Total thyroidectomy - discharge; Partial thyroidectomy - discharge; Thyroidectomy - discharge; Subtotal thyroidectomy - discharge
You had surgery to remove part or all of your thyroid gland. You probably spent 1 to 3 days in the hospital.
A speech pathologist may have shown you exercises to make your vocal cords stronger. A dietitian may have helped you plan meals for the first few days after your surgery.
You may have a drain attached to a bulb coming from your incision.
You may have some pain and soreness in your neck at first, especially when you swallow. Your voice may be a little hoarse for the first week. You will probably be able to start your everyday activities in just a few weeks.
If you had thyroid cancer, you may need to have radioactive iodine treatment soon.
Get plenty of rest when you get home. Keep your head raised while you are sleeping for the first week.
Your doctor may have prescribed a narcotic pain medicine. You may take over-the-counter pain medicine, such as ibuprofen (Advil, Motrin) or acetaminophen (Tylenol). Take all of your pain medicines the way your doctor or nurse told you to.
Try taking your pain medicine 30 minutes before a meal to ease the pain of swallowing.
You may put a cold compress on your surgical cut for 20 minutes at a time to ease pain. Do not put the ice directly on your skin. Make sure it is wrapped in a towel. Keep the area dry.
Take good care of your drain (if you have one) and dressings (bandages).
See also: Surgical wound care
You may be taking antibiotics to prevent infection. Make sure you take all of the medicine the way your doctor or nurse told you.
For the first few days, you will need to eat only liquids and soft foods. Pudding, Jell-O, mashed potatoes, smooth apple sauce, and liquids at room temperature are good choices.
Pain medicines can cause constipation. Eating high-fiber foods and drinking 8 to 10 glasses of water a day will help make your stools softer. See also: Constipation
You may slowly start adding your regular foods to your diet. Your doctor may suggest you see a dietitian to help you with your meals.
Give yourself some time to heal. For about a week, do not do any strenuous activities, heavy lifting, jogging, or swimming.
Slowly start your normal activities when you feel ready. Do not drive if you are taking narcotic pain medicines.
Cover your incision with clothing or very strong sunscreen when you are in the sun for the first year after surgery. This will make your scar show less.
You may need to take thyroid hormone medicine for the rest of your life to replace your natural thyroid hormone.
You may not need hormone replacement if only part of your thyroid was removed.
See your doctor for regular blood tests and to go over your symptoms. Your doctor will change your dose of hormone medicine based on your blood tests and symptoms.
You may not start thyroid hormone replacement right away, especially if you had thyroid cancer.
You will probably see your surgeon every 2 to 4 weeks while you are healing. If you have stitches or a drain, your surgeon will remove them at these visits.
You may need long-term care from an endocrinologist for regular blood tests. An endocrinologist is a doctor who diagnosis and treats problems with glands and hormones.
Call your doctor or nurse if you have:
Hanks JB, Salomone LJ. Thyroid. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds.Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 36.
Lai SY, Mandel SJ, Weber RS. Management of thyroid neoplasms. In: Flint PW, Haughey BH, Lund VJ, Niparko JK, Richardson MA, et al, eds. Cummings Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa: Mosby Elsevier;2010:chap 124.