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Cause of Chest pain and neck swelling post thyroidectomy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   I had a complete thyroidacetomy on March 31, 2010, I now am on Symthroid 110 mg daily, I am experiencing tighness in my chest with pain and my neck is swollen although it has not been this swollen since I had the surgery, I have tingling and a sense of goosebumps all over my body, my calcium and thyroid levels are normal, what can this be, my endocrinologist says he does not know.
Doctor :   Hi
Doctor :   I am Dr.xxxxx here
User :   Hello
Doctor :   Let me read your query
Doctor :   Ok
Doctor :   May I know your age, gender, height and weight?
User :   I also have episodes of almost passing out, my age is 45 height is 5'3" 198 lbs.
Doctor :   Ok
Doctor :   How has your weight fluctuated recently?
User :   not more than 1 or 2 lbs.
Doctor :   Ok
Doctor :   What were your symptoms previous to surgery?
User :   tingling, pain in neck, lightheadness, chest pain ( chest pain has been ruled as not cardiac by my cardiologist/ feeling like all the blood had been drained out of your body instantly
User :   and weight gain
Doctor :   O
Doctor :   Did these symptoms start soon after surgery?
User :   the chest pain started about 2 weeks after surgery, these other symtoms just started about a week ago.
Doctor :   Ok
Doctor :   How is your sleep and appetite?
User :   i should note that i had a heart XXXXXXXX done two days before the thyroid surgery/ it was clear/ sleep is not good due to the pain and tingling/appetite not great
Doctor :   Ok
Doctor :   You did not mention about your gender
Doctor :   to ask more questions
User :   although i do eat regularly to make sure it was not that causing these systoms/gender is female
Doctor :   Ok
Doctor :   How about your menstrual cycles?
User :   normal although it does last a little longer than normal
Doctor :   Ok
User :   my endoc. says i should see a neorlogist, but he does not realize i already saw one before all this surgery started, she ruled out anything that she could think of from MS to brain issues
Doctor :   Ok
User :   my family doctor has no clue either
Doctor :   I mainly attribute it to be a gynecological problem
User :   in what way
Doctor :   due to stress and the perimenopausal age as well
Doctor :   that should not be ignored
Doctor :   Premenopausal symptoms
Doctor :   are also similar in presentation
Doctor :   Are you aware of it?
User :   somewhat but my obgyn ruled that out
Doctor :   Ok
User :   she said too your for menopause
Doctor :   Ok
User :   too young i meant
Doctor :   Ok, I got it
Doctor :   I would suggest you to get a specialist opinion for this purpose
Doctor :   I have sent you a link
Doctor :   which you can see beside the chat window
Doctor :   Consulting our endocrinologist shall be beneficial
Doctor :   for a second opinion
Doctor :   Are you with me?
User :   yes
Doctor :   Ok
Doctor :   We shall proceed with the chat
Doctor :   I was asking you to consult our Endocrinologist
Doctor :   to get a second opinion
Doctor :   on your status
User :   i have consulted with my endocrinologist whom is suppose to be one of the best in the country but he just keeps telling me my levels are normal and he doesn't know what is causing these systoms
Doctor :   because the problems which can be
Doctor :   are
Doctor :   psychological
Doctor :   post surgical complications
Doctor :   gynecological
Doctor :   which includes hormonal
User :   psychological, you mean in my head type problems
Doctor :   Due to the stress of the operation
Doctor :   and the injury to the tissues
User :   this is real pain, real systoms
Doctor :   there shall be a raise in your stress hormone that is cortisol levels
Doctor :   which can suggest a similar picture
Doctor :   For this we have an Endocrinological surgeon
Doctor :   who can give you the right advice
Doctor :   as he can cover up all the specialities
Doctor :   I mentioned
Doctor :   Are you getting it?
User :   yes, i was saying that an er doctor also suggested that i take a pill called neorotin for nerves but my endo doctor said no dont take it
Doctor :   Ok
Doctor :   I understand there is confusion
User :   he said how can you give a pill for nerves if you don't know what you are treating but he has no suggestions
Doctor :   to find out the cause
Doctor :   and suggest the remedial measure
User :   so do you suggest i should try the neorotin
Doctor :   But I do believe that our esteemed surgeon
Doctor :   who is a big name
Doctor :   shall throw light upon your condition
Doctor :   Neorotin
User :   is this the dr. p.v. XXXXXXXX in the window next to this chat box
Doctor :   has to be taken only on prescription
Doctor :   and is more common for Neuropathy
User :   it is a prescription that the er doc gave me
Doctor :   but your symptoms does not fit into neuropathy exactly
Doctor :   Yes it is Dr.P.V AAAAAAA
Doctor :   Gabapentin that is Neorotin
User :   are these symptoms life threatening
Doctor :   shall help to ease the pain
Doctor :   you are getting
Doctor :   and there shall not be any harm in following your prescription
User :   so the neorotin will help then pain/the prescription says take 300 mlg. three times daily
Doctor :   As per your description, I doubt it to be a life threatening conditon
Doctor :   Hence not to worry
Doctor :   Most important thing
Doctor :   is to keep yourself in a calm and relaxed state
User :   i am also taking perocet for pain but doesnt seem to help/i keep calm and relaxed just very painful/can i take both the perocet and neorotin or just one of them
Doctor :   Ok
Doctor :   Neorotin
Doctor :   if you are having the prescription
Doctor :   you can continue with it
User :   the reason i ask is my endo says the neorotin will mess me up
Doctor :   Ok
Doctor :   There is difference in opinion
User :   thank you for your advice
Doctor :   as per my knowledge as a General practitioner
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