When I took the outer strips off and tilted my chin up, it seemed like all of my insides (whatever is left) was pushing towards where they did my TT. Im very thankful to find this support group. In some cases, more than one lump may develop. But again, less invasive and temporary pain with no side effects compared to having my neck slit open! To help with swallowing I would tilt my chin down while swallowing and "hard swallowed" to help alleviate my issues. Your thyroid is a butterfly-shaped gland located in the front of your neck. Yes, about a week after my TT (performed on August 4th) I had significant swelling on the right side of my neck below the stitches. I had a neck dissection where nodes were positive, positive fatty tissue was removed and my thymus (which ended up coming through clear). 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. A 46-year-old woman is hospitalized in Riga, Latvia, 1 month after suddenly developing an enlarged chin, which is swollen and tender. Reddish spots on the skin that come and go. As the area started to heal & soften, I could feel a swollen LN about 1.5cm sometime in Jan 2013. You should wait at least 10 days to two weeks before returning to vigorous sports and activities, such as swimming and heavy lifting. Thyroid surgery is often done under general anesthesia with a breathing tube placed in the windpipe, or trachea, to breathe for you. I am 30 years old. Numbness or tingling of fingers, toes, or around the mouth. STIs are the most common cause of genital sores. As with any surgery, it's normal to have questions, concerns, and maybe even feel a little bit of anxiety going into it. and we flew back home that afternoon. Thank you, {{form.email}}, for signing up. 8600 Rockville Pike They commonly include: Most often calcium levels improve in a few weeks but may continue to be low for up to six months. I am having a weird puffing/swelling on either side of my incision along with skin and area becoming hard to the touch, beginning about a week and a half after initial central and lateral neck dissection to remove thyroid and a bunch of nodes (at Johns Hopkins Otolaryngology). During surgery my doctor had to remove some outer muscle layers of my esophagus and outer layers of my trachea. And then there is Dr. Hay - who is incredibly brilliant and so patient focussed --it is really beyond belief. 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). I have been taking serlife(zoloft) for years and don't want to just stop it. When I sneeze it's very painful and irritates my gag reflex. Has anyone else experienced this? 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. 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 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? Free to everyone, these materials teach young people about common skin conditions, which can prevent misunderstanding and bullying. Thanks:), Hello All! Could this be connected? <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> its making ankles, swollen fingers and swelling between knuckles. I finally had my TT with bilateral neck dissection on Feb 26 of this year. After completing this course of medication, I could feel that the swelling had slightly gone down but then the swelling came back around April 13 when I tested positive for COVID. This is because you'll no longer have a gland to make thyroid hormone and will experience symptoms of hypothyroidism, or an underactive thyroid, without replacement therapy. You may have gained or lost weight for no apparent reason. Thanks! It stings b/c of the pressure my neck has on it. Oral Oncol. 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. {Oh, and NO RAI before or after - or ever if its up to Mayo, contrary to what my Endo thought I would have to have done} It definitely does, but 5 weeks out and I still have that tightening feeling in my throat and just overall discomfort and like my head/neck feel detached in a way. Another blood test is recommended in Jul 2013, followed by a low dose radio iodine scan. Darker skin in the creases of your palms, on your gums, or elsewhere in your mouth The weight of thyroids removed ranged from 4.4-46 g. After surgery, four patients obtained total and permanent relief of pain. The surgeon removed 31 lymph nodes - 5 of which proved cancerous. Your healthcare provider may recommend thyroidectomy for any of the following reasons: Thyroidectomies are a common surgery. Are you sure you want to block this member? A dermatologist is a medical doctor who specializes in treating the skin, hair, and nails. Werner and Ingbar'sThe Thyroid: A Fundamental and Clinical Text. Under local anesthesia so they can monitor my voice function during surgery. I had the procedure done again the next morning -- (which surprisingly hurt much less than the first one?) He contacted Dr. Hay immediately and they did an FNA -- within a half hour I was in Dr. Hays' office with the results of the new FNA - negative! After this test, the doctor reduced my dose to 125 mg and I had the second follow up test on April 16, results below: Z7gFskZKJB``nsL|g,g/7? Both surgeon and Endo (at the time) did not recommend RAI - so no RAI. 