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  • calbears1156
    Participant
    Post count: 11

    Hi there-
    Does anyone ever get swollen lymph nodes with graves? I’ve noticed I get them on either side of my neck above my thyroid gland depending on how swollen my glands are; my Dr said that happens due in part of the auto-immune part of having graves.

    On a different note my TSH levels have come down from 13 to 9 and Dr wasn’t pleased with this; says I will continue to ‘see-saw’ as long I’m taking MM to control my levels. That said, after MUCH consideration and frustration I have decided to have the thyroidectomy to remove my right gland which has been the most affected and troublesome area and it has enlarged 20% from the last ultrasound I had in January.

    Though I am looking forward to finally putting an end to all of this has anyone had either the left or right gland removed VS both? And what has your overall progress been since then? Please- I’d SURE appreciate any advise or input regarding the lymph nodes and the thyroiddectomy which are EXTREMELY welcomed and needed.

    Also, anyone having acid re-flux issues since being diagnosed with hyperthyroid, hypo or graves?

    Thank you…..:):D

    Kimberly
    Keymaster
    Post count: 4294

    Hello – Hopefully, you will receive some additional responses here from others who have had similar experiences, but a quick note on thyroidectomy…

    The preferred procedure for Graves’ now is to do a total thyroidectomy. (Some doctors will use the term “near-total” instead, as it’s almost impossible for surgeons to remove every last cell of thyroid tissue).

    The thought with RAI and thyroidectomy *used* to be that if you destroyed or removed just the right amount of tissue, the patient would be euthyroid for life and wouldn’t have to deal with either hyperthyroidism or hypothyroidism. The problem was that in the vast majority of cases, it didn’t work – patients either went hypothyroid anyway and had to take replacement hormone, or they had a recurrence of hyperthyroidism and had to be re-treated for that.

    And if you have a recurrence of hyperthyroidism after surgery, I’ve heard from a couple of presenters at past conferences, that the risks of doing a second operation are greater than with the first.

    Obviously, all the choices here have risks and benefits – so there are definitely no easy answers. We can’t tell you which option to choose, but we will be here for support as you go through the process!

    calbears1156
    Participant
    Post count: 11

    Hello there….
    It’s been awhile since I’ve logged on because the last time I logged on I was feeling great and my T4 (along with my TSH) were in the normal range.

    Since then I transitioned from good to not good- my free T4, T3 and TSH became very low- I couldn’t get out of bed and I felt awful.

    My Dr called me and had alarm in his voice and wanted me to scale back on my MM intake- I was taking .10 mg a day and he scaled me down to 6.5 mg.

    It seemed like I was in hypo for an eternity which was the end of August through mid October. I’m currently taking .5 mg of MM and I can tell my levels increasing. I have headaches and dizziness and overall feel like crap. I’ve noticed the constipation has been replaced by frequent bowl movements and my irritability is starting to become more frequent and obvious. My face and body once bloated from hypo is now becoming less and I feel lithe.

    I’m SO sick sick sick sick of this. I chose NOT to do the thyroidectomy I had scheduled in August because I really wanted to do without the surgery and stick it out on the medication route.

    Surgery scares me and I feel my thyroid is the victim of my body attacking it.

    I feel at an all time low right now and I hate how bad I feel.

    Anyone out there who has or is experiencing the same thing? This is like a tidal wave and roller coaster I cannot get off of.

    Up and down up and down….. levels go up then they go down; I don’t know which is worse hypo or hyper.

    snelsen
    Participant
    Post count: 1909

    Yes, we really don’t realize that hyPO is as hellish and awful as hyPER, until we have that experience. I am so darn sorry you feel like crap.

    I have had your experience, and when people who did not understand Graves’ said “hey, it will get better, or it can’t be THAT bad!” I wanted to scream at them, “YOU HAVE NO IDEA WHAT THIS IS LIKE!” It actually did help me, in my slightly more rational moments, that before all this, I am one of those people who had no idea what it was like. And that makes this site so valuable.

    IT is terrible to have factors, known and unknown, bossing our bodies and minds around, and that is what is happening. You had done a lot of thinking before you scheduled your surgery, then a lot more before you cancelled it.

    I am guessing, without knowing, that it might be your decision to have a partial thyroidectomy (also called a subtotal thyroidectomy.) I mentioned in an earlier post (right before this one) that I did have a subtotal one, cause they were doing them “back then.” As Kimberly mentioned in her post, now they do TT’s for the reasons she mentioned. Sooner or later, the patient (in this case, ME!) became hyPOthyroid, and I began Synthroid. and others I knew, had recurrent hyPERthyroidism, and had to go on that whole miserable merry go round again.
    So the current thinking is,, that there are more “knowns,” if the whole gland is resected, and that it is easier to manage thyroid hormone replacement. I think this makes sense, based on my own experience. We were constantly wondering if I was/was not producing just a little bit of thyroid hormone, which made trying to evaluate my symptoms, the way I was feeling, consequently the dose of thyroid hormone replacement, much more difficult. With a TT, you pretty much KNOW that you are not producing any thyroid hormone, so trying to get to that stupid “sweet spot” where all of this is past history, and you are back to yourself again..is just that much harder,and takes that much longer.
    Let me know if this needs more explanation. It’s pretty much my experience,and what I have learned.

    I am the kind of person who wanted it OUT, and to move on as quickly as I could, so surgery was a great decision for me. I think I referred to my experience a bit more in my last post written today, so you might take a quick look at that one, too.

    I really DO know the tough time you are having right now. I guess I preferred frequent bowel movements to constipation, and feeling more hyPER, rather than like a total slug who could not get out of bed. But if you had asked me at the time, I would have told you that all I wanted to be was NORMAL.

    I found Graves’ a terrible experience. And with the exception of taking Synthroid, it pretty much IS behind me. I did get TED many years later, but not many people do. I am just SPECIAL!!
    HA
    SHIRLEY

    Kimberly
    Keymaster
    Post count: 4294

    Sorry for the continued rollercoaster ride! It sounds like you are someone (like me) who is fairly sensitive to a change in anti-thyroid medication. If you have to make another dose change, you might talk to your doc about making a smaller change, but then following up very soon with another set of labs. Hopefully, you can get some relief soon.

    And while it’s true that the thyroid is an innocent bystander in this whole Graves’ business, we do have many members on this forum who made the choice for a “definitive” therapy – either surgery or RAI – after struggling with meds. But you don’t get a “do-over” after either one of these procedures, so you need to be fairly confident when making the decision!

    scanders
    Participant
    Post count: 108

    Hi calbears,

    I’m so sorry you have to ride the roller coaster! I’m pretty sensitive to small changes in the MMI, too, and my endo said sometime the antibodies just do what they do, and there’s really no predicting that. I spent a lovely 6-8 weeks feeling pretty well, and then, just like that, my levels dropped and I’m struggling to get back to my happy place. I’m one that thinks hypo is much worse than hyper from a functional level. Anyway, you’re not alone, and best of luck with your treatment decisions.

    Liz1967
    Participant
    Post count: 305

    I had a total thyroidectomy after seven months of messing around with methimazole dosing. Best decision, easy surgery and recovery, no spending all your time trying to figure out crazy and ever changing thyroid levels and feeling hypo and hyper. Levels immediately within range and this past year has been only fine tuning every few months without feeling terrible. I have the eye disease too, which is enough to worry about all by itself. I have never regretted having the surgery.

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