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Learn More...How long is recovery time after a thyroidectomy?
The recovery process following the thyroidectomy procedure will take about 1 – 2 weeks on average. You’ll need to plan accordingly for the recovery to ensure the process remains effective. Understanding the process for a thyroidectomy
What to expect before and after parathyroid surgery?
- If swallowing is painful, start out with cold drinks, flavoured ice pops, and ice cream. ...
- If you cough right after drinking, try drinking thicker liquids, such as a smoothie.
- You may notice that your bowel movements are not regular right after your surgery. This is common. Try to avoid constipation and straining with bowel movements. ...
What medicine can you take after thyroid removal?
Your doctor may recommend a thyroidectomy if you have conditions such as:
- Thyroid cancer. Cancer is the most common reason for thyroidectomy. ...
- Noncancerous enlargement of the thyroid (goiter). Removing all or part of your thyroid gland is an option if you have a large goiter that is uncomfortable or causes difficulty breathing ...
- Overactive thyroid (hyperthyroidism). ...
- Indeterminate or suspicious thyroid nodules. ...
What is the life expectancy after surgery?
- With active surveillance, your cancer may grow and spread. 5
- Choosing not to treat your cancer right away could lead to anxiety.
- Men who undergo radiation are more likely to have bowel problems. 6
- There is a chance you may lose bladder control after surgery.
- You may lose your ability to have an erection after surgery. 7

What medication do you take after thyroid removal?
If your entire thyroid is removed, your body can't make thyroid hormone. Without replacement, you'll develop signs and symptoms of underactive thyroid (hypothyroidism). Therefore, you'll need to take a pill every day that contains the synthetic thyroid hormone levothyroxine (Synthroid, Unithroid, others).
What should I monitor after total thyroidectomy?
Post-Procedure Patients who undergo a total thyroidectomy have their calcium levels monitored for iatrogenic hypoparathyroidism. Recent studies have compared the use of postoperative parathyroid hormone as an adjunct or replacement to measuring serum calcium levels in predicting hypoparathyroidism.
Do you have to take hormones after thyroid removal?
If your thyroid has been removed (thyroidectomy), your body can no longer make the thyroid hormone it needs. You will need to take thyroid hormone (levothyroxine) pills to replace the natural hormone and help maintain normal metabolism and possibly lower your risk of the cancer coming back.
Is life normal after thyroidectomy?
Was this helpful? Thyroid removal—or thyroidectomy—is surgery to take out the thyroid gland. Your recovery after thyroid removal will vary depending on your diagnosis and the type of surgery, but most people soon return to a normal, active life.
What happens to your body after total thyroidectomy?
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. These changes are due to damage to the laryngeal nerves that supply your voice box (larynx) during surgery.
What vitamins do I need after thyroidectomy?
Implementing oral calcium and vitamin D after total thyroidectomy can reduce the incidence of hypocalcemia related to surgery.
Can you live without thyroid and no medication?
Aside from having your thyroid levels tested regularly and taking medication daily to give your body the thyroid hormone it needs, people without a thyroid live an otherwise normal life. Adjusting to life without your thyroid means taking medication and checking in with your doctor. Most people adjust easily.
What should your TSH level be with no thyroid?
TSH normal values are 0.5 to 5.0 mIU/L. Pregnancy, a history of thyroid cancer, history of pituitary gland disease, and older age are some situations when TSH is optimally maintained in different range as guided by an endocrinologist. FT4 normal values are 0.7 to 1.9ng/dL.
Do you need T3 and T4 after thyroidectomy?
Jonklaas et al. showed that normal T3 levels can be achieved with traditional L-T4 therapy alone in patients who had undergone near-total or total thyroidectomy, which suggests that T3 administration is not necessary to maintain serum T3 values at their endogenous pre-thyroidectomy levels.
Can thyroid grow back?
A recurrent goiter is the regrowth of thyroid tissues after thyroidectomy. This may occur after surgery for benign disease or malignancy of thyroid. While recurrence after surgery for benign disease should be preventable, recurrence after malignant disease depends on many factors.
Do you gain weight after thyroid removal?
Patients with hyperthyroidism commonly experience weight gain after thyroidectomy. This occurs due to the reduction in circulating thyroid hormone, thus ameliorating the weight-lowering effects of elevated thyroid hormones (4,5).
What is the procedure to remove thyroid gland?
Total thyroidectomy. A total thyroidectomy removes the entire thyroid and the thyroid tissue. This surgery is appropriate when nodules, swelling, or inflammation affect the entire thyroid gland, or when cancer is present.
What is the procedure called when you remove the thyroid?
Robotic thyroidectomy. Another type of surgery is called a robotic thyroidectomy. In a robotic thyroidectomy, the surgeon can remove all or part of the thyroid through an axillary incision (via the armpit) or transorally (via the mouth).
