operation went smoothly and I was pleasantly surprised by the easy recovery. Suppose you only require a partial thyroidectomy where only part of your thyroid is removed. Perhaps they can give you something to combat it on the day of, if you think it might be tough to manage otherwise. Thank you for posting. Is it safe to apply any of the scar treatments at this time? However, there are some things that everyone can expect with any type of thyroid surgery. Ft3 not tested. Why Is Weight Loss So Difficult After Thyroid Removal? But they got it all, great news. My steri strips are still in place and I see the surgeon tomorrow for my post surgery appointment. Drove to grocery store yesterday and did fine. Biopsy wad suspicious for cancer but they didnt have enough of whatever to tell. One thing being my right picks up the slack. doi: 10.1002/hsr2.1018. I took it easy and was fine after that. Conclusion: Was suppose to be a quick in and out, but unfortunately he found one nodule that grew deep behind my trachea. I had my thyroid function checked and it is in the normal range. @AnnMarie I am just seeing your message. My challenge is I am allergic to many medications and other allergens including pain medication and most antibiotics. I returned to light exercise 3 weeks in, and feel pretty good overall. Did you have any symptoms which would imply fluctuating thyroid hormone levels and if so how long before they calmed down? Wish I could show you my before and after pics!! This week Im feeling much better and things were looking up until last night. My doctor says it can change in pitch. Im a mom of three boys and this is not anything like Ive ever experienced before but Im not sure if its just because Ive had a month off and this isnt my Norm or if there is truly something off balance. This may be a short-term problem after surgery, or it may be a long-term problem. Your parathyroid glands may not work as well as they should after surgery. My family is filled.with different types of cancer. I finally found a doc at UNC Chapel Hill who said to wait for the molecular results and repeat the biospy. No medication needed. Mine was 7cm benign. Until I decided what to do, they would monitor it every 6 months or so. I am going to have a partial thyroidectomy and very worried about fatigue and weight gain. I wish I had discovered your article 2 weeks ago. I wish I would have found it prior to the surgery. My sister recovered quick from hers and went to work 4 days later, I dont work and I cant imagine there is no way. So take care - and just take it one day at a time. How did it go with your voice? You may be given pain medicine after surgery. Do you now have to take thyroid replacement hormones? Any words of wisdom will be appreciated! my doctor said he doesnt feel a strong need for b), but wanted to put it out there since theres ample time to do one before the surgery. For NDT, the usual initial dose is 30 mg per day. Hi Annmarie recovery was relatively easy and I am so glad I did the surgery. Apparently the nodules were pressing on my vocal cords continuing to make me horse and with the nodules gone I have my voice back!!! I too agree that you need 2 weeks to properly recover. Tiredness and feeling emotional After any operation, your body is using a lot of energy to heal itself, so you will feel more tired than normal. Meeting with multiple surgeons results in potentially confusing the information regarding how long Id be out of commission. Thyroidectomy - Mayo Clinic This thread was a life changer for mecant thank the author enough.. Are you on any thyroid med since the partial thyroidectomy? Plus, it was a very mild and painless surgery and recovery. The surgery went well, minor discomfort only. Studies are clear that patients who undergo a thyroidectomy often gain around 15 pounds on average after the procedure (5). I can drink and eat as normal. I had normal thyroid levels before and after my surgery, so need no meds. I took a half after that and that was it. PTH anywhere from 80-110. Hope this helps. My biopsies came back indeterminate and I did the ASPIRE test, which revealed a 50% chance of malignancy. If I knew how easy the surgery was, I would have had it done much sooner. Linda, how long after your surgery did you have to wait until were you able to sing again? Im just hopeful. The surgery went well. If you dont feel right, or if you are experiencing any unpleasant side effects, say something. Your email address will not be published. I have three small children under the age of 6, and know I need to do this. My PTH has been elevated as well as my Calcium. Somethings not right. Having said all this, I am firm believer in keeping your thyroid. And if it is cancer (which odds are its probably not), its better to get it out and start treatment ASAP. The ENT looked in my throat and told me nothing is blocked so what am I feeling? It seems like a lot of people dont get it back for 2-3 weeks. Why take a nodule out if this one is benign? Your provider will tell you which medicines to take or not take on the day of surgery. He did an inspection and said it was about the size of a lemon. This was my first surgery so was nervous! Recovery wasnt bad as I took it easy for the first week and eased myself into working and life the second week. Hi, Thought it was the pain meds but havent had to take them for a couple of days so it's not that. I I just had a parallel experience. The worst thing to me has been my energy level, headaches, the constant clearing of my throat, and now what I think is acide reflux. I have had unexplained anxiety for the past couple years and a matter how many therapists are doctors I go to they all seem to tell me they think its related to my thyroid. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Thanks again for responding. I didnt drive for one week. I am having surgery next Tues 1/29 for a 4cm nodule on my isthmus. I was totally fine post-op butfor the past 3 weeks Ive been very fatigued (I wake up tired even after a good nights sleep and I cant stop yawning). Theirs definitely some tightness and throat soreness but no pain, and Im not taking the tramadol my surgeon prescribed, as of yet. My throat hurt quite a bit, and my neck was stiff. .. My doc said it could take 2 months. I have had swallowing problems for years and recently it has gotten so bad that I am choking and coughing daily. I had it Monday morning and by Thursday was feeling great but I over did it and started feeling anxiety, tired and dizzy. Energy level and fatigue after surgery for thyroid cancer: A - PubMed I felt pretty good but took it easy for about 2 weeks. These voice problems include breathiness with loss of air during vocalization, change in pitch, inability to project the voice, and early vocal fatigue, any and all of which can impair communication. Have you had it? The day after surgery, I noticed neuropathy in my right hand and wrist and began wearing a wrist splint for the nerve pain. You may also need surgery for hyperthyroidism. Im so glad everything went well. I have follicular variant papillary cancer (highly suspicious for it after 2 biopsies). I am scheduled for surgery next monthscared.If anyone can email me with words of wisdom I would be greatfulThank you in advanceAnnMarie. I had a partial almost two weeks ago. Swelling The incision will be slightly raised and there may be swelling and light bruising at the incision site. My neck was stiff, too. Being a guy, I dont care about the scar too much and I can make up a bunch of stories about a hanging that went bad, Al Queda operatives at Taco Bell or a herd of rabid raccoonsbut really my doctor is a plastic surgeon as well as an ENT so I doubt I will have much of a scar and it is very low. I just need to hit the gym! Molly, I had my surgery 8/22 and went home the 23rd. Thats when they found nodule 1 2.5 cm at the time, and nodule 2, 1.2 cm. This may last a few days or a few weeks but is rarely permanent. I am SO stinking tired it;s frustrating! I just wanted to say thank you(!) Id rather have him perform the half thyroidectomy and send my nodule to get dissected and analyzed by the pathologist. A partial thyroidectomy is surgery to remove part of your thyroid gland. It was great to read such encouraging story, but mine has been a little bit of roller coaster. Let us know what your outcome is. Please help as i cant seem to find the answers! Hello thank you for having this thread, so full of wonderful info. (1) So if you have hypothyroidism, have had a thyroidectomy or partial thyroidectomy, this means you! Scar is about 8 cm, or 3 inches, maybe a little less or more. ; Hemithyroidectomy or thyroid lobectomy: This involves the removal of one of the two lobes of the thyroid gland. I had mine two weeks ago a partial thyroidectomy. Weight has been O.K. Thanks!! I recovered fairly quickly from the surgery and my scar is healing nicely since I've been massaging it with a blend of oils: Bio Oil, Flexitol, thick Vit E oil and Frankinsence Oil. Youll do fine! My voice was very weak after surgery but its probably at 85%. So from your experience there's no chance the remaining half will eventually compensate? Thoughts?? Multivariable logistic regression analysis determined characteristics associated with the report of worse energy level at 2 to 4 years compared to before treatment and current fatigue severity using adjusted odds ratios with 95% confidence intervals. For two weeks, I have been dabbing with peroxide and applying Bacitracin. My wound is still a bit swollen. Your body is busy adjusting to having one lobe that now has to compensate for the missing half. We investigated the adequacy of our thyroid hormone . I also read a lot of horror stories so thank you everyone for writing your experiences. Hi, Robin, I agree that the second opinion would most likely recommend the same because of the biopsy findings. Im on day 6 in post op from having a partial thyroidectomy. What to expect after a partial or total thyroidectomy (16-24): It might take several weeks or months to find the optimal hormone replacement therapy dose. I cant thank you enough for posting this I have a 4 