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Thyroid Lobectomy, Follicular Lesion, Anxiety, Adrenaline Rush

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Posted on Mon, 21 May 2012
Question: Hi. I am a 32 year old female weighing 145lbs. 7 days ago I had a right side thyroid lobectomy due to 2 follecular lesion nodules. As of yesterday i have had increased anxiety and having been feeling like i'm shaking on the inside. I feel rushes of adrenaline and my muscles and limbs feel as though they are trembling although looking from the outside they aren't. i dont see my endo for 3 more weeks to get my levels tested and i'm wondering if this could be related to losing half my thyroid. Any insight is appreciated as I feel like I am going crazy!
doctor
Answered by Dr. Sapan J. Pandya (29 minutes later)
Dear XXXXXXX

Thanks for your query.

By the end of this session, I hope that I have solved your queries.

The condition seems to be THYROID RUSH. It is quite common after manipulation of thyroid gland, say during a surgery. You may XXXXXXX your local family physician and confirm the diagnosis with him.
The manipulation of Thyroid during surgery leads to secretion of excess thyroid hormone and symptoms of hyperthyroidism - fast heart rate, weight loss, feeling jittery or nervous, diarrhea, tremor.

To confirm you may get following Thyroid Functions Tests done: TSH, Free T3 and Free T4. If the levels of Free T3 and Free T4 are abnormally high, then the diagnosis is confirmed.
Treatment is symptomatic. That is according to the symptoms. Time is required to see that the levels of Thyroxine decreases.

Waiting for your follow-up with the reports of your Thyroid Function Tests,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sapan J. Pandya (28 hours later)
Thank you so much for your answer. Is this usually something that will balance itself out over time is thyroid hormone usually needed to help this?
doctor
Answered by Dr. Sapan J. Pandya (4 hours later)
Hi! XXXXXXX
Thanks for writing back.

There is increase in Thyroid Hormone, which becomes normal over a period of time, say two-four weeks.Medicines may help , must be taken only if needed.

Wish you good health
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Sapan J. Pandya

General & Family Physician

Practicing since :2011

Answered : 243 Questions

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Thyroid Lobectomy, Follicular Lesion, Anxiety, Adrenaline Rush

Dear XXXXXXX

Thanks for your query.

By the end of this session, I hope that I have solved your queries.

The condition seems to be THYROID RUSH. It is quite common after manipulation of thyroid gland, say during a surgery. You may XXXXXXX your local family physician and confirm the diagnosis with him.
The manipulation of Thyroid during surgery leads to secretion of excess thyroid hormone and symptoms of hyperthyroidism - fast heart rate, weight loss, feeling jittery or nervous, diarrhea, tremor.

To confirm you may get following Thyroid Functions Tests done: TSH, Free T3 and Free T4. If the levels of Free T3 and Free T4 are abnormally high, then the diagnosis is confirmed.
Treatment is symptomatic. That is according to the symptoms. Time is required to see that the levels of Thyroxine decreases.

Waiting for your follow-up with the reports of your Thyroid Function Tests,