If you have what feels like razor bumps or acne on the back of your neck or scalp, you may have acne keloidalis nuchae. A lump under the chin is a bump, mass, or swollen area that appears under the chin, along the jawline, or on the front part of the neck. I would have thought I was bleeding internally. An official website of the United States government. 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 need advice! In addition I have had shortness of breath since the surgery even when lying in my bed doing nothing. When does lump in the throat go away after thyroid surgery Thyroiditis is swelling (inflammation) of the thyroid gland. 2017 Feb;161(2):465-471. doi: 10.1016/j.surg.2016.07.031. Blood test taken in Mar 2013 showed thyroglobulin at 2.9 (limits 2.0 - 70.0). Fever with a temperature higher than 101.5. In time, your incision will turn pink and then white, and most are completely healed in six to nine months. 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 It may take less time if your surgeon removes only part of your thyroid. I haven't had RAI yet because I was given iodine in a CT after surgery and was told I had to wait 6 months. Since the generally accepted indication for total thyroidectomy i Hematomas are collections of blood. Hi had some swelling on my neck every morning after a couple weeks now. I hope someone can relate and can enlighten me on their experience and maybe some answers. This is so disturbing. 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. Currently I am on 100 mcg of Synthroid daily. Then no talking for a week. 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. I get very breathless when talking. You should not submerge, soak, or scrub your incision, and bathing in a tub should be avoided until you see your surgeon. Thanks! Does this sound like just a salivary gland complication from the RAI and has any of you had this happen to you? Dr said this is recommended 6 to 12 months after initial RAI. Till then, I m concerned & will like to seek advice from those who have gone through this experience. Thanks. Has anyone else experienced this or something like it? the whole area (including right under my chin) is huge. Eur Thyroid J. Size has not grown since. Pre-operative Lugols iodine treatment in the management of patients undergoing thyroidectomy for Graves disease: a review of the literature, Safety and effectiveness of total thyroidectomy and its comparison with subtotal thyroidectomy and other thyroid surgeries: a systematic review, Outpatient versus inpatient thyroidectomy: A systematic review and meta-analysis. Its weird because original swelling already went down and now this? Try icing it down and taking it easy! If any of these symptoms occur, immediate evaluation by a healthcare provider or an ear, nose, and throat (ENT) doctor is recommended. Doctors typically provide answers within 24 hours. You may be given calcium and vitamin D supplements, and hormone replacement therapy is needed in some cases. 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). Numbness or tingling in your face, hands or lips. If you want to diminish a noticeable scar, know these 10 things before having laser treatment. Herpes spreads by oral, vaginal and anal sex. Dr. Philip Kern answered. 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. I ended up in A and E via docs as they couldnt understand why the choking feeling or dizziness etc. 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. The doc removed 85 lymph nodes, with several on the larger side, and 25 came back positive for papillary. Hello all, I had my TT last Monday. 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. My concern now is that it's been 2 month and 5 days and my neck is still swollen. How much of my thyroid gland needs to be removed? With the right dose, should I expect the FT3, FT4 and TSH to be within the normal reference ranges? Most of these will be temporary, but some may persist. Sorry to hear you too were unwell after surgery. Images Hypoparathyroidism is when you have too little parathyroid hormone, which can lead to low calcium levels. I tested positive for the BRAF gene mutation. 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. My doctor and staff keep assuring me that this is all normal considering the extensive surgery that I had. Thyroid disease: A checklist of skin, hair, and nail changes Keep in mind that even when complications occur, which is not common, prompt treatment is often successful to restore your health. As far as they've told me, its not one of the more aggressive variants, although when I asked about specific pathology, I got "it really doesn't matter, treatment is the same." 