Please consult your healthcare provider with any questions or concerns you may have regarding your condition. Sorry in admvance. government site. After a thyroidectomy, some people experience symptoms of low calcium such as burning, tingling, or numbness in their hands, feet, or around the mouth. In addition to the liquid LT4, another new formulation of LT4 is represented by the soft gel capsule. thyroid, levothyroxine, thyroidectomy, liquid levothyroxine, levothyroxine dose. Inclusion in an NLM database does not imply endorsement of, or agreement with, The optimal dosing scheme for levothyroxine after thyroidectomy: A comprehensive comparison and evaluation. Thyroid function related symptoms during levothyroxine monotherapy in athyreotic patients, Undertreated hypothyroidism due to calcium or iron supplementation corrected by oral liquid levothyroxine. Lots of phlegm (hope that didn't gross you out). Furthermore, some gastrointestinal conditions and their treatments can contribute to suboptimal LT4 performance by altering gastric acidity and thereby reducing its bioavailability, particularly in the solid form. Voice affectations after thyroidectomy thyroidectomy surgery side effects 1 Week Post-Op Total Thyroidectomy Had total thyroidectomy Major problems after total Thyroidectomy, very scared =(chest tightness, headache, fatigue - post thyroid surgery Problems swallowing after thyroidectomy. RAI could cause the salivary glands to not produce enough saliva or cause a stone that would block the flow. It's not painful, but it's almost like something "clicks" into place when I swallow liquids. 8600 Rockville Pike (female) Join Date: Nov 2004. I drank a lot of fluids, it made it easier. Twenty articles were selected for inclusion in the review. (17) in a longitudinal study including 23 goitrous patients treated with LT4, the therapeutic dose of T4 after total thyroidectomy must be increased by one-third compared with the presurgical one. Lombardi CP, Bocale R, Barini A, Barini A, DAmore A, Boscherini M, et al. 8600 Rockville Pike ***this post is edited by moderator *** *** private e-mails not allowed*** Please read our Terms of Use. (13) performed a prospective randomized study of 102 patients who underwent total thyroidectomy and radioactive iodine therapy for DTC and were classified as low risk according to the 2009 ATA guidelines. The authors developed two different and very complex formulas (one polynomial and one linear) for predicting the LT4 dose after thyroidectomy, with a rate of correct estimation of 65.8 and 51.3%, respectively. Moreover, no body weight changes were observed among the whole population enrolled. Treatment of refractory and severe hypothyroidism with sublingual levothyroxine in liquid formulation, - Liquid LT4 can be administered immediately without the need for an empty stomach. My doctor told me after the surgery that I have a "hole" in my throat now and to give it a good year before it completely heals. Wow we sound very similarI will see my doc April 10th and will bring that upit totally feels like my food just stops moving on downthen I choke it upor need the heimlich..afraid to eat in public or home aloneash it's great getting older:). Has your vocal cords get stonger this will completely go away with time. I'm getting tired of spitting! I suppose my message is if your having swallowing trouble post surgery, get yourselves out for a macdonalds milk shake and start there or melt some ice cream if you have some and over the coming days add milk until it gets thinner and thinner until you can drink just ice cold milk - if you haven't yet had your thyroid gland removed and are reading this- don't worry - this doesn't happen to many people but maybe stock up in some ice cream :), I had my thyroid removed Sept. 29 , this year. Ito M, Miyauchi A, Hisakado M, Yoshioka W, Kudo T, Nishihara E, et al. Nonetheless, these schemes are of great utility to start the replacement therapy approaching the best dosage, but keeping in mind that changes during follow-up can be necessary according to the TSH values that are to be reached in every case. It makes hormones that control every part of your metabolism, from your heart rate to how quickly you burn calories. Have questions about navigating your Inspire support community or need assistance from one of our Inspire Moderators? Same hereI just my thyroidectomy last week and am experiencing the same problems. having trouble swallowing, sometimes choking a month after RAI, Papillary and follicular thyroid cancer (differentiated), Multiple endocrine neoplasia type 2 (MEN2), Mental challenges of living with thyroid cancer, ThyCa fundraising and thyroid cancer research grants. official website and that any information you provide is encrypted Treatment pattern and frequency of serum TSH measurement in users of different levothyroxine formulations: a population-based study during the years 2009-2015. Our literature review resulted in eight papers dealing with the administration of a liquid or soft gel capsule formulation in patients who underwent total thyroidectomy. Other notable aspects were evaluated by Pirola et al. On the other hand, when the formula proposed by Elfenbein et al. National Library of Medicine I just had TT two days agoI just had TT two days ago and I too am coughing up some yellow gunk. After a thyroid lobectomy, you'll need to have your thyroid hormone levels checked and will be prescribed a thyroid hormone replacement, if needed. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. reported that TSH-suppression therapy after thyroidectomy due to DTC could lead to depression, short-term memory and attention impairment, and word selection anomia (18). . My voice cuts out and most of the time hoarse due to a nerve that snapped into removing the thyroid . There are also more instances of me choking on food, even if they are small. (29) conducted a study of 59 patients with cured DTC who were switched from the tablet to the liquid formulation of LT4 and found no change in TSH, thyroid hormones, and thyroglobulin levels during the study. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. 1 Complications occur in only about 3%-5% of patients after thyroidectomy, with tracheal perforation occurring in approximately 0.06% of cases. I had my thyroid removed in July 2011. This can certainly make eating (and drinking) a lot harder because there is physically lower levels of lubricating saliva present in both the mouth and oesophagus. It just felt like something was hung in my throat, often times I didn't even realize when I kept clearing my throat until someone asked me if I was ok. Especially in elderly patients, who have an increased risk of osteoporosis and atrial fibrillation, the TSH target should be carefully selected (23). We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. I'm glad to know I'm not the only one. Hey - i realise this question was asked about a year ago, butwell, at least the first respondent's answer suggests to me that there's an issue w/ salivation, leading to a dry mouth and throat. After 2 days aspirating into my lungs everything i tried to drink i was landed with a feeding tube into my stomach through my nose. As a library, NLM provides access to scientific literature. Lombardi CP, Raffaelli M, De Crea C, D'Alatri L, Maccora D, Marchese MR, Paludetti G, Bellantone R. Surgery. Quantitative Ultrasound Assessment of Hyoid Bone Displacement During American Thyroid Association (ATA) guidelines help in determining the class of risk in patients, mainly represented by the presence of distant metastases, and the response to the initial treatment. The liquid form in two presentationsa soft gel capsule and as an oral solutionrecently became available for LT4 replacement therapy (10). Immediately after waking up in recovery room had feeling of shortness of breath and like I couldn't get a satisfying breath. who developed a Poisson regression formula that takes into account seven factors: four of them were found in previous proposed schemes (actual body weight, BMI, age, sex), whereas the remaining three additional factors were preoperative TSH, vitamin-mineral supplementation, and iron supplementation (21). Given the evidence that aggressive TSH-suppressive therapy led to little or even no benefit in almost all patients who underwent total thyroidectomy for DTC, ATA guidelines recommended a scheme in which the potential advantages of this therapy are carefully balanced against its cardiovascular and skeletal collateral effects (7, 8). I dont have trouble swallowing but its not as natural as it used to be. They recruited 20 patients who underwent laryngectomy along with thyroidectomy and who were randomized in two groups, one was treated with LT4 tablets, and one was treated with LT4 liquid formulation. ?Hey there! Furthermore, patients with biochemical incomplete or indeterminate response should maintain a TSH level between 0.1 and 0.5 mU/L, which increases to a level between 0.5 and 2 mU/L in case of comorbidities or advanced age. and resulted as the most accurate method (19). I also had issues with choking on liquids & foods after my TT in 2013. Introduction: This is because post-surgical consequences often include a sore throat and such foods might enhance the level of discomfort. Papers that reported a scheme to calculate the proper LT4 dose were collected and compared to set up a review exploring limits and drawbacks of LT4 replacement therapy in the wide population of patients who had undergone thyroidectomy. I count my lucky stars i proved the docs wrong but I'm also lucky in that my voice came back strong after a few days and the stiffness didn't get chance to get stiff i believe largely due to all the choking i did the the first few days. Zaborek NA, Cheng A, Imbus JR, Long KL, Pitt SC, Sippel RS, et al. I never eat chips and meat of any kind seems to stick in my throat and cause the spasm frequently. Posts: 35. choking on liquids after thyroidectomy. Effects of Intraoperative Nerve Monitoring Techniques on Voice and Swallowing Disorders after Uncomplicated Thyroidectomy: Preliminary Report of a Bi-Institutional Prospective Study. Prospective studies dealing with liquid or soft gel formulation of LT4 administered post total thyroidectomy. This is suspicious for malignancy. I drank a lot of fluids, it made it easier. Hi. The Annual International Thyroid Cancer Survivors' Conference and Regional Workshops, Papillary and follicular thyroid cancer (differentiated), Multiple endocrine neoplasia type 2 (MEN2), Mental challenges of living with thyroid cancer, ThyCa fundraising and thyroid cancer research grants. May 4, 2015 7:40 PM. Eventually, they thought that after my operation, they may have done something to the muscles in my throat which has weakened them and making it harder for me to swallow food. The authors reported that the TSH level was lower with the liquid LT4 compared with tablet LT4 form, concluding that liquid LT4 is resistant to the sequestration by calcium or iron. Thyroidectomy: What to Expect at Home - Alberta Data were collected and scrutinized from the PubMed database using combinations of the following search terms: levothyroxine, dosing,thyroidectomy, differentiated thyroid cancer, and liquid levothyroxine. The authors found that in patients with strongly suppressed TSH levels, significant changes in symptoms with a tendency toward thyrotoxicosis were reported. (12) in 2018 conducted a prospective study of 105 patients who underwent total thyroidectomy for thyroid cancer, 52 of whom were treated with the liquid LT4 formulation and 53 with LT4 tablets at the same dosage (1.5 g/kg/day). I remember the first long bike ride I did after my TT, and I tried to eat an energy bar while riding. Maybe I'll have answers for many of you too..hoping! A smaller less vascular mass with a maximum diameter of 1.2 cm it is posterior to the dominant mass in the left lobe. LT4 is a medication with a narrow therapeutic index, and its absorption is dependent on gastric pH (1, 6). Thyroid cancer rates have increased at least 3-fold across the last few decades, 1,2 with over 63 000 incident cases diagnosed annually. A proper selection then becomes of paramount importance (8). I think it may have to do with everything in that area getting used to the added scar tissue. More recently, however, increasing attention has also been paid to the formulation of LT4. Malabsorption induced by lactose intolerance or drug interference can also be avoided (12). Thyroid Surgery Recovery, Side Effects, and Complications Unauthorized use of these marks is strictly prohibited. No use, distribution or reproduction is permitted which does not comply with these terms. I ended up with swallowing difficulties after my TT, and that's what I do now. . I've been drinking lots of fluid but it hurts to cough with my throat being so sore. Your thyroid is a butterfly-shaped gland located in the front of your neck. Rash after Thyroidectomy. Elfenbein DM, Schaefer S, Shumway C, Chen H, Sippel RS, Schneider DF. If you want to confirm this, have a look at the scientific evidence in my paper in the following link. I feel like the muscle in my throat is very weak. Every doctor I mentioned it to thought I was crazy. Thyroid Hormone Profile in Patients Ingesting Soft Gel Capsule or Liquid Levothyroxine Formulations with Breakfast. Nevertheless, due to the complexity of calculating the dose, finding a practical and clinically relevant prediction model is yet of limited efficiency. (16) and Jin et al. Cappelli C, Pirola I, Gandossi E, Casella C, Lombardi D, Agosti B, et al. Good luck to everyone - I hope you find a solution to your problems that makes you feel healthy and well again! I've been on antibiotics 3 times since surgery can't get over congestion in my lungs. I hope you find a doctor who will take you seriously. contued as i was taken to general floor. The LT4 dose required for achieving normal TSH values did not differ between tablets and the soft gel capsule formulation. investigated the relationship between symptoms and serum TSH and FT3 levels (26). Bethesda, MD 20894, Web Policies Most of literature regarding the LT4 dosage deals with the treatment of primary hypothyroidism, whereas only few studies handle the issue of thyroxine replacement after total thyroidectomy (16). Before I had a total thyroidectomy on Feb. 27th, and although the first few days after surgery were a little rough, I have made steady improvement since then. Treatment options and costs of thyroidectomy surgery abroad, How levothroid can help you overcome thyroid deficiency, PEG tube placement: Percutaneous endoscopic gastrostomy, Tracheostomy procedure for breathing problems, Types of thyroid cancer and the prognosis, Pain In Neck/Throat Aggravated By Swallowing, Globus Pharyngeus, A Lump Above (or Below) the Adam's Apple, Swallowing, Drooling And Eating Problems In ALS: Tips To Prevent Malnutrition And Dehydration, 7 Things You Should Know About Swallowing Problems If You Have Multiple Sclerosis, 10 Tips Parkinson's Disease Patients Can Follow When They Have Difficulty Swallowing, The Many Causes Of and Treatments for Dysphagia, Recurrence Of Thyroid Cancer And Treatment Options, Tonsillitis, Tonsillectomy, Adenoidectomy and possible side effects, Not Just A Virus: Signs And Symptoms Of Thyroid Problems, Postoperative Management Of Tonsillectomy, Swallowing discomfort after thyroidectomy, surgical clips in my neck after total thyroidectomy, Major problems after total Thyroidectomy, very scared =(, Tightness, fullness, painful neck post Thyroidectomy, Sore throat & Swallowing trouble after Parathyroid Surgery, Problems after total Thyroidectomy, very scared =(, shortness of breath and upper chest tightness after total thyroidectomy. 2013 Jun;148(6):926-32. doi: 10.1177/0194599813482299. The authors concluded that liquid LT4 could be considered as a valid alternative formulation in patients after thyroidectomy for DTC and that the initial dislike by the patients was overcome by a significant decrease in subjective symptoms. (28). i imagine continuing to seek an explanation from varying specialists is tiring and w/out positive result probably feels worthless at timesbut i think it's important to continue to seek the answers.
choking on liquids after thyroidectomy