Should Basedow Goitre Be Operated Or Treated With Radiation?

Question: I am 50 years old, suffering from Basedow goiter, have been taking medicine for months but cannot see it. Someone said I should go for radiation therapy. Some people say that they should go for surgery, but it is said that they will go to the surgery but it is easy to have life-threatening complications. Ask your doctor for advice! (Cao Thi Hai-Dien Chau, Nghe An).
Reply
Basedow's disease is hyperthyroidism and thyroid hyperplasia

. Hyperthyroidism secretion is a fundamental cause in the mechanism of Basedow disease.
The most common symptom in patients is the state of nervous excitement, anxiety, palpitations, weight loss despite eating a lot, fatigue, sleep disorders, memory loss, watery eyes, bulging eyes. If not treated right disease will cause complications in many organs of the eyes, heart, kidney
.


Should Basedow Goitre Be Operated Or Treated With Radiation?

.
Depending on the condition, the doctor will recommend the appropriate treatment
There are 3 basic treatments: synthetic anti-thyroid drugs, radiation and surgery. In the doctor letter, it was not clear what kind of medicine was used, how long it took to take the medicine and it did not cure.
Usually used synthetic anti-thyroid drugs must last long and continuous at least 1 - 1.5 years. Radiological iodine therapy (I131) is indicated for long-term non-pharmacological use of synthetic anti-thyroid drugs, and only for patients under 40 years of age.
In your case at the age of 50, you should consider surgical treatment
This is one of the common methods of treating Basedow's disease in moderation, severity and treatment with synthetic anti-thyroid drugs for at least 4-6 months to no avail.


Should Basedow Goitre Be Operated Or Treated With Radiation?


There may be some complications after surgery such as impaired thyroid function, relapse of the disease, encephalopathy after thyroid hormone poisoning. Especially paroxysmal thyroid hormone poisoning is a very serious complication that can lead to death.
You should not be too worried because before the surgical intervention to treat the doctors, they are well prepared, thoughtful and complete. These complications are now rare too..

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