Treatment FAQ

what happens after radioiodine treatment

by Mr. Jaeden Tillman Published 2 years ago Updated 2 years ago
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Once you have taken the Radioactive Iodine, your thyroid absorbs as much as it is capable of. The excess will be eliminated from your body over the next few days, and for an extended period in smaller amounts as it cycles through your thyroid. Your body releases the Radioactive Iodine through urine, feces, sweat and saliva.

A swollen or tender neck and feeling flushed
Some people may have a feeling of tightness or swelling in their neck for a few days after treatment. This is more common if you still had a large part of your thyroid gland when you have radioactive iodine treatment. Some people also feel flushed.
May 24, 2021

Full Answer

What are the side effects of radioiodine treatment?

The side effects are commonly the result of radiation damage to the salivary glands. The frequency of such complaints advocates regular protection of the salivary glands. Severe long-term side effects are rare after high-dose radioiodine treatment.

What happens after radioactive iodine treatment?

After having treatment. For a few days after radioactive iodine treatment, you will be slightly radioactive. Every day the doctors will come and take measurements from you to work out how much radiation is left in your body. They will tell you when the radioactivity has dropped to a safe level and you can go home.

How does radioiodine leave the body?

Radioiodine leaves your body primarily through your urine, but very small amounts can be found in your saliva, sweat and bowel movements. Ask your doctor for more information.

Is radioiodine safe to use?

It is safe and effective but requires you to observe certain precautions to decrease the small amount of radiation that other people may receive from your body and bodily fluids. How long does the radioiodine stay in your body?

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How long does it take to feel better after radioactive 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.

What can you not do after radioactive iodine treatment?

Do not share cups, glasses, plates or eating utensils. Wash items promptly after using. Other people may use items after they are washed. Do not share towels or washcloths.

What happens after radiation treatment for thyroid cancer?

Radiation therapy is usually not used to manage thyroid cancer in young patients. Side effects depend on the treatment dosage and area and may include redness of the skin, odynophagia (painful swallowing), cough, occasional hoarseness, nausea, and fatigue. Most side effects go away soon after treatment is finished.

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.

Will I gain weight after radioactive iodine treatment?

Treatment of hyperthyroidism with RAI or anti-thyroid medications is associated with an increased risk of gaining weight and even developing obesity. This risk is slightly higher with RAI therapy compared to medications.

Can a thyroid grow back after radioactive iodine?

Once hypothyroidism has been achieved, it is usually irreversible with the patient requiring lifelong thyroid replacement. Recurrence of hyperthyroidism after RAI therapy may be due to inadequate dosing or early Marine Lenhart syndrome.

What are the signs of thyroid cancer returning?

Signs and symptoms of thyroid cancer recurrence may include:Neck swelling or a lump in the neck that may grow rapidly.Neck pain that starts in the front of the neck and sometimes extends to the ears.Trouble breathing or swallowing.Voice changes or hoarseness.Continuous cough not related to a cold.

Can thyroid cancer be completely cured?

Most thyroid cancers can be cured, especially if they have not spread to distant parts of the body. If the cancer can't be cured, the goal of treatment may be to remove or destroy as much of the cancer as possible and to keep it from growing, spreading, or returning for as long as possible.

How do you know if thyroid cancer has spread?

Taking a CT scan of the neck is done to help determine the location and size of possible thyroid cancer, and to assess whether thyroid cancer has invaded nearby structures. or spread to lymph nodes. Also, a CT scan may be used to look for the spread of cancer into distant organs such as the lungs.

Does radioactive iodine shorten life?

Quality of life is worse at 6-10 years after radioactive iodine therapy of Graves' disease compared with treatment with antithyroid drugs or surgery. Quality of life is worse at 6-10 years after radioactive iodine therapy of Graves' disease compared with treatment with antithyroid drugs or surgery.

Does radioactive iodine affect teeth?

High-dose radioiodine treatment can impair the long-term dental health, depending on the intensity of treatment and individual radioiodine uptake within the salivary glands. Patients should be made aware of salivary gland damage before high-dose radioiodine treatment.

Does radioactive iodine affect your immune system?

Treatment of Graves' disease patients with radioactive iodide (RAI) can induce two therapeutically important alterations in immune response to thyroid antigens. These may be characterized as a first response and a second phase response.

How long after radioactive iodine treatment can you take thyroid medicine?

Your nurse will tell you when you should start to take them again. Usually, this is 2 to 3 days after your treatment.

Why do you have to wait for radiation treatment?

This is because the eggs and sperm produced after treatment may be damaged by the radiation. Research suggests that if you wait for the advised period of time, you don’t have an increased risk of abnormalities with future pregnancies or children.

Why do you need thyroxine?