What is a subtotal thyroidectomy?
Subtotal thyroidectomy. A subtotal thyroidectomy removes the thyroid gland but leaves behind a small amount of thyroid tissue. This preserves some thyroid function. Many individuals who undergo this type of surgery develop hypothyroidism, a condition that occurs when the thyroid doesn’t produce enough hormones.
What is the role of the thyroid gland in the body?
The thyroid produces hormones that the blood carries to every tissue in the body. It helps regulate metabolism — the process by which the body turns food into energy. It also plays a role in keeping the organs functioning properly and helping the body conserve heat. Sometimes, the thyroid produces too much hormone.
How long does it take for a thyroidectomy to be done?
Because the thyroid is small and surrounded by nerves and glands, the procedure may take 2 hours or more .
What happens after thyroid surgery?
After your surgery, you may develop hypothyroidism. If this occurs, your doctor will prescribe some form of levothyroxine to help bring your hormone levels into balance. It may take several adjustments and blood tests to find the best dosage for you.
What to do before surgery?
Before surgery, you’ll meet with your surgeon. They’ll do a quick examination and answer any questions you may have about the procedure. You’ll also meet with the anesthesiologist who will be administering the medicine that makes you sleep throughout the procedure.
What is the procedure to remove a tumor from the thyroid?
Isthmusectomy: This involves the removal of the isthmus, the bridge of tissue that crosses over the middle of your trachea and sits between the two thyroid lobes. This surgery is reserved for the removal of small tumors located in the isthmus itself. Regardless of the type, thyroid surgery is typically a scheduled inpatient procedure performed in ...
What is the procedure to remove a thyroid nodule?
Hemithyroidectomy or thyroid lobectomy: This involves the removal of one of the two lobes of the thyroid gland. This option may be indicated if a thyroid nodule is small and localized to one side of the thyroid gland. Isthmusectomy: This involves the removal of the isthmus, the bridge of tissue that crosses over the middle ...
What is thyroid surgery?
Thyroid surgery (thyroidectomy) involves the removal of some or all of the thyroid gland. This operation may be done to treat a number of diseases and conditions, including thyroid cancer, symptomatic goiter, or a thyroid gland that is producing excessive thyroid hormone ( hyperthyroidism ). This butterfly-shaped gland is located at the base ...
How to visualize thyroid gland?
Visualization: Depending on the surgical approach, the thyroid gland will be visualized through the incision sites ( e.g., with a magnifying lens, if the surgery is open, or through a camera that projects images on a screen, if the surgery is minimally invasive).
What is a thyroid nodule?
That said, common ones include: A thyroid nodule that is suspicious for cancer or found to be cancerous. A goiter or benign (non-cancerous) thyroid nodule that is large, increasing in size, and/or causing symptoms like discomfort or problems breathing or swallowing.
How long does thyroid surgery take?
Thyroid surgery takes around two to three hours and may be performed under regional or general anesthesia. 7. Regional anesthesia: The surgeon will inject a numbing medication into your neck (called a cervical block). You may feel a stinging sensation as the medication is being injected.
How long do you stay awake after surgery?
Once you are fully awake and alert (around six hours post-op), you will be discharged home (if an outpatient surgery) or wheeled to a hospital room (if an inpatient surgery).
Why is thyroid hormone therapy needed after surgery?
Nearby lymph nodes are usually removed as well. Because the thyroid gland is removed , thyroid hormone therapy is needed after surgery. For MTC, thyroid hormone therapy is meant to provide enough hormone to keep the patient healthy, but it does not reduce the risk that the cancer will come back.
How long after thyroidectomy can I take levothyroxine?
If RAI treatment is planned, the start of thyroid hormone therapy may be delayed until the treatment is finished (usually about 6 to 12 weeks after surgery).
What is the first surgery to remove cancer?
If cancer is confirmed, a completion thyroidectomy is done. A thyroidectomy may be done as the first surgery if there are signs the cancer has spread or if the patient wants to avoid having more surgery later. As with papillary cancer, some lymph nodes usually are removed and tested for cancer.
What is RAI therapy?
RAI therapy is often given for more advanced cancers such as T3 or T4 tumors, or cancers that have spread to lymph nodes or distant areas. The goal is to destroy any remaining thyroid tissue and to try to treat any cancer remaining in the body.
Why do you need to remove lymph nodes?
Because removing the lymph nodes allows them to be checked for cancer, this surgery also makes it easier to accurately stag e the cancer. If cancer has spread to other neck lymph nodes, a modified radical neck dissection (a more extensive removal of lymph nodes from the neck) is often done. Treatment after surgery depends on the stage of the cancer:
What is the best treatment for cancer?