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. In addition I have had shortness of breath since the surgery even when lying in my bed doing nothing. Treatment usually includes IV antibiotics, which are medications to kill bacteria that are delivered through a vein. I told him I went shopping for several hours with the family yesterday. Any advice or suggestions would be great! Ryu YJ, Kang SJ, Cho JS, Yoon JH, Park MH. 2017;157(2):210-216. doi:10.1177/0194599817700583, Myssiorek D, Ahmed Y, Parsikia A, Castaldi M, Mcnelis J. Seek urgent medical care if you experience any swelling of your neck, increased pain, shortness of breath, fever, or difficulty breathing. 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. Be sure that you know what your at-home treatment regimen entails (medication, supplementation) and how to take any pain medications prescribed, if applicable. If your endocrinologist recommends thyroidectomy, it may be helpful to ask your endocrinologist and/or surgeon the following questions: Your endocrinologist and surgeon will give you specific instructions to prepare for your thyroidectomy. It was odd not have any after care info to take home with after surgery, even a sentence regarding what to expect would have been good. Call your surgeon. I have my post op on Friday but its worrying me so Id thought Id ask you all beforehand. I had a therapist remind me that the fluid is not just outward, but the internal tissues hold fluid too. Painful Hashimoto's Thyroiditis as an Indication for Thyroidectomy I was still finding it difficult to make sense of the results and thought of asking my questions here since the community had been really helpful earlier. It came after resuming some "normal" activity and to be truthful, lifting a few things I shouldn't have. Dermatologic manifestations in patients with systemic disease. In: Bolognia JL, et al. Thanks!! Are there any clear guidelines anywhere for when swelling crosses the line from normal to abnormal? So I decided to visit an ENT specialist who first did a fine needle biopsy (which i found out later after asking for the actual results on paper had suspected thyroid cancer and even suggested he do further testing which he ignored and lied to me about) he told me all the liquid in the lump was drained out from the biopsy so all will be fine, 4 months later the lump had returned. It makes swallowing and turning my head difficult. Impact of potassium iodide on thyroidectomy for Graves disease: Implications for safety and operative difficulty. How long does the swelling and tightness last? The content on this site is for informational purposes only. 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. Thyroidectomy is the surgical removal of all or part of your thyroid gland. How long does swelling last after thyroidectomy? 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? I have been looking online for photos of people after thyroidectomy, and I dont see anyone with swelling like this in the neck. 4 0 obj He asked if I had a fever, which I don't (unless you count 99.4, which I don't think is a big deal), and whether I could breath normally, etc. I am hoping a giant syringe is not in my future today. But MAJOR discomfort for awhile after that. 2. Slowly raise your arms overhead, and then slowly lower them back down against your body. You will probably be able to shower, but should try to keep your neck as dry as possible. The doctor suggested not to get the Tg done this time. Your provider will give you specific instructions. 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). 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. 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. Use of this online service is subject to the disclaimer and the terms and conditions. I had a neck dissection where nodes were positive, positive fatty tissue was removed and my thymus (which ended up coming through clear). Copyright 2000-2022 Cancer Survivors Network. Any thoughts or experience with this procedure? Of course, I just saw my endo this am and didn't ask her about it. I was going to take a photo but didnt want to put people off their breakfast! Your healthcare team will also place a breathing tube down your throat for the procedure. I am hoping someone here can shed some light, share some insight or has been down a similar path Since then, the swelling has gone down, but the lower right side of my face (my chin and lower right of my mouth) feel numb and sort of paralyzed - a bit like it feels when I get novacaine at the dentist and it starts to wear off. 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. Felt a 2.5cm swollen LN on my left neck, no pain, no other symptom, Jul 2012. -FT4 = 1.79 ng/dL (0.89- 1.76) Feb 14th, 2012 had massive dose of RAI. Kimcam how's the incision? Discuss what's on your mind with your healthcare provider. I was diagnosed last Sept. 2011 with pap thyroid cancer. This site needs JavaScript to work properly. It is good she has ' no metastasis ' need more information , histological type , when surger Hi. 