Treatment FAQ

what happens to your body after rai treatment

by Leatha Langosh Published 3 years ago Updated 2 years ago
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Radioactive iodine treatment ablates your thyroid enough to cause a stable thyroid hormone state. Commonly, people develop hypothyroidism after RAI, though the rate at which this occurs within the first year after treatment depends on the radioiodine dose. The higher the dose, the higher the likelihood of hypothyroidism.

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. Rarely, people can feel pain in their neck.May 24, 2021

Full Answer

What are the possible side effects of Rai?

Oct 30, 2018 · Important to men is the fact that radioactive iodine can cause short-term reductions in sperm count for up to 2 years after your procedure (8). This may or may not be important to you based on your age, your gender, and whether or not fertility is something you are interested in but, again, it's worth knowing about.

What happens if you have Rai after thyroidectomy?

Oct 31, 2015 · Most thyroid patients who receive RAI treatment eventually end up hypothyroid and will need to take thyroid hormone replacement drugs indefinitely. Official Guidelines 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.

What are the side effects of radioactive iodine (RAI) treatment?

Possible short term side effects. Inflammation of the salivary glands. Your salivary glands can become inflamed after treatment. This can cause symptoms such as swelling and pain. You ... Dry mouth. Changes to your taste. A swollen or tender …

How does Rai affect the thyroid?

Apr 20, 2022 · Long-term outcomes of RAI Hypothyroidism. Radioactive iodine treatment ablates your thyroid enough to cause a stable thyroid hormone state. Relapse. As with antithyroid medications, relapse is always a possibility. A relapse would mean you’d see a recurrence... Fetal risk. As fetal thyroid tissue is ...

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What are the long term side effects of RAI?

Longer-term complications include recurrent sialoadenitis associated with xerostomia, mouth pain, dental caries, pulmonary fibrosis, nasolacrimal outflow obstruction, and second primary malignancies. This article summarizes the common complications of RAI and methods to prevent and manage these complications.

How long does it take to get radioactive iodine out of your system?

Most of the radioiodine not collected by your thyroid gland will be eliminated during the first two days after your treatment. It leaves the body primarily through your urine, but very small amounts may leave in your saliva, sweat and during a bowel movement.

What happens to your thyroid after Rai?

Over two-thirds of those who have radioactive iodine treatment will develop hypothyroidism (an underactive thyroid). This can occur anytime from one month after the treatment and is most common within the first 12 months after treatment but can occur later.Sep 11, 2019

How do you feel after Rai?

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

Do you 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 the thyroid gland 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.Sep 12, 2017

Can thyroid come back after radioactive iodine treatment?

Abstract. The use of radioactive iodine (131I) in the treatment of Graves' disease results frequently in hypothyroidism requiring thyroid hormone supplementation. Relapse of Graves' disease months after inadequate treatment with 131I is well-recognized.

What happens to your body after your thyroid is removed?

If your entire thyroid is removed, your body can't make thyroid hormone. Without replacement, you'll develop signs and symptoms of underactive thyroid (hypothyroidism). Therefore, you'll need to take a pill every day that contains the synthetic thyroid hormone levothyroxine (Synthroid, Unithroid, others).Oct 7, 2020

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, ...

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 go home from hospital?

You will be able to go home from hospital when the radiation level in your body is at a safe level. As you will still have some radioactivity in your body you may still have to take some precautions when you go home. Your healthcare team will explain everything to you.

How long does it take for thyroxine to work?

Usually, this is 2 to 3 days after your treatment. 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.

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 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.

Can iodine set off radiation alarms?

Recent treatment with radioactive iodine may set off radiation alarms at airports. Talk to you doctor if you plan to travel abroad. You can have a certificate from the hospital, or a letter from your doctor, explaining the treatment you have had.

How long does it take for a syringe to get better?

You may have short term changes to your taste and smell. This may not start until you get home. It usually gets better within 4 to 8 weeks. It can help to drink plenty of fluids after your treatment.

Can radioactive iodine cause neck pain?

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. Rarely, people can feel pain in their neck.

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 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.

Does iodine help with thyroid cancer?

How does radioactive iodine treat 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.)

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 ...

What is a tracer used for?

A “tracer” dose of radioactive iodine can also be used to track remaining thyroid tissue and/or cancer that could have spread to other parts of the body. These tests show if iodine concentrates in areas that contain thyroid cancer, and whether large amounts of RAI are needed to destroy the tumor implants.

Can RAI cause hypothyroidism?

Permanent hypothy roidism (or underactive thyroid, when the thyroid does not produce enough hormones) is an expected side effect of RAI treatment for hyperthyroidism. Fortunately, hypothyroidism is much easier to treat than hyperthyroidism using hormone replacement therapy.