For cancers that have spread, chemotherapy alone can be used. If the cancer cells have changes in certain genes, treatment with targeted drugs might be helpful: 1 Dabrafenib (Tafinlar) and trametinib (Mekinist) can be used to treat cancers with certain BRAF gene changes. 2 Selpercatinib (Retevmo) can be used to treat cancers with certain RET gene changes. 3 Larotrectinib (Vitrakvi) or entrectinib (Rozlytrek) can be used to treat cancers with NTRK gene changes.
What is the treatment for cancer that shows up on a radioiodine scan?
If the cancer shows up on a radioiodine scan (meaning the cells are taking up iodine), radioactive iodine (RAI) therapy may be used, either alone or with surgery. If the cancer does not show up on the radioiodine scan but is found by other imaging tests (such as an MRI or PET scan), external radiation may be used.
What is thyroid removal?
Getty. Thyroid removal—or thyroidectomy—is surgery to take out the thyroid gland. Your recovery after thyroid removal will vary depending on your diagnosis and the type of surgery, but most people soon return to a normal, active life. Here is what to expect after thyroid removal and how to make your recovery a success.
What is the best treatment for thyroid cancer?
A common treatment for thyroid cancer after surgery is radioactive iodine. It destroys any remaining cancer cells.
How to prevent hypothyroidism?
To prevent hypothyroidism, you will need to start thyroid hormone replacement. It involves taking a pill daily for the rest of your life. Thyroid hormone replacement is inexpensive and covered by most insurance drug plans. Most people adjust to the routine quickly and have little or no problems with side effects.
How often should I check my thyroid?
You will need to have regular blood tests to check that you are on the right dose of thyroid hormone. This involves a simple blood test once a year. You will need tests more often at first, until your doctor finds the right dose for you.
How long does it take to recover from a stent removal?
You will likely have to avoid strenuous activity for a few weeks after surgery. Full recovery takes 2 to 4 weeks.
Does iodine kill thyroid cancer?
It destroys any remaining cancer cells. It involves taking the iodine in a drink or capsule while in a hospital setting. Advanced cancers may require chemotherapy, radiation therapy, or targeted drugs. Talk to your doctor about your type and stage of thyroid cancer and ask about all your treatment options.
Can you live without thyroid?
Despite its importance, you can live a healthy, normal life without it or with only part of it. But you will need treatment to prevent hypothyroidism—or too little thyroid hormone—which can be serious.
What to expect before thyroid surgery?
Knowing what to expect before your thyroid surgery is helpful for coping with potential side effects, reducing complications, and undergoing an easier recovery process. As with any surgery, it's normal to have questions, concerns, and maybe even feel a little bit of anxiety going into it. Discuss what's on your mind with your doctor.
How long after thyroid surgery do you have to go back to the doctor?
Generally speaking, you will usually need to return to the surgeon for a follow-up visit around one to two weeks after surgery. In the meantime, be sure to contact your thyroid care team if you have any questions regarding your recovery process.
What are the risks of hypoparathyroidism after thyroid surgery?
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.
What is a thyroid storm?
Thyroid storm or thyrotoxic crisis is a condition caused by very high levels of circulating thyroid hormone. It is uncommon, but when it occurs after thyroidectomy, is usually associated with Grave's disease. Symptoms include a fever (over 102 degrees F in most people), profuse sweating, a rapid heart rate, and sometimes delirium. 8
How rare is thyroid surgery?
The risk of infection is present with any type of surgery but is relatively rare with thyroid surgery (roughly one in 2000 surgeries). 7 Treatment usually includes IV antibiotics.
What are the side effects of thyroid surgery?
Side effects of surgery are common and include neck pain, a sore throat, difficulty swallowing, hoarseness, and temporary hypoparathyroidism. 1 Complications are much less common and can include bleeding (a neck hematoma), ...
How to get rid of stiffness after neck surgery?
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. Applying a warm compress may also help.
What is the medication that your doctor will use after thyroid surgery?
Once your thyroid is removed you are placed on thyroid medication. The medication that your doctor will use will either be Synthroid or levothyroxine. Both of these medications contain the same active ingredient which is known as T4 or thyroxine.
What happens if you have a thyroid removed?
Lastly, and this one shouldn't come as a big surprise for most of you, if you've had your thyroid removed then you will be on thyroid medication for the rest of your life.
Where is iodine stored?
While it is true that MOST of the iodine is stored in your thyroid gland there are still plenty of other tissues that REQUIRE iodine for proper function. Skin tissue and breast tissue immediately come to mind. And because humans can't create iodine they MUST consume it (either through iodine supplements or from food).
What happens if you don't have enough thyroid?
If you don't have enough then you will go into a coma and die. So that means once your thyroid has been removed you must take medication forever to keep your levels up. Most people without a thyroid are aware of this but some people were never told or didn't realize this.
