Is radioactive iodine treatment an inpatient or outpatient procedure?
Ana Maria Kausel, MD, is a double board-certified endocrinologist affiliated with Mount Sinai St. Luke's/Mount Sinai West in New York City. If radioactive iodine treatment (RAI) is recommended as part of your treatment for Graves’ disease, hyperthyroidism, or thyroid cancer, you will most likely be given it as an outpatient.
How long do you stay in the hospital after radioactive iodine?
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 happens during radioactive iodine treatment?
What should I consider before having radioactive iodine treatment (RAI)?
Ten things to consider before having radioactive iodine treatment (RAI) 1 It’s permanent; once you take the iodine capsule there is no changing your mind. 2 Since the science is inexact there are two ways of approaching the treatment. 3 Treatment can cause thyroid storm as the dying gland "dumps"... 4 For up to 4-8 weeks after dosage,...
What are the risks of radioactive iodine treatment?
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.
Do you stay in hospital with 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.
Can you go home after radioactive iodine treatment?
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.
Do you have to isolate after radioactive iodine?
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.
Can you go home after radiