Treatment FAQ

how to plan for loved ones radiated iodine treatment

by Esperanza Bergstrom MD Published 3 years ago Updated 2 years ago
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This drug is given daily for 2 days, followed by RAI on the 3 rd day. Most doctors also recommend that you follow a low iodine diet for 1 or 2 weeks before treatment. This means avoiding foods that contain iodized salt and red dye #3, as well as dairy products, eggs, seafood, and soy.

Full Answer

How to prepare for radioactive iodine treatment?

Preparing for radioactive iodine treatment 1 What radioactive iodine is. Radioactive iodine treatment is a type of internal radiotherapy. 2 When you have it. You may only need to have this treatment once. 3 Preparing for radioactive iodine treatment. 4 Low iodine diet.

Can radioactive iodine therapy help people live longer?

Radioactive iodine therapy helps people live longer if they have papillary or follicular thyroid cancer (differentiated thyroid cancer) that has spread to the neck or other body parts, and it is now standard practice in such cases.

Should I be hospitalized after taking iodine 131 for RAI?

It is not common in the United States to hospitalize patients after RAI, but if you are receiving a particularly high dosage of iodine 131 and have no way to protect children or babies, it may be an option. Do not share any towels, razors, toothbrushes, cups, spoons, forks, or dishes.

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Is it safe to be around someone after radioactive iodine treatment?

Keep Your Distance Here are some ways to minimize radiation risks to other people (and pets) after you have had RAI treatment: Stay at least six feet away from other people, including members of the public, family members, and co-workers, for three to 11 days.

How do you prepare a patient for radioactive iodine therapy?

You might need to have a low iodine diet for a few weeks before you have your treatment. This prepares the thyroid cells so that they can absorb the radioactive iodine. All food and drink contains some iodine. A low iodine diet means that you should avoid foods that have a high level of iodine in them.

Do you have to isolate after radioactive iodine treatment?

You are also required to self isolate for 7 days after your radioiodine treatment in order to minimise the risk of contracting COVID-19 whilst there is still a large amount of radioactivity in your body. A small proportion of people with COVID-19 may become very unwell and require admission to hospital.

How long is isolation after radioactive iodine?

Sleep alone for 7 days unless otherwise instructed by your doctor. Avoid kissing and physical contact with others, and maintain a distance of at least 3 feet from women who are pregnant and children under 18 years old.

How do I clean my house after radioactive iodine treatment?

The iodine-131 will wash out in the laundry. Vacuuming will pick up hair that is shed, which will have small amounts of radioactivity in it since our heads also sweat. The conservative approach would be to cover the chair with a sheet.

When can I eat regular food after radioactive iodine?

Drink only water. For 3 days after you swallow the capsule: Follow your low-iodine diet. You may resume your normal diet after 3 days. For 1 or 2 days after your dose: Avoid fatty or rich foods to help ease any nausea.

Does radiation treatment affect family members?

Any radiation therapy that is transient, including external beam radiation or brachytherapy that is removed, poses no risk to family members. For these types of therapy, patients are exposed to radiation only during active treatment, and radiation is not carried on the patient's body.

What happens if you are exposed to someone with radioactive iodine?

If too much radioactive iodine enters your body, the radioactive iodine will destroy your thyroid gland so that the gland will stop making hormones. Too much radioactive iodine in your body can also cause thyroid nodules or cancer.

Can I be around my child after radioactive iodine treatment?

RAI therapy does use a radioactive drug, but if the patient follows instructions provided by the doctor, RAI is considered safe for the family of the patient and ultimately for members of the public.

Do I have to stay in hospital for radioactive iodine?

Having radioactive iodine treatment for thyroid cancer. Radioactive iodine treatment takes place in the hospital. You usually stay there for a few days until your radiation levels have fallen to a safe level. You will be looked after in a single room, where you stay alone.

What are the long term side effects of radioactive iodine?

NCI study finds long-term increased risk of cancer death following common treatment for hyperthyroidism. New study findings show an association between the dose of a common treatment for hyperthyroidism and risk of death from solid cancers.

How long does it take for thyroid to stop taking up radioactive iodine?

If you have too much iodine in your diet, it can stop the thyroid cells from taking up the radioactive iodine. Continue to follow this diet for 24 hours after your treatment is completed, or as instructed by your doctor. Read the resource for more information.

Where does radioactive iodine leave the body?

Most of the extra radioactive iodine will leave your body through your urine (pee), and smaller amounts will leave your body in your saliva (spit), sweat, and bowel movements (poop).

What is the name of the service that takes up thyroid cells?

If you do, tell your doctor in Molecular Imaging and Therapy Service (MITS) before your treatment. This is sometimes called the Nuclear Medicine service. Radioactive iodine enters your bloodstream and is taken up by any thyroid- like cells. The radioactivity destroys the cancer cells.

How long after radioactive iodine therapy can you get pregnant?

Pregnancy and radioactive iodine therapy. Don’t get pregnant or get your partner pregnant for at least 6 months after getting radioactive iodine therapy, or as long as your doctor tells you to. Use birth control after treatment for at least 6 months after getting this treatment.

How to treat thyrotropin alfa?

Your treatment plan will follow these steps that will take place over a few days: 1. On the first day, you’ll have blood tests. After those tests, you’ll see your doctor and get a thyrotropin alfa (Thyrogen ®) injection (shot) to help you get ready for your treatment.

How long does it take for thyroid pain to go away?

This is temporary and usually goes away within 8 weeks after your treatment. Try foods with different flavors to make sure you get the nutrition you need. Discomfort in your neck. This can happen during the first 2 to 3 weeks after your treatment, but it depends on the amount of thyroid tissue still in your neck.

Why does my mouth dry out after iodine?

Dry mouth. This is also caused by irritation or damage to your salivary glands. Dry mouth may happen if you’re taking a higher dose of radioactive iodine. Dry mouth can happen right after treatment, or it may happen for several months to a year after treatment.

What hormone is used to treat radioactive iodine?

For your treatment to work, one of the hormone levels in your body needs to be high. This hormone is called thyroid stimulating hormone or TSH. A high level of TSH helps any thyroid cancer cells in the body to take up radioactive iodine.

Why is radioactive iodine used for thyroid cancer?

It is a useful treatment in thyroid cancer because the thyroid gland absorbs and stores most of the iodine in your body. The thyroid gland gets iodine from certain foods and uses this to make essential thyroid hormones. Radioactive iodine is a targeted treatment. The radioactive iodine circulates throughout your body in your bloodstream.

How long does it take to stop taking thyroid hormone?

have an injection of a man-made TSH called recombinant human TSH (rhTSH) once a day for 2 days. stop taking your thyroid hormone tablets a few weeks before treatment (thyroid withdrawal) Your healthcare team will explain what you need to do and what is going to happen.

What foods contain iodine?

raw green vegetables such as spinach and broccoli. cakes and biscuits made with eggs or butter. milk chocolate and white chocolate. take away foods, fast foods and restaurant food as their ingredients aren't known and might contain iodine.

Does iodine kill cancer cells?

Thyroid cancer cells in your body pick up the iodine. The radiation in the iodine then kills the cancer cells.

Can you stop breastfeeding while on radioactive iodine?

You should not have this treatment during pregnancy. Talk to your doctor if you are breastfeeding. You will need to stop breastfeeding before you have treatment with radioactive io dine.

Does iodine kill thyroid cancer?

The radiation in the iodine then kills the cancer cells. It is only suitable for some types of thyroid cancer. It is a treatment for: It can treat the cancer even if it has spread. But even if you have one of these types of thyroid cancer, this treatment may not be necessary or suitable for you. Not all of the cancer cells take up ...

How to minimize radiation risks?

Keep Your Distance. Here are some ways to minimize radiation risks to other people (and pets) after you have had RAI treatment: Stay at least six feet away from other people, including members of the public, family members, and co-workers, for three to 11 days. This means avoiding public transportation, hotels, carpools, and in some cases, ...

How to avoid radiation?