Can you take T3 and T4 together?
The solution is to use COMBINATION thyroid medications which contain the active thyroid hormone T3 in addition to the inactive thyroid hormone T4. You can do this by taking two separate medications or by taking one which contains both (such as Armour thyroid ).
Can you take thyroid supplements if you don't have thyroid?
So even if you DON'T have a thyroid you can STILL benefit from using thyroid support supplements! It doesn't matter that your thyroid has been removed because you are STILL receiving thyroid hormone (otherwise you would be dead).
Is thyroid removed a hypothyroid?
You are now HYPOTHYROID. This is probably the single most important thing that you understand if your thyroid has been removed. Once your thyroid is removed you are now considered to be HYPOTHYROID. It doesn't matter WHY your thyroid was removed, once it is removed you now have a sluggish thyroid.
How long does it take to remove thyroid cancer?
This procedure to carry out the operation would take around 3 to 4 hours. The surgeon will make a small cut in the area where they are going to operate, i.e. in front of the neck.
What happens after thyroid surgery?
After the surgery, the body would also experience numbness, sore throat, neck pain, difficult to swallow and weak voice. There is a strict diet that must be followed even after the surgery. However, you can start to have whatever you ...
What are the long term effects of thyroid removal?
The long term effects of the removal of thyroid from the body depend on the amount of thyroid being removed. Partial thyroidectomy would need the thyroid hormone therapy and complete thyroidectomy would need pills. The main function of this gland is to secrete thyroid hormones that create chemical reactions in the body.
What is the function of the thyroid gland?
The main function of this gland is to secrete thyroid hormones that create chemical reactions in the body. When it is removed completely, you must replace these hormones with artificial ones which you can take orally on a regular basis.
What happens to your body after thyroid removal?
What Happens To Your Body After Thyroid Is Removed? Today, many people are facing thyroid problems due to which they are gaining weight, losing hair and are not able to conceive. This is a tinier gland that is in the shape of a butterfly which sits on the front side of the neck.
What is the role of thyroid in the body?
The thyroid plays a critical role in proper functioning of the body. It is the hormone that is spread across and would regulate the metabolism rate and temperature. This promotes proper digestion and helps in maintaining the muscle health.
How long does thyroid surgery take?
This surgery takes around 2 hours. Despite removing a single lobe, there would be another lobe that would function optimally. Based on the pathology and thyroid tests, you would need to take thyroid hormone medication to suppress the rest of the thyroid lobe.
Can you tell if you have RAI surgery?
Those people who have received RAI or thyroid surgery will no doubt want to know how they can tell if they will respond to natural treatment methods. As for whether or not they can have their thyroid health restored back to normal, this honestly is something that nobody can predict.
Can you predict if you have thyroid surgery?
However, even though there is no way to predict whether someone who has received thyroid surgery or RAI will respond to natural treatment methods, through certain tests a natural endocrine doctor can have a pretty good idea as to whether or not such a person will receive some positive benefits.
Does RAI cause thyroid problems?
Many assume that RAI completely obliterates the thyroid gland, making it impossible to produce a sufficient amount of thyroid hormone. Many times this is true, as there are times when the thyroid gland has sustained too much damage, and therefore can’t be restored back to normal upon following a natural treatment protocol.
Can you get your thyroid back after a thyroidectomy?
Those who have had a complete thyroidectomy will of course be unable to completely restore their thyroid health back to normal, but can usually still benefit from a natural treatment protocol. But many people who have received radioactive iodine or thyroid surgery aren’t aware that there still might be hope.
Can Graves disease cause hyperthyroidism?
For example, a person who had Graves’ Disease and received RAI might no longer have hyperthyroid symptoms, but the compromised immune system was most likely never addressed.
Can thyroid health be restored after thyroidectomy?
But even if your thyroid health can’t be restored back to normal, by correcting any adrenal issues, nutritional deficiencies, and/or hormone imbalances, ...

Side Effects
Complications
Risk Factors
- Food and medications
If you have hyperthyroidism, your doctor may prescribe medication — such as an iodine and potassium solution — to control your thyroid function and lower the bleeding risk after surgery. You may need to avoid eating and drinking for a certain period of time before surgery, as well, to …
Recovery
Follow-Up
Summary
- Though thyroid surgery is considered a relatively safe procedure, complications may sometimes occur. Some of these require prompt treatment, so it's important to be aware of them.
A Word from Verywell
- While complications can affect anyone, there are some risk factors that increase the chance of the adverse effects.4These include: 1. Being older than age 65 2. Smoking 3. The presence of other medical conditions, such as congestive heart failure or a bleeding disorder 4. Thyroid cancer, especially when a central neck dissection is done to remove lymph nodes 5. Repeat thyr…