When should breast feeding be stopped?

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.

Is RAI bad for you?

It is well known that RAI poses a potentially serious threat to your current weight (8). It has been reported (and shown) that the risk of becoming overweight and obese increases dramatically after radioactive iodine ablation therapy.

How does RAI work?

RAI works because it takes advantage of certain aspects of normal physiology. You probably already know that iodine (not the radiated version) is required for optimal thyroid hormone production. Each thyroid hormone has a specific amount of iodide in it (2, 3 or 4 moieties depending on the type of thyroid hormone).

What is radioactive iodine?

Radioactive iodine (often abbreviated RAI) is a therapy used to treat hyperthyroidism and thyroid cancer. In this procedure, you are intentionally given Iodide, I-131, which emits radiation. Your body then takes up this radioactive iodine into your thyroid gland where the radiation proceeds to destroy thyroid gland tissue.

What is RAI used for?

RAI is often used to treat medical conditions which result in HYPERTHYROIDISM or the production of too much thyroid hormone from the thyroid gland. Conditions such as Graves' disease or Toxic multinodular goiter may result in excessive production of thyroid hormone. This production can be stopped or blunted by either taking medication ...

Can Graves disease cause thyroid problems?

Conditions such as Graves' disease or Toxic multinodular goiter may result in excessive production of thyroid hormone. This production can be stopped or blunted by either taking medication (anti-thyroid medication), removing the thyroid gland (thyroidectomy) or by completely destroying it with radioactive iodine.

Is Graves disease an autoimmune disease?

Up to 60-80% of patients with hyperthyroidism have Graves' disease which is an autoimmune disease. Patients with this condition often experience excessive doses of thyroid hormone as antibodies stimulate the thyroid gland. Nearly 90% of patients with Graves' disease experience a reduction in thyroid hormone serum levels after the procedure (2).

Can RAI be used for thyroid cancer?

In addition to being used to treat hyperthyroidism RAI can also be used to treat thyroid cancer. But it is often used in a different way which is worth discussing. Thyroid cancer represents a different medical condition, when compared to hyperthyroidism, and requires slightly different treatment.

How long does radioactive iodine treatment last?

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.

Where does radioactive iodine treatment take place?

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.

Why is it important to stay in a room on your own?

Being in a room on your own (isolation) protects other people from radiation. Pregnant women and children are not allowed into your room. Other visitors may be able to stay for a short time when it is safe for them to do so. The amount of time staff are allowed into your room is limited.

Can being looked after in a single room be lonely?

Being looked after in a single room can feel lonely. Some people find it frightening. It can help to talk to the nurses about your worries. They can reassure you.

What is Graves disease?

Graves’ disease is an autoimmune disease that leads to overactivity of the thyroid gland (hyperthyroidism). I have Hypothyroid Mom readers struggling with hypothyroidism now since treatment for their Graves’ with radioactive iodine (RAI) or thyroidectomy. I welcome Barbara Lougheed, author of the book Tired Thyroid: From Hyper to Hypo ...

What does it mean when TSH is suppressed?

A suppressed TSH usually indicates hyperthyroidism, or high thyroid levels, but Graves’ patients have T SH Receptor antibodies that cause non- stop stimulation of the TSH Receptor; this keeps their TSH suppressed even when T4 and/or T3 levels are dangerously low.

Does T4 have T3?

In fact, because TSH is so sensitive to supplemental thyroid hormone, anyone on T4 with a normal TSH probably has a Free T3 (FT3) level that is lower than that found in healthy people. (FT3 is the blood test that most correlates with symptoms. [10] .

Who is the founder of Hypothyroid Mom?

Dana Trentini founded Hypothyroid Mom October 2012 in memory of the unborn baby she lost to hypothyroidism. This is for informational purposes only and should not be considered a substitute for consulting your physician regarding medical advice pertaining to your health. Hypothyroid Mom includes affiliate links including the Amazon Services LLC Associates Program.

How to avoid radiation?

2. To decrease the radiation dose to others: 1 You should sleep in a separate bed. Cover the pillow with two pillowcases or a water-resistant cover if possible. 2 Remain in your home for the first four days. 3 Do not hold young children or spend much time near a pregnant woman. 4 Family members should stay about six feet or more from you. After the first two days, they may be closer for brief periods, such as a few minutes. 5 At the end of four days wash your laundry, including the pillowcases, by itself. This need only be done once.

How to reduce radioactivity?

To decrease the spread of radioactivity: If possible, use a separate bathroom. Flush the toilet two times after each use. Men should sit down when urinating. If urine should be spilled/splashed, wash and rinse the affected area three times, using paper towels or tissue.

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