centimeter nodule and a two centimeter nodule that they just found. Hi! God Bless. i have been fine after that BUT the mri showed another smaller cysts non liquid. Thank you for sharing us. No nausea. I had multiple nodes on mine, and had been having them drained for the past 2 years. Plus, I am 63 and the doctor said there is no time like the present to have it removed. Its been about 6 weeks since my surgery and I got back to my normal routine about 2 weeks ago. Thanks to this test they were able to see that although the cells in my nodule were not malignant yet, that they were mutating and had a 60 percent chance of becoming cancer; which is why my endocrinologist felt the need to approve my surgery. I had it done at Thorntons new hospital the Jacobs Center which is incredibly modern and well equipped (and the rooms are gigantic!). So, if youre afraid, dont put it off! Thyroidectomy: What It Is, Complications & Recovery - Cleveland Clinic The presence of low serum calcium levels for >3 months after thyroidectomy was associated with worse energy (odds ratio 1.26 [confidence interval 1.02-1.54]) and substantial fatigue (odds ratio 1.49 [confidence interval 1.21-1.84]). But once they did, she shed the pounds without effort. I had Dr Lopez at the Norman Parathyroid Center, also in Tampa. Is this normal?? Although I was terrified, I sailed through it! Hi Ive also experienced quite a few hypo symptoms within the past year. I have been having tingling in my left foot and my left hand. But youll get there, just try to allow yourself a generous amount of time to heal. Having some problems with my face feeling flushed. So is all this for naught? When I remove the splint, I can not use my hand/wrist due to the nerve pain. This medicine will keep you asleep and free from pain during surgery. Took 4 hours on table some if which was to determine before closing having pathology to detetmine if there was any signs of cancer though biopsy was negative. I had 1/2 my thyroid removed 10/25/2018, waiting for test results. Yes your primary care doctor understands your history but you need a specialist. Ive had a great surgeon and actually just had my blood work done today praying for good results. Ive been thinking about what you said and youre right its not going away. Ive still got swelling in my jaw and chin but its pretty much only noticeable to me and anyone who knows me well. The goiter tested 3 times benign including the test after surgery. Health Sci Rep. 2023 Jan 10;6(1):e1018. For the benefit of others here are the details. Your thyroid gland makes hormones that regulate your metabolism, body temperature, and heart rate. . Any advice? The post op test result also came back benign. My incision was closed with stitches that would dissolve behind some kind of surgical tape that was supposed to fall off in 10 days or so. I fell asleep at my desk. I now put Earth Science Skin Serum on it every day. I noticed that after the surgery, my calcium dropped "alot" causing muscle spasms and tingling (all over), I was very tired but after 3 weeks, I feel good. I had a partial thyroidectomy 3 days ago. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Levothyroxine replacement therapy after thyroid surgery Supposedly I am having a lighter anesthesia as opposed to a fully-intubated general. The edema went away after about 5 days. Not even a whisper. I also get what I call zingers of pain at incision sight. Subscribe now for my best San Diego, theme park, and luxury hotel tips in addition to thoughts on our recent travels delivered straight to your inbox, for absolutely free. I did stay overnight, which is standard. So thankful to read this post, I am scheduled to have the right lobe of my thyroid and the 4.5cm nodule removed in April. When did the exhaustion start to subside? My thyroid levels are still fine. The surgery went well, i just puked when i got home aand late at night due to the anesthesia. He has 30 years of experience and I am very pleased. Thanks everyone for all the support. My throat was sore but I didnt even need the pain meds. I did the ASPIRE test which revealed a 50% chance of malignancy. Anyway, I started using Scar Away as soon as the post-op bandage (which was waxy) flaked off completely. Two weeks is about right. As an otherwise healthy human, I figured that Id land somewhere in the middle. Two of my parathyroids were removed and put back during surgery. How is your incision healing since you manipulated removing the glued protection off sooner ? I feel a twinge when I bend or lift something. That wasnt painful at all either. My neck did feel weird and I didnt drive for 10 days. It was benign. Dont worry about weight gain, medication (which many people take and do great with), and things like this, I would just focus on getting things in order so you could take a few days off after surgery to rest. So. Im extremely exhausted but from previous posts that seems to be normal. I stayed in the hospital one night and went home the next morning. Following surgery, you may experience: Voice changes, such as, a hoarse