You will need to take thyroxine tablets to replace the hormones that your thyroid gland normally makes. Your doctors will want to keep your thyroid hormones at a slightly higher level than you would normally need. This is to stop your body producing another hormone called thyroid stimulating hormone (TSH). TSH can help some types of thyroid cancer cells to grow.

How long after iodine treatment can you go home?

After radioactive iodine treatment for thyroid cancer. Having radioactive iodine treatment means you will be radioactive for several days afterwards. You will be able to go home from hospital when the radiation level in your body is at a safe level.

How long after iodine treatment should you follow safety precautions?

You will need to follow safety precautions for a few days after your radioactive iodine treatment. This is to protect others from the radiation. The advice about precautions varies for different people and for different hospitals. Talk to your doctor or specialist nurse.

How to get rid of radiation in your body?

For a few weeks you will need to use your own towel and keep your cutlery and plates away from others until washed. Continue to flush the toilet twice and wash your hands thoroughly after using the toilet.

How to avoid radiation?

If you live or work with other people, you will need to keep a distance from them. Avoid standing or sitting close to them. This stops them from getting radiation from you.

How does radioactive iodine treat hyperthyroidism?

Your thyroid, a butterfly-shaped gland located in the lower front of your neck, produces hormones that regulate your body’s metabolism and other functions. Hyperthyroidism speeds up the body’s processes causing nervousness and anxiety, rapid heartbeat, missed or light menstrual periods, sleep problems, hand tremors and other problems.

What is radioactive iodine used for?

Radioactive iodine (RAI) can be used for the treatment of overactive thyroid ( hyperthyroidism) and certain types of thyroid cancer . The term “radioactive” may sound frightening, but it is a safe, generally well-tolerated, and reliable treatment that targets thyroid cells so there is little exposure to the rest of your body’s cells.

How does RAI work?

The thyroid is the most efficient organ at concentrating iodine. RAI treats hyperthyroidism by damaging or destroying thyroid cells through radiation. RAI is taken in an oral capsule form. You don’t need to be hospitalized unless the dose is very high, which is rarely needed.

How long after RAI can I breastfeed?

Pregnancy should be delayed at least six to 12 months after RAI treatment for thyroid cancer. Breast feeding should be stopped at least six weeks before RAI and should not be resumed. In the days immediately following your RAI therapy, be aware of these general precautions to prevent radioactive exposure to others.

What is the treatment for thyroid cancer?

The most common types of thyroid cancer (papillary and follicular) can usually be treated with large doses of radioactive iodine. (The dosages of RAI are much higher than with hyperthyroidism treatment.) The therapy is usually given after removal of the thyroid gland to destroy any remaining thyroid tissue. A “tracer” dose of radioactive iodine can ...

How long does it take for iodine to flush out of the body?

Most patients need only one dose before their hyperthyroidism is resolved, which may take a few weeks to several months.

What are the side effects of RAI?

Temporary side effects of RAI may include: 1 Neck tenderness and swelling. 2 Nausea. 3 Swollen salivary glands. 4 Loss of taste or taste change. 5 Dry mouth/insufficient salivary production. 6 Dry eyes. 7 Excessive tearing from the eyes.

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.

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, ...

What to do before RAI treatment?

Before you or any family members have RAI treatment, it is strongly recommended that you read up on post-RAI guidelines and speak with your healthcare providers about how they should be applied to you .

Is iodine used for Graves disease?

If radioactive iodine treatment (RAI) is recommended as part of your treatment for Graves’ disease, hyperthy roidism, or thyroid cancer, you will most likely be given it as an outpatient. 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.

Can you take iodine 131 with pets?

The following recommendations will give you an idea of precautions to take to avoid exposing other people (as well as pets) to iodine 131, which may be present in bodily fluids or occur as a result of close contact. The recommended timeframes are based on the size of the dosage you are receiving, so discuss the specifics with your healthcare provider prior to treatment.

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.

How does radioiodine work?

In short, radioiodine is administered as a salt pill or solution. Instead of being normal salt, sodium chloride (NaCl), it is sodium iodide (NaI). Once you swallow the treatment dose, iodine-131 ( 131 I) is rapidly absorbed into the circulation.

How long should you sleep with radioiodine?

You should also make separate sleeping arrangements for the first 48 hours to maintain this distance. Since the radioiodine is administered as a salt, is can pass through the skin barrier with perspiration, so you shouldn't exercise or swim in pools during the first 48 hours.

How long does it take for iodine to be excreted?

Excretion is so rapid that as long as you have reasonable kidney function, 50% of the administered iodine is gone within eight hours. Another 50% of the remaining circulating iodine is excreted during the second eight hours and so on.

What percentage of iodine is fixed in thyroid?

The remaining 1.6% of the iodine at this point is primarily fixed in any residual thyroid tissues and no longer circulating. It's this residual fixed iodine that achieves the therapeutic effect of the treatment. You should first understand that you don't need to place yourself in an isolation room.

