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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Hyper Thyroid, After Cancer Surgery, Gained Weight, Neck Swollen. How To Get Relief From It?

I was diagnosed with hyper thyroid, after cancer surgery. Since then, I had the radioactive pill treatment. And now I wish I hadn't. I have gained so much weight! And my neck has swollen about 3 inches. I feel like I cannot breathe most times, and being strangled. The doctor I was seeing has changed my medication several times. Always seems to be lower, and I gain more weight. I have an appointment with someone new, but not until May 26th. I am ready to double my own medication, to see if that will give me the relief I am looking for. I am miserable.
posted on Mon, 15 Apr 2013
Twitter Mon, 15 Apr 2013 Answered on
Twitter Tue, 16 Apr 2013 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hello

It seems from your query that you had some cancer surgery, probably around the throat?. Then you were diagnosed to have hyperthyroidism. You have been treated with one of the modalities of treatment which is radioactive ablation of the gland. The most common side effect of this therapy inturn is development of hypothyroidism, where in you gain weight.

In the management of hypothyroidism, the most essential part of treatment is to take adequate doses so as to keep TSH in the range of 1-3. In your case, if the treatment with radioactive is recent levels of free thyroid hormone ieT4 will give a better clue to judge control.

You need to understand that without confirming the levels of the above mentioned tests it would not be appropriate to adjust your doses.

You would have to get your tests done and see the doctor soon. Do not feel disheartened, just try to get your tests and review with a doctor. Things should be fine.

Wish you speedy recovery
.
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Internal Medicine Specialist,  Dr. omz's  Response
HI
You are gaining weight very fastly and this means the following in your case
1.Post radioablation of your thyroid has caused severe hypothyroidism that will be permanent with you for life
2.Cushing disease with severe fat arouund the body specially at neck and abdomen than thighs
3.Siadh (syndrome of inappropriate anti diuretic secretion) caused by hypothyroidism and your old cancer.
so only thyroxine will not help you , you should be investigated for above disease , if it comes positive they are easily treated
take care
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Diagnosed With Hyper Thyroid, After Cancer Surgery, Gained Weight, Neck Swollen. How To Get Relief From It?

Hello It seems from your query that you had some cancer surgery, probably around the throat?. Then you were diagnosed to have hyperthyroidism. You have been treated with one of the modalities of treatment which is radioactive ablation of the gland. The most common side effect of this therapy inturn is development of hypothyroidism, where in you gain weight. In the management of hypothyroidism, the most essential part of treatment is to take adequate doses so as to keep TSH in the range of 1-3. In your case, if the treatment with radioactive is recent levels of free thyroid hormone ieT4 will give a better clue to judge control. You need to understand that without confirming the levels of the above mentioned tests it would not be appropriate to adjust your doses. You would have to get your tests done and see the doctor soon. Do not feel disheartened, just try to get your tests and review with a doctor. Things should be fine. Wish you speedy recovery .