voice, difficulty in speaking loudly, voice fatigue, and a change in the tone of your voice. The relationship between treatment for differentiated thyroid cancer and patient-report of decreased energy and fatigue remains unclear. They start you on thyroxine to replace what your body is missing and check your levels/ make adjustments. Ive had multiple nodules which were discovered 10 years ago. I understand completely. We will do one a month for a couple of months to be sure but it looks like the half will do its job. Please note my Thyroid levels are normal. Thyroid cancer treatment side effects and complications associated with worse energy and significant fatigue. My experience was very similar to yours. With a nodule of that size, even though my 3 biopsies showed benign, there was always the question. Thank you. Tools and a small camera are put into the incisions. It may also serve as a treatment for hyperthyroidism, particularly if a single toxic thyroid nodule growing on the thyroid gland causes the . Boy did that ever help soothe the nerves. I feel so very cold and sleep with my electric blanket on, but if I get too hot the breathing is made worse. i wish i didnt. Hi Molly, my name is Khalil and Im 28 years old .Three weeks ago I was daignosed with 4.5 com nodule after doing Ultra sound ,CT scan, MRI and Fine needle . So glad I happened upon this article. I was always so thin and now look like a beer drinking trucker. My thyroid function tests before and just after surgery were fine and are due to be checked again 6 weeks post op. Doing good and yes I do need a nap during the day after daily chores. No pain afterwards. Currently I have had a slight sore throat. But how much time? 2019 Jan;25(1):31-42. doi: 10.4158/EP-2018-0253. LOL! :) I'm not on any medication because the doctor said that we should test whether the left side could take over the functions of the right side(the lobe I had removed).All in all - I think I am coping very well. Tell your healthcare providers if you have difficulty breathing or swallowing. I did leave a comment a week or so ago but notice it did not post. and transmitted securely. Readers have access to exclusive discounts on theme park tickets (like Disneyland and San Diego Zoo) and perks at luxury hotels worldwide through her. This seems kind of unlikely to me given the pain Im in right now even despite the 10mg doses every 4 hours. I was actually able to eat a pretty full meal the same night, however, I think I opted for something soft. Also thankful mine is in January. Id personally rather do it once. Do whatever it takes not to get sick for the first two months after surgery because it will set you back. Im now 3 weeks post-op. I just had a partial thyroidectomy this past Wednesday 9/26/18 and my surgeon said the goiter was about the size of a small adult fist. Dont wait. So helpful thank you all so much. It all went well! I did a CT which confirmed where it was sitting, and that it needs to come out. Going for increasingly longer walks helped me in the early days. I also have a small nodule on the other side. Thank you for all these comments. You are the first person that Ive heard had a nodule larger than mine. Patient reported complications or side effects experienced as a result of thyroid cancer, Factors associated with patient report of worse energy 24 years after surgery compared, Factors associated with patient reports of moderate to very severe fatigue 24 years, Thyroid cancer treatment side effects and complications associated with worse energy and significant, MeSH I live in San Diego (North County) and had a partial right thyroidectomy done on July 17. because I had a goiter. This can cause your calcium levels to drop too low. I know it takes time but it makes me so frustrated and makes me want to burst into tears because I rely on workouts to help me get rid of stress and it just upsets me to not be able to rely on it and I just would like to know if any of yall had this experience and how yall fixed it. When I feel like I cant breathe, then I start to get anxious. A list of national and international resources and hotlines to help connect you to needed health and medical services. Id be happy to answer any further questions. The endocrinologist that saw me said I was perfectly fine and I should try to exercise more(?!) This was such a great article. Though They have grown a bit but not explore into the size of the last. I have quite a bit of pain when swallowing, moving my head or coughing despite the Norco. Any responses would be SO appreciated! Incomfort is also worth mentionning. Im wondering what thats about. My surgeonsaid that if I had a full time job outside the home, I should take off two weeks and if I worked from home on my own time, a week would probably be okay. All I can say is pay very close attention to what your body is telling you. I had a partial thyroidectomy nearly 6 weeks ago, I have a follow up appointment in 3 days time. Is Weight Gain After Thyroid Removal Inevitable? - Low Iodine Dietitian

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