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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Done Total Thyroidectomy. Numb Lips, Tingling Fingers, Trembling Hands. Due To Low Calcium?

I had a total thyroidectomy on Monday of last week. Wednesday I returned to the hospital with numb lips and tingling fingers. They did bloodwork and prescribed calcium supplements. Today my bottom lip is still numb and my hands are trembling, sometimes visibly, sometimes I just feel like they're trembling. Would low calcium cause this trembling?
Sat, 6 Apr 2013
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General & Family Physician 's  Response
Hello,
A total thyroidectomy is an operation that involves the surgical removal of all  of the thyroid gland. 
The most common complication after total or near-total thyroidectomy is hypocalcemia which is secondary to hypoparathyroidism.Although In many cases, this complication is asymptomatic,but when symptoms develop, however, they can range from mild paresthesias to painful tetany and sometimes even life-threatening complications like laryngeal spasm or arrythmias.

Sometimes symptomatic hypocalcemia can also result in  prolonged hospitalization after thyroidectomy. 
Keep continuing taking calcium supplements and have regular monitoring of serum calcium levels.
Thanks
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Done Total Thyroidectomy. Numb Lips, Tingling Fingers, Trembling Hands. Due To Low Calcium?

Hello, A total thyroidectomy is an operation that involves the surgical removal of all  of the thyroid gland.  The most common complication after total or near-total thyroidectomy is hypocalcemia which is secondary to hypoparathyroidism.Although In many cases, this complication is asymptomatic,but when symptoms develop, however, they can range from mild paresthesias to painful tetany and sometimes even life-threatening complications like laryngeal spasm or arrythmias. Sometimes symptomatic hypocalcemia can also result in  prolonged hospitalization after thyroidectomy.  Keep continuing taking calcium supplements and have regular monitoring of serum calcium levels. Thanks