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. Firstly, hello! 2021 Nov 2;10(21):5144. doi: 10.3390/jcm10215144. Injury to the external branch of the superior laryngeal nerve is usually less obvious. This lateral neck dissection I had one week ago seems worse than the TT I had last year! I was reading some of your other posts and saw that you have been doing well after your procedure. doi: 10.1097/MD.0000000000013435. I have the book and it is very good. I had a total thyroidectomy Jan 8, 2018 because I had eight nodules on my thyroid which by the grace wasn't cancerous but two where growing larger and began making me feel like someone hands were around my neck. Elevate the head of your bed 30 to 45o for the first 3 to 4 days to decrease swelling. Knowing what to expect before your thyroid surgery is helpful for coping with potential side effects, reducing complications, and undergoing an easier recovery process. /V+ofquw=8NvsFX8v#fw5hUQepb:E\% SjHZb&BYp# `|zBONA2&6c~ ,8hb2MT}%T>ZzeTvrK]y[I%z{&sTVc[-\LzbdB*Y'rI\rd!%rK&=;>5%`-+gx+ T| Partner with the expert for the best care. Because he withheld information from me earlier, I decided to get 2nd, 3rd and 4th opinions, and finally found a great thyroid surgeon who I can trust. Before But WAY better than the first couple weeks. In the meantime, be sure to contact your thyroid-care team if you have any questions regarding your recovery process. I had a PT last week and I have that same swelling, and the pain from sneezing or coughing is worse than the surgery. Pn9/@RHw\F7F).z^t6qmk\[Ry)&:r6{[;12+W;5Rl@|CFzB^ if;Qeh;a]e]O[r w{>) K}Rx((- +pKP-1X"LkJ o I was thinking it was lucky I didn't get sick closer to my TT. My voice is very weak amd I sound like Elmo. I would freak out if I started swelling 4 days post op. To help you find early (and some not-so-early) signs of thyroid disease on your skin, hair, and nails, heres a checklist. All went well with the surgery, although it was a LONG one (over 10 hrs). Be sure that you know what your at-home treatment regimen entails (medication, supplementation) and how to take any pain medications prescribed, if applicable. One Gp even did a white blood cell count blood test to check for any cancer markers and all was clear. They sent me to a lymphedema therapist as they call it which has only been in existence for three years as I was told. I just looked at my Tg results and I'm really happy that number dropped from 20 back in April to .6, which is where my Tg was at its lowest after my TT and central neck dissection. Thanks for puttng my mind at ease that this swelling could be normal. When things get really full, sometimes I use kinesio tape in addition. Prediction of Cervical Lymph Node Metastasis Using MRI Radiomics Approach in Papillary Thyroid Carcinoma: A Feasibility Study. They asked if I could come back this week to see speech therapy for swallowing and to go to their lymphedema clinic. But as it grows, it can cause signs and symptoms, such as swelling in your neck, voice changes and difficulty swallowing. I haven't had my surgery yet but my sister has and that does not seem right to me. Had 6 months tests about a month ago, Tg is undetectable and lymph node ultrasound was normal. Have you been scheduled for a follow up with your doctor? I had a therapist remind me that the fluid is not just outward, but the internal tissues hold fluid too. You have a large nodule or goiter thats compressing your trachea or esophagus and making it difficult to breathe or swallow. Incision not red or infected. She said she strongly feel that this condition is reversible with a little double behind it because it's been 2 months and they should have sent me to her earlier as she stated. But it definitely wouldn't hurt to contact your doc for piece of mind or ideas of what to do. I alos have pain and tightness in sternal area and towars my left shoulder. I've read swelling is more common when they remove lymph nodes. Zhang H, Hu S, Wang X, He J, Liu W, Yu C, Sun Z, Ge Y, Duan S. Technol Cancer Res Treat. Its weird because original swelling already went down and now this? Any advise would be appreciated. Bookshelf Occult lymph node metastasis and risk of regional recurrence in papillary thyroid cancer after bilateral prophylactic central neck dissection: A multi-institutional study. Doughy and swollen face, especially on your eyelids, lips, and tongue Are you sure you want to block this member? J Clin Med. I am almost 6 months after my TT and left neck dissection (51 lymph nodes) and 4 months since RAI. Dry, pale, and cool skin Thyroiditis is swelling (inflammation) of the thyroid gland. Treatment usually includes IV antibiotics, which are medications to kill bacteria that are delivered through a vein. In the multivariate analysis, tumor size >1cm (odds ratio [OR], 8.14; 95% confidence interval [CI], 1.01-65.68; p=0.049) and central LN metastasis (OR, 10.59; 95% CI, 1.32-85.17; p=0.026) were independent predictive factors of lateral LN recurrence. In addition the papillary thyroid cancer had invaded the wall of my esophagus and trachea. Treatment in the intensive care unit includes cooling, intravenous fluids, medications such as propylthiouracil (PTU), and management of arrhythmias. If you saw my other thread, you know I've had an allergic reaction to steri-strips so that might be causing some swelling. I went to a very prestigious doctor in NYC Weill Cornell recommended by my endo at Sloan. I spoke with the Doctor on-call and he said that if I go to the ER it will be 6-7 hours of waiting. Outpatient versus inpatient thyroidectomy: A systematic review and meta-analysis. Together, you, your endocrinologist and your surgeon will determine the best surgery plan for you. After total TT on December 28 2020 and RAI on Feb 1 2021, I took 150 mg levothyroxine for 6 weeks and got the first test done on March 15. Hi All, which I can. Individualized optimal surgical extent of the lateral neck in papillary thyroid cancer with lateral cervical metastasis. I will ask more questions on Friday during my post op appointment. So the surgeon now wants me to have an RAI full body scan in 3 weeks (ill be taking thyrogen injections 2 days before) then after the scan depending on what they find they will decide on the day whether or not to book me in for 3 days isolation for RAI ablation therapy. If yours does not, talk to your surgeon about seeing a specialist in physical medicine and rehabilitation (a physiatrist) or a physical therapist who can work with you to improve the flexibility of your neck and design an exercise program to restore your neck mobility. Hope you feel better soon! That nerve had was removed. Hypoparathyroidism is when you have too little parathyroid hormone, which can lead to low calcium levels. It looks like I have 3 necks, and the fluid build up is so bad. It may also improve the safety of the procedure for those with Graves disease. Nausea and vomiting after thyroidectomy was the norm at one time, and people may be concerned if they talk with others who had this procedure in the past. Though thyroid surgery is considered a relatively safe procedure, complications may sometimes occur. Find other members in this community to connect with. You have a nodule (growth) on your thyroid that might be thyroid cancer. 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! I'm seeing my surgeon in two weeks, and can't wait to tell him what a lousy job he did on me. You may need thyroid medicine to suppress over-production of thyroid hormones. I was just wondering if anyone has experienced pain to the touch in their neck weeks following a neck dissection. It can smooth out deep wrinkles and lines, but the results arent permanent. So I went back to him and this time he operated and took the whole lump out in October, which came back positive for papillary thyroid cancer. If you are not given calcium, it's important to be aware of the symptoms of hypocalcemia. My freaking neck hurts! Thanks for sharing your "swell" stories with me! What is lump in neck after Thyroidectomy? Once you have recovered from anesthesia and are fully awake, youll likely be able to have something light to eat and drink. I was basically cut from ear-to-ear plus another cut on the left side neck almost perpendicular to the main cut. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Hi everyone, If your throat is sore or if swallowing is painful, eating a diet of soft foods will be more comfortable. Anyone have swelling 9-10 days after surgery? Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. This can lead to a sore throat and the sensation of a lumplike something is stuck in your throatwith swallowing. Types of partial thyroidectomies, which involve removal of part of your thyroid include: A total or near-total thyroidectomy is the surgical removal of all or most of your thyroid tissue. Did RAI too but not responded so I had Radiation theraphy on my neck. Last blood work still showed a TG, but my doctor said it was optimistic to ever have a TG 0 in my case. Thus, many "recurrences" are really just lymph nodes that were effected by cancer cells seeping through the back side of the thyroid and into the lymph node(s) behind it. This did not happen in my prior surgeries. There is a heavy emphasis on preventing Lymphedema and how to reverse it if it happens. Dr said this is recommended 6 to 12 months after initial RAI. If you want to diminish a noticeable scar, know these 10 things before having laser treatment. 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. Does it get better? But I don't know if it's because I also had 33 lymph nodes (including way up by my jaw) removed, or if I just suck at recovery. If they find cancerous cells, your surgeon may also remove nearby lymph nodes in your neck. Thank you! Ask your therapist if this is an option for you. It takes time, lots of time. I have lost 15 lbs because I am limited in what I can eat. Looking great now! Do anyone have problem sleeping after the throid surgery.It seem like every position I try might hurt my surgery . Of course, during COVID-19, protocols or normal ways of doing things are different. 2022 Dec 1;22(1):1246. doi: 10.1186/s12885-022-10326-8. 2023 Dotdash Media, Inc. All rights reserved, Mary Shomon is a writer and hormonal health and thyroid advocate.
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