Here are some ways to minimize radiation risks to other people (and pets) after you have had RAI treatment: 1 Stay at least six feet away from other people, including members of the public, family members, and co-workers, for three to 11 days. This means avoiding public transportation, hotels, carpools, and in some cases, your workplace. 2 Sleep apart from adults by at least six feet (a separate bedroom is recommended) and avoid sexual activity. 3 Avoid sleeping in the same bed with a pregnant woman, infant, or child for a period of six to 23 days. According to the Nuclear Regulatory Commission, infants and children should ideally stay outside the home for the recommended period. 1  4 To protect family pets, do not sleep with them for up to 21 days.

Does iodine affect thyroid?

Because the radioactive iodine used (known as iodine 131) may expose those around you to the effects of radiation (and theoretically negatively affect their thyroid glands), you will be given guidelines on how to prevent such exposure. Laura Porter / Verywell.

Can you hospitalize after a RAI?

It is not common in the United States to hospitalize patients after RAI, but if you are receiving a particularly high dosage of iodine 131 and have no way to protect children or babies, it may be an option. A Low-Iodine Diet Can Make Radioactive Iodine Treatment More Effective.

Why is radioactive iodine used for thyroid surgery?

Radioactive iodine is also used if you have your thyroid removed (thyroidectomy) because of thyroid cancer. Radioactive iodine therapy destroys any remaining thyroid tissue or cancer cells that were not removed during surgery. Learn more.

How long does it take for iodine to leave your body?

What To Expect. Most people don't feel different after treatment. But a few people may have nausea. Within a few days after treatment, the radioactive iodine will leave your body in your urine and saliva. How long it takes will depend on your age and on the dose you received.

How long does it take for thyroid to go down after iodine?

In almost all cases, your thyroid hormone levels will return to normal or below normal after radioactive iodine treatment. This may take 8 to 12 weeks or longer. If your thyroid hormone level does not go down after 6 months, you may need another dose of radioactive iodine.

Does radioactive iodine harm thyroid tissue?

Radioactive iodine, given in a capsule or liquid form, is absorbed and concentrated by the thyroid gland. The treatment destroys thyroid tissue but does not harm other tissue in the body.

How long does it take for iodine to leave your body?

Most people don't feel different after treatment. But a few people may have nausea. Within a few days after treatment, the radioactive iodine will leave your body in your urine and saliva. How long it takes will depend on your age and on the dose you received.

How long does it take for thyroid to return to normal after iodine?

For most people, one dose of radioactive iodine treatment will cure hyperthyroidism. Usually, thyroid hormone levels return to normal in 8 to 12 weeks. In rare cases, the person needs a second or third dose of radioactive iodine. Risks. Some side effects from radioactive iodine treatment include:

Does radioactive iodine harm thyroid?

After you swallow it, it is taken up by your thyroid gland. Depending on the dosage used, the radioactivity in the iodine destroys most or all of the tissue in your thyroid gland, but it does not harm any other parts of your body.

How to get rid of radioiodine in urine?

Clean your hands thoroughly every time you use the bathroom. After you go to the bathroom, soap up and scrub your hands thoroughly, as you'll be passing the most radioiodine in your urine. Scrub for at least 20 seconds before rinsing.

How to prevent radioactive particles in the house?

1. Wash your linens and clothes separately from the rest of the household. Always wash your towels, sheets, and clothes in a different load from other household items. They may spread radioactive particles to other items in the house if you don't take this precaution.

How to keep dishes from spreading radioactive particles?

2. Wash your dishes separately from the rest of the dishes. Reserve dishes and utensils for yourself that only you use, kept away from other dishes and utensils. Also, wash these items separately from other household dishes so you don't spread radioactive particles to other items.

Can you get radioactive iodine if you have thyroid cancer?

If you're being treated for hyperthyroidism or thyroid cancer, you may be given radioactive iodine or radioiodine. [1] With this treatment, it's possible to contaminate others with radiation, even though the amount of radiation you're given is fairly small.

Can radiation contaminate other people?

With this treatment, it's possible to contaminate others with radiation, even though the amount of radiation you're given is fairly small. For that reason, take precautions to clean up after yourself, particularly in the bathroom and the kitchen, and to isolate items you use from other household items.

Can you shower with radioiodine?

Showering helps wash away what your body's shedding each day in radioiodine. However, skip baths, as you'd just be soaking in radioiodine. Plus, you're more likely to leave radioiodine behind in the bathtub. ...

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