Can Thyroid Surgery Be Performed with Dizziness Symptoms? - Otolaryngology

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Can I undergo thyroid surgery if I have dizziness?


Doctor, I would like to ask about my wife who is experiencing dizziness and thyroid enlargement.
The doctor said she needs surgery, but my wife feels dizzy and nauseous when lying down for the thyroid surgery.
Is it possible to perform the thyroid surgery under these conditions, or are there alternative options?

A-Chang, 30~39 year old female. Ask Date: 2016/03/31

Dr. Zheng Jueyi reply Otolaryngology


Hello: Generally, thyroid surgery is performed under general anesthesia, which should be acceptable.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/31

More Info


When considering thyroid surgery for a patient experiencing dizziness and thyroid enlargement, several factors must be taken into account. Dizziness can be a symptom of various underlying conditions, and it is crucial to determine the cause of the dizziness before proceeding with surgery. In your wife's case, the dizziness could be related to her thyroid condition, or it could stem from other issues such as inner ear problems, blood pressure fluctuations, or anxiety.

Thyroid surgery, also known as thyroidectomy, is typically performed to remove all or part of the thyroid gland, often due to conditions such as goiter, thyroid nodules, or thyroid cancer. The surgery is usually performed under general anesthesia, which means the patient will be unconscious during the procedure. The position in which the patient lies during surgery is important, as it can affect circulation and comfort.

If your wife experiences dizziness when lying down, it is essential to communicate this concern with her healthcare provider. The surgical team may need to take special precautions to ensure her comfort and safety during the procedure. For instance, they might consider adjusting her position or using supportive devices to help maintain stability and reduce the risk of dizziness during surgery.

Before proceeding with surgery, the medical team will likely conduct a thorough evaluation, including a physical examination, imaging studies (such as ultrasound), and possibly blood tests to assess thyroid function. If the dizziness is significant and poses a risk during surgery, the healthcare provider may recommend additional tests or treatments to address the dizziness before considering surgery.

In some cases, if the dizziness is related to the thyroid condition, treating the thyroid issue with medication or other non-surgical interventions may help alleviate the symptoms. For example, if the thyroid enlargement is causing pressure on surrounding structures, leading to dizziness, reducing the size of the thyroid gland through medication or other means might be beneficial.

If surgery is deemed necessary, and the dizziness is manageable, the surgical team will take steps to minimize any potential complications. Post-operative care will also be crucial, as patients may experience some discomfort or dizziness after surgery due to anesthesia or the surgical procedure itself. The healthcare team will provide guidance on recovery and any necessary follow-up appointments to monitor her condition.

In summary, while thyroid surgery can be performed on patients with dizziness, it is essential to evaluate the underlying cause of the dizziness and address any concerns with the surgical team. Open communication with healthcare providers is vital to ensure that your wife receives the best possible care and that her safety is prioritized during the surgical process. If necessary, alternative treatments or additional evaluations may be recommended before proceeding with surgery.

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