How long should you wash your clothes after a radioactive reaction?

Personal clothing, sheets, bedding, washcloths, and towels should be collected and washed separately for the first 48 hours. After washing, run the washing machine through an extra wash cycle to clear out any residual radioiodine before using it for others.

How long after iodine is taken to go away?

After the first two days post-administration, 98% of the iodine will be gone and you can begin to ease up on these instructions. However, many providers will recommend that you try to keep it up for the first week post-administration, just to be overly cautious.

How far away should you be from family during radioiodine?

You should try to keep all family and friends during this period at least one meter (three feet) away and do not have direct physical contact, especially intimate contact, like kissing or hand holding where radioiodine could be passed onto others.

How long does radioiodine stay in your system?

Radioiodine stays in your body for only a short time. Most of the radioiodine that does not go to thyroid tissue will be eliminated from your body during the first few days after treatment. Radioiodine leaves your body primarily through your urine, but very small amounts can be found in your saliva, sweat and bowel movements.

What is radioiodine used for?

What is radioiodine? Radioiodine (sodium I-131) is a form of radiation therapy that has been used for many years to treat thyroid conditions. It is safe and effective but requires you to observe certain precautions to decrease the small amount of radiation that other people may receive from your body and bodily fluids.

How can radiation exposure be reduced?

Radiation exposure to other people can be reduced by keeping a reasonable distance between yourself and others and keeping the time you are close to others to a minimum. Your doctor should review the following instructions with you and answer all of your questions.

How can you reduce radiation exposure to others?

Radiation exposure to other people can be reduced by keeping a reasonable distance between yourself and others and keeping the time you are close to others to a minimum. Your doctor should review the following instructions with you and answer all of your questions. It is important to let your doctor know if you will not be able to follow all of these instructions.

What is the present investigation of radioiodine treatment?

The present investigation is an evaluation of intermediate and long-term side effects in patients after high-dose radioiodine treatment due to differentiated thyroid carcinoma.

Is radioiodine safe for long term?

Severe long-term side effects are rare after high-dose radioiodine treatment. Moderate side effects are common. The side effects are commonly the result of radiation damage to the salivary glands. The frequency of such complaints advocates regular protection of the salivary glands.

How to treat hypothyroidism after radioactive iodine?

Hypothyroidism is most often treated through hormone replacement therapy —a safe and effective treatment option that involves taking hormone medications to restore healthy hormone levels. Most people who develop hypothyroidism after radioactive iodine treatment can expect to take some form of hormone medication every day for the rest of their lives. This may sound extreme at first, but this vital medication is essentially doing the job of a healthy thyroid gland; it’s absolutely critical to bodily health. And while you may not feel any side effects of the medication when it’s working, whether good or bad, most patients say they notice an immediate difference when they stop taking their medication. To feel well every day and avoid all the symptoms of hypothyroidism, this simple step usually feels like a no-brainer.

How long after RAI can you start thyroid hormone?

They may even preemptively schedule you to start thyroid hormone treatment within a few weeks of the RAI procedure, just to be safe.

Can you take thyroid medication after RAI?

However, it can take a little while for you and your doctor to find the appropriate dose for your thyroid medication. Too little, and your hypothyroidism symptoms, such as deep fatigue and hair loss, may compromise your quality of life. Too much, and you might experience the familiar racing heart and nervous energy that you needed RAI to resolve. It’s also possible for hypothyroidism to worsen over time, which is why ongoing monitoring is critical to ensuring the best outcomes. After years of taking one dose of hormones, you might need to increase to a higher dose.

Can you get hypothyroidism after iodine?

Treating Hypothyroidism After Radioactive Iodine Treatment Helps You Find Balance. For those who struggle with hyperthyroidism or thyroid cancer, radioactive iodine treatment (RAI) can be a life-changing treatment option. But despite the promise of RAI, there is often a downside: you are likely to develop transient or permanent hypothyroidism ...

Can I-131 cause hypothyroidism?

Not everyone who has RAI, also known as I-131, will experience hypothyroidism. Your individual risk is largely determined by the dose of radioactive iodine your doctor prescribes and how much of your thyroid is affected. Research suggests that factors such as age, BMI, and prior medication history may also play a role.

Can you feel the effects of taking a thyroid medication?

And while you may not feel any side effects of the medication when it’s working, whether good or bad, most patients say they notice an immediate difference when they stop taking their medication. To feel well every day and avoid all the symptoms of hypothyroidism, this simple step usually feels like a no-brainer.

Can you take thyroid medication after radioactive iodine?

No matter which hormone medications you need to take in order to treat hypothyroidism after radioactive iodine treatment, the best route is to consult with a hormone health specialist and get expert counsel. Maintaining a stable dose of thyroid medication is a job any primary care physician would be able to take on.

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