Discharge Instructions After Surgery for Cancer of the Thyroid
You have been diagnosed with thyroid cancer, the abnormal and uncontrolled growth of cells in the thyroid gland. The thyroid gland secretes hormones that control your metabolism. The most common treatment for thyroid cancer is thyroidectomy, the surgical removal of the thyroid gland. This sheet helps you remember how to care for yourself after surgery.
Suggestions for care at home after surgery:
Don’t get your incision site wet for a few days after your surgery. When you wash, use soap and water to clean the incision. Avoid scrubbing.
Avoid strenuous physical activity for 3 to 5 weeks after surgery.
Ask your healthcare provider when you can expect to return to work.
Keep a card in your wallet that lists the following:
Your name and contact information
Your healthcare provider’s name and contact information
The name of your disease
The brand name and dose of your thyroid medicine
Take your thyroid hormone medicine exactly as directed. You may need to take medicine for the rest of your life. Follow these tips:
Keep your pills in a container that is labeled with the days of the week. This will help you remember if you’ve taken your medicine each day.
Take your medicine with a liquid (anything but soy milk, which interferes with your ability to absorb thyroid hormone). To be effective, your pill must make it to your stomach and not dissolve in your throat.
Try to take your thyroid medicine at about the same time every day and on an empty stomach, at least 30 to 60 minutes before other foods or medicines. This will help you absorb the medicine and help regulate the amount of thyroid hormone in your system.
After taking your thyroid medicine:
Wait 4 hours before eating or drinking anything that contains soy.
Wait 4 hours before taking iron supplements, antacids that contain either calcium or aluminum hydroxide, or calcium supplements.
Wait 4 hours before taking medicines that lower your cholesterol.
Treatment and healthcare provider visits
Suggestions for treatment and healthcare provider visits after surgery:
Never stop treatment on your own.
During your routine visits, tell your healthcare provider about any signs of hyperthyroidism (too much thyroid hormone), such as any of the following:
Rapid weight loss
Shortness of breath
More frequent bowel movements
Stopping of menstrual period
During your routine visits, tell your healthcare provider about any signs of hypothyroidism (too little thyroid hormone), such as any of the following:
Fatigue or sluggishness
Puffy hands, face, or feet
Slow pulse (less than 60 beats per minute)
Feeling cold often
It is important to go to follow-up appointments after surgery:
Make a follow-up appointment as directed.
Make and keep appointments to see your healthcare provider and get blood tests. You will need to be monitored for the rest of your life.
When to call your healthcare provider
Call your healthcare provider right away if you have any of the following symptoms:
Fever of 100.4°F (38°C) or higher, or chills
Swelling or bleeding at the incision site
Choking or trouble breathing
Trouble eating or swallowing
Pain that's getting worse
Sore throat that lasts longer than 3 weeks
Tingling or cramps in the hands, feet, or lips
Lump in the neck
March 21, 2017
Treatment of Hypothyroidism. UpToDate
Hurd, Robert, MD,Stump-Sutliff, Kim, RN, MSN, AOCNS