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). I was hypocalcemic last Sunday and woke up today with major neck swelling. You may need thyroid medicine to suppress over-production of thyroid hormones. It feels scary. 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. The way thyroid cancer usually spreads, he said, is usually from the front of the neck first. Im desperate for relief! I can't swallow liquids without choking and have most annoying cough all the time. The neck is put in an extended position during surgery, and many people avoid moving their necks afterward. Before you go home, your provider will give you instructions on how to care for your incision and stitches and let you know what types of complications and symptoms you need to look out for. Most often, lifelong calcium supplementation is all that is needed. Before my TT operation I had had a CT scan and a nuclear iodine full body scan which both came back as clear. The woman that did it was named Carol Michaels and she has books and videos targets at cancer survivors of all kinds. The use of iodine was thought to reduce the risk, but a 2017 study questioned the benefit. Anyone have swelling 9-10 days after surgery? I massaged it for hours last night but it doesnt do anything. With the assistance of a robot through a distant incision in either the axilla (the space below your shoulder through which vessels and nerves enter and leave your upper arm) or the back of your neck. Eur Arch Otorhinolaryngol. was removed. Meanwhile, in the past month, I experienced a slight swelling on the left side of my neck for which the doctor asked me to take antibiotics ( Ceftum 500 mg for five days) thinking it could be swollen lymph nodes due to some infection. Its my 5th week after my radiation treatment. [deleted] 2 yr. ago Ok thank you. Recurrence in regional lymph nodes after total thyroidectomy and neck dissection in patients with papillary thyroid cancer. I'd say things didn't settle completely for me for about 4 months out. -Anti-Tg = 36 IU/mL (< 60) Not hot feeling or oozing? What Is Causing This Woman's Swollen Chin? | MedPage Today You can expect permanent results in all but one area. Do anyone have problem sleeping after the throid surgery.It seem like every position I try might hurt my surgery . I will see the endocrinologist for the first time on 5/31. Same answer as last Sunday with the calcium stuff. None of the patients had clinical evidence of lateral LN metastasis at the time of diagnosis. 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. Hi Everyone- Then in December 2011, had another neck dissection on right side to remove more cancerous lymph nodes. A lump under the chin is frequently associated with swelling around the chin, jaw, or throat. Swelling after thyroidectomy thyroid surgery A 20-year-old female asked: I'm considering surgery to treat my overactive thyroid as the medication is not improving it, are there any dangerous side effects of thyroidectomy? This article explores common side effects of thyroid surgery, what to expect during the recovery process, and warning signs of complications. Yellowish-orange color on your palms and soles 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! Youll likely be able to go back to your normal, light activities the first day after your thyroidectomy. It is uncommon, but when it occurs after thyroidectomy, it is usually associated with Grave's disease. The doc said the swelling would be worse in the mornings due to the loss of so many lymph nodes and subsequent scar tissue. The hardening typically peaks about three weeks after surgery and then subsides over the next two to three months. My wife 42, after total thyroidectomy surgery , a month later she received i-133 therapy 120 units. Most people are advised to take roughly two weeks off from work to recuperate, depending on their occupation. Everyone's at risk for skin cancer. 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. As others have said, he knows your story before you get there (they all do!) Thanks Kate! Complications are uncommon, but the most serious possible risks of thyroidectomy include: While these complications are rare, theyre more likely to happen if: If youre concerned about possible complications of your surgery, talk to your surgeon. Wen Q, Wang Z, Traverso A, Liu Y, Xu R, Feng Y, Qian L. Front Endocrinol (Lausanne). Hi everyone! Herpes sores blister, then burst, scab and heal. I am gaining weight and now my legs and feet are swelling a lot, like twice the normal size. 2014 Jun;271(6):1355-60. doi: 10.1007/s00405-013-2630-x. Here's a photo of the worst swelling day (4 days post TT) compared to the next day (5 days post TT). That nerve had was removed. American Thyroid Association statement on outpatient thyroidectomy. The other nerve controls my smile. 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. Thats because many signs and symptoms of thyroid disease develop on the skin, hair, and nails. Some of these require prompt treatment, so it's important to be aware of them. It was fluid from the void where my thyroid used to be. Did you have swelling after your surgery? Coarse, dull, dry, and brittle hair that breaks easily And every day after that got a tiny bit better (though I noticed more of a difference after every few days). I will be SO GLAD when this is all in the past!!!!! Has anyone else experienced this after surgery? Your thyroid is a butterfly-shaped gland located in the front of your neck. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Through a standard incision in your neck. Hi everyone, hope you are all having a great weekend! 2018;40(1):192-202. doi:10.1002/hed.24934. Bookshelf numbness after neck surgery - Thyroid Disorders - MedHelp 2021 Nov 2;10(21):5144. doi: 10.3390/jcm10215144. The thyroid is a butterfly-shaped gland in your neck that produces hormones, which play a key role in regulating your heartbeat, breathing, and many other functions. PDF Thyroidectomy/ Parathyroidectomy Post-Operative Instructions 2003 Jun;48(6):970-2. That would help me regain better voice volume and proper breathing. Find out how a board-certified dermatologist helped Natalie see clear skin before her wedding. 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. National Library of Medicine and transmitted securely. Policy. He didn't tell me that there was a possibility that I could form lymphedema if he made a incision in the same incision that was done four years ago when I had spinal neck fusion. How big did it get? If your throat is sore or if swallowing is painful, eating a diet of soft foods will be more comfortable. It came after resuming some "normal" activity and to be truthful, lifting a few things I shouldn't have. Curved with swollen fingertip and thickening skin above the nail. I switched Endos a few months post surgery and she worked miracles for the next 6 months to abate most of my symptoms (weight gain, fatigue, hair loss, emotional imbalance, heat/cold intolerance etc) by combining Synthroid with an NDT (first tried Armour, then Nature-Throid) and going after my Vit D and B-12 deficiencies as well as anemia. No labwork has been done since I left the hospital. Post-thyroidectomy patients have a central neck scar. Does .6 indicate there may still be cancer there? Last Updated January 17, 2020. Gently tilt your head to the right and then to the left. She directed me to massage my neck but I don't see any results. I had significant swelling in the neck post surgery with 3-4 drains, which extended my hospital stay a few days until they dried up. A 46-year-old woman is hospitalized in Riga, Latvia, 1 month after suddenly developing an enlarged chin, which is swollen and tender. It may also improve the safety of the procedure for those with Graves disease. But I do have clearly defined swelling - mostly above the incision, but also below. But it is a challenge at work and social situations. I had 1st surgery TT, removal of goiter and a lot of lymph nodes on left side in October 2011. doesnt take me seriously until low and behold another issue presents itself. ?r4H`$4o.V& 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. ", Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. I was reading some of your other posts and saw that you have been doing well after your procedure. I'm considering surgery to treat my overactive thyroid as the medication is not improving it, are there any dangerous side effects of thyroidectomy? Swelling after thyroidectomy thyroid surgery - HealthTap I can barely life that arm and there's no strength in it. So that was the plan, but as fate would have it I mentioned the treatment plan to a pathologist friend of mine who just happened to know Dr. Hay at Mayo and within weeks I found my way to Rochester, MN (I looked no further - never did go to Washington Hosp. Painless lumps and patches of scaly, discolored skin, and the affected skin feels hard and waxy I will when she calls with my lab results from today. Achesbadly, is probably more accurate, Multiple endocrine neoplasia type 2 (MEN2), Mental challenges of living with thyroid cancer, ThyCa fundraising and thyroid cancer research grants. But the words were always in fine print, seemed only as a last resort. There is a heavy emphasis on preventing Lymphedema and how to reverse it if it happens. After this test, the doctor reduced my dose to 125 mg and I had the second follow up test on April 16, results below: It is hard, solid feeling like a small rock and sensitive to touch. I came down with the flu yesterday and now my sinuses are completely shut, so combined with the feeling like someone is squeezing my throat, its super hard to breathe. For potential or actual medical emergencies, immediately call 911 or your local emergency service. My Doctor seemed puzzled which didn't make me feel any better. