About Graves Disease
Key Highlights
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Offers multiple, personalized treatment pathways (medication, radiation, surgery).Effectively controls the overproduction of thyroid hormones to relieve debilitating symptoms.Managed by a specialist (endocrinologist) with deep expertise in hormonal disorders.Aims to achieve long-term remission or a permanent cure, depending on the chosen treatment.Comprehensive care includes monitoring and management of associated conditions like Graves' eye disease.
Who is this surgery for?
- Confirmed diagnosis of hyperthyroidism with elevated thyroid hormone levels (T3, T4) and low TSH.
- Presence of symptoms such as unexplained weight loss, rapid or irregular heartbeat, anxiety, tremors, heat intolerance, and fatigue.
- Detection of a diffusely enlarged thyroid gland (goiter).
- Positive tests for Thyroid-Stimulating Immunoglobulins (TSI), the antibodies specific to Graves' disease.
- Development or presence of Graves' ophthalmopathy (eye bulging, irritation, double vision).
- Inadequate response to or intolerance of initial anti-thyroid medication therapy.
How to prepare
- Undergo comprehensive blood tests to confirm thyroid hormone levels and antibody presence.
- Complete a thyroid uptake scan or ultrasound if ordered by the endocrinologist.
- For radioactive iodine therapy: follow a low-iodine diet for 1-2 weeks prior and discuss pregnancy/breastfeeding status.
- For thyroidectomy surgery: undergo pre-operative cardiac and general health assessments, and may need to achieve a euthyroid (normal hormone) state with medications first.
- Discontinue certain supplements and medications as advised, especially those affecting thyroid function or blood clotting.
- Discuss all current health conditions and medications thoroughly with the endocrinologist.
Risks & possible complications
- Medication (Thionamides): Potential for side effects like rash, joint pain, liver inflammation, and rarely, agranulocytosis (low white blood cell count).
- Radioactive Iodine (RAI): May worsen Graves' eye disease; leads to permanent hypothyroidism requiring lifelong thyroid hormone replacement.
- Thyroidectomy Surgery: Risks include damage to vocal cords (hoarseness), parathyroid glands (leading to low calcium), bleeding, infection, and scarring.
- Common to all treatments: Possibility of disease recurrence or progression to hypothyroidism, requiring ongoing monitoring.
Recovery & hospital stay
- Medication: Regular blood test monitoring every 4-8 weeks initially to adjust dosage; symptoms improve over several weeks.
- Radioactive Iodine: Avoid close contact with pregnant women and children for several days post-treatment; hormone levels normalize over 6-18 weeks.
- Thyroidectomy: Hospital stay of 1-2 days; manage surgical pain, monitor for signs of bleeding or low calcium; follow-up to check incision and hormone levels.
- Long-term: Most patients eventually require lifelong thyroid hormone replacement therapy (levothyroxine) and periodic blood tests to ensure proper dosage.
- Regular follow-up with the endocrinologist is crucial to manage hormone levels and monitor for eye disease progression.
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Typical hospital stay: 0-2 days
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Expected recovery time: 2 weeks to 6 months
Frequently Asked Questions
If you are considering graves disease in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with endocrinology departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform graves disease. MediFyr helps you compare endocrinologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for graves disease compare across other countries where we have data.
Sophia Singh, a 42-year-old high school...
Sophia Singh, a 42-year-old high school principal and mother of two, had always been energetic. Over six months, her colleagues and family noticed a dramatic change. She was losing weight despite a ravenous appetite, her hands trembled constantly, and she felt a relentless, internal restlessness that made sleep nearly impossible. Her eyes began to look more prominent, and she felt a constant, uncomfortable pressure behind them. Her usually calm demeanor was replaced by irritability, straining her relationships. Her primary care physician, after noting a rapid heart rate and abnormal thyroid blood tests, referred her to Dr. Chen, an endocrinologist. Dr. Chen diagnosed Graves' disease and explained that Sophia's immune system was attacking her thyroid, causing it to overproduce hormones. Given the severity of her symptoms, the prominence of her eyes (Graves' ophthalmopathy), and her desire for a definitive solution, Dr. Chen recommended a total thyroidectomy. The surgery was daunting, but Sophia underwent it successfully. The recovery involved managing surgical pain and adjusting to a lifelong regimen of synthetic thyroid hormone medication (levothyroxine). Within weeks, the exhausting hyperactive feeling vanished. Her heart rate normalized, the eye pressure improved, and she began to regain weight and a sense of calm. Emotionally, she moved from a state of frantic anxiety and feeling like her body was betraying her to one of profound relief and regained control. She mourned the loss of her natural thyroid but embraced the stability medication provided, feeling like herself again for her family and her students.
Endocrinologists for Graves Disease
Explore experienced endocrinologists who regularly perform graves disease and provide pre- and post-operative care in India.
- 18 Years Experience
- Endocrinologist
Kamineni Hospital LB Nagar, Hyderabad
- 5 Years Experience
- Endocrinologist
Manipal Hospital Old Airport Road, Bangalore
- 50 Years Experience
- Endocrinologist
Manipal Hospital Dhakuria, Kolkata
- 15 Years Experience
- Endocrinologist
Manipal Hospital Dhakuria, Kolkata
- 30 Years Experience
- Endocrinologist
Manipal Hospital Dhakuria, Kolkata
- 13 Years Experience
- Endocrinologist
Manipal Hospital Dhakuria, Kolkata
- 8 Years Experience
- Endocrinologist
Manipal Hospital Malleshwaram, Bangalore
- 21 Years Experience
- Endocrinologist
Manipal Hospital Malleshwaram, Bangalore
- 8 Years Experience
- Endocrinologist
Manipal Hospitals Broadway, Kolkata
- 16 Years Experience
- Endocrinologist
Manipal Hospital Doddaballapur, Bangalore
- 13 Years Experience
- Endocrinologist
Manipal Hospital Doddaballapur, Bangalore
- 3 Years Experience
- Endocrinologist
Manipal Hospital Kanakapura Road, Bangalore
- 33 Years Experience
- Endocrinologist
Manipal Hospital Millers Road, Bangalore
- 29 Years Experience
- Endocrinologist
Manipal Hospital Millers Road, Bangalore
- 12 Years Experience
- Endocrinologist
- 12 Years Experience
- Endocrinologist
Manipal Hospital EM Bypass, Kolkata
- 27 Years Experience
- Endocrinologist
Manipal Hospital EM Bypass, Kolkata
- 7 Years Experience
- Endocrinologist
Manipal Hospital EM Bypass, Kolkata
- 18 Years Experience
- Endocrinologist
Manipal Hospital EM Bypass, Kolkata
- 20 Years Experience
- Endocrinologist
Manipal Hospital Salt Lake, Kolkata