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    What Is Recovery from a Thyroidectomy Like?

    By S. Srakocic,

    2024-08-07
    Recovery from a full or partial thyroidectomy is typically light and lasts for a few weeks. Your surgical team will advise you on pain medications, foods to eat during recovery, and more.

    A thyroidectomy is a procedure to remove the thyroid gland in whole or in part. It might be performed to treat thyroid cancer or an enlarged thyroid.

    Full recovery can take a few months, but most side effects resolve quickly. People who have a complete thyroidectomy will need to take thyroid hormone replacement medication for the rest of their lives.

    How long does it take to heal from a thyroidectomy?

    The exact healing timeline after thyroidectomy can depend on individual factors such as your overall health and age. The type of thyroidectomy you have can also make a difference. For instance, recovery from a partial thyroid removal, or hemithyroidectomy, is often quicker than recovery from a full thyroidectomy.

    You might go home a few hours after your surgery. In some cases, you may need to stay in the hospital overnight for observation. Either way, you’ll be able to return to light, everyday activities the next day. Your surgeon will tell you when it’s safe to resume other activities, but you’ll likely be required to avoid intense physical activities and sports for about 2 weeks.

    Many people notice that their voice feels weak or hoarse following surgery. This is because the thyroid is near the voice box. Vocal changes typically only last for a few weeks following surgery.

    It’s common for there to be a ridge or scar tissue over your surgical incisions. The ridge is typically firm to the touch. The incision ridge should soften in about 3 to 6 months.

    Your surgical incision will be sensitive to the sun.  Sunlight and the light from tanning booths can cause permanent darkening. Your surgeon might recommend a specific sunscreen during healing.

    Neck pain is also common following a thyroidectomy. You might experience headaches and soreness in your neck, shoulders, and back. It might be difficult to turn your head and neck. This side effect typically resolves after about a week.

    What is the aftercare for a thyroidectomy?

    Your surgeon will give you specific aftercare instructions. Make sure to follow them closely during recovery. The recommendations can vary depending on the type of thyroidectomy you had. However, common aftercare steps include:

    • getting plenty of rest
    • keeping your head raised with pillows when you lie in bed or on a sofa
    • avoiding any strenuous physical activity, including lifting anything over 5 pounds
    • avoiding extending your neck backward
    • avoiding driving

    You might be prescribed antibiotics or pain-relieving medications .

    Some people also receive a drain placed under the neck incision after surgery. If you receive this tube, you’ll schedule an appointment to have it removed.

    Your doctor will let you know when it’s safe to resume activities such as driving, heavy lifting, and sports. If your job requires strenuous activity, talk with your doctor about what accommodations you may need.

    Thyroidectomy recovery diet tips

    It can be painful to swallow after a thyroidectomy. While your throat heals, it can help to consume softer, soothing foods . These can include:

    • mashed potatoes (or other veggies)
    • tofu or scrambled eggs
    • oatmeal
    • hummus or baked beans
    • cream soups
    • salmon or other boneless fish
    • cooked fruit
    • smoothies
    • baby food
    • yogurt or cottage cheese
    • pudding or ice cream
    • popsicles

    It’s a good idea to avoid acidic foods such as orange or tomato juices. Spicy foods may also not be comfortable during this time. Hard food, such as chips, hard bread, and most fruits and vegetables, can also irritate your throat.

    If this diet causes you to have irregular bowel movements, a fiber supplement can help. After taking a fiber supplement, make sure to wait a couple of hours before then taking pain medications or any other medications. It’s best to talk with your doctor before taking a laxative .

    How does life change after a thyroidectomy?

    The changes you’ll experience after a thyroidectomy depend on the reason for your thyroidectomy and whether it was a hemithyroidectomy or full thyroidectomy. For instance, if you’ve had a full thyroidectomy, you’ll need to take a daily thyroid replacement medication for the rest of your life.

    Some people who have had a hemithyroidectomy also need to take daily thyroid replacement medications. After your procedure, you’ll have blood tests to evaluate whether medications are required. Your doctor might also want to continuously monitor your thyroid hormone levels to ensure they are balanced.

    If your thyroidectomy is done to treat a malignant thyroid tumor , it might resolve the cancer. However, you might need additional cancer treatment. Your doctors will discuss your treatment plan with you. Read more about thyroid cancer treatment.

    If your thyroidectomy is done to treat an enlarged thyroid , you’ll likely experience a reduction in symptoms. This can include increased energy and a reduction in sweating, heat intolerance, and tremors. Read more about treating a hyperactive thyroid.

    Takeaway

    A thyroidectomy is a procedure done to treat conditions such as a swollen thyroid gland or a thyroid tumor. A full recovery can take several months, but side effects such as hoarseness, neck pain, and difficulty swallowing will typically resolve in a few weeks.

    Aftercare steps such as resting, following a recovery diet, taking pain medications, and avoiding intense physical activities can aid healing.

    If you have had a full thyroidectomy, you will need to take thyroid replacement hormones for the rest of your life. If you have had a partial thyroidectomy, blood tests can help a doctor identify if you’ll need thyroid replacement hormones moving forward.

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