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Thyroid cancer might not cause any symptoms at first. Thanks for sharing your "swell" stories with me! A nerve has been cut that must connect/control my left shoulder muscle. However, that information will still be included in details such as numbers of replies. If you have a total thyroidectomy, or the entire thyroid gland is removed, you will require prescription thyroid replacement therapy after their procedure. Thyroid Surgery Recovery, Side Effects, and Complications. It&#39;s been 9 days now. He said that obviously if I have trouble breathing or swallowing I need to get in immediately. Thyroid surgery is often done under general anesthesia with a breathing tube placed in the windpipe, or trachea, to breathe for you. Increase in pain at the incision that is not relieved by pain medication. This is very common and expected during the first week or two after surgery. What? Dr. Alan Feldman answered 43 years experience 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. % Under local anesthesia so they can monitor my voice function during surgery. FOIA It is hard to describe like the area is swelling and like it is being squeezed at the same time. Post operative expectations. Natalie tried many acne products without success. Its so tough at first. Recommended exercises may include: Suggested frequency: 10 repetitions, three times day. 8 weeks -- My TSH has been adequately suppressed (0.02) TG levels undetectable and No TG Antibodies. This is so disturbing. 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. 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. They initially coagulate then liquefy after 1-2 weeks. I am just curious as to if this is only temporary and how long I should expect it to last. When things get really full, sometimes I use kinesio tape in addition. This can lead to neck pain and stiffness. Bae JM, Lee JH, et al. Gently turn your head to the right, then roll your head so that you are looking at the floor, then gently roll your head to the left. heavy lifting, strenuous exercise, etc.). Lump Under Chin: Causes, Treatment, and More - Healthline I have lost 15 lbs because I am limited in what I can eat. Reddish spots on the skin that come and go. One month out and I have a little more energy, but still feel light headed and tired. Generally speaking, you will usually need to return to the surgeon for a follow-up visit around one to two weeks after surgery. 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. The doctor said it is probably a seroma. Yippee! Thank you, {{form.email}}, for signing up. This can include changes in blood pressure or heart problems. The surgeon removed 31 lymph nodes - 5 of which proved cancerous. If found, a pathologist will check the lymph node sample during surgery for evidence of thyroid cancer. This did not happen in my prior surgeries. By using our website, you consent to our use of cookies. Sometimes when we tell doctors there is swelling they think we are just one of those whiney women who over react. 2022 Nov 30;13:1064434. doi: 10.3389/fendo.2022.1064434. I can not swallow, eat and can barely talk. During this time, your healthcare provider will monitor your calcium levels to determine when you can stop using your supplements (or much less commonly, if you will need to continue these indefinitely). Relationship between subgroups of central and lateral lymph node metastasis in clinically node-negative papillary thyroid carcinoma. American Thyroid Association statement on outpatient thyroidectomy. Once your surgeon is done, theyll close the incision with stitches (sutures). Autoimmune thyroid diseases: etiology, pathogenesis, and dermatologic manifestations. J Am Acad Dermatol. Lee YC, Na SY, Park GC, Han JH, Kim SW, Eun YG. Swelling in Right thyroid lobe since one month.at that time fever and neck pain was there.After consultation of physician antibiotics was used &gradually fever disappear.Now external swelling not there but in ultra sound scanning swelling is observed.and slightly T3,T4 levels raised but TSH is about 0.01. Your incision may appear red and hard at first,and you may notice some slight swelling and bruising around the scar. Or at least the last year . You are at potential anesthesia risk!! Do not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. I was told by my endo you have to heal internally also you mentioned that you have a post op appointment soon voice your concerns to him I hope you feel better soon hugs x. What Do Herpes Sores Look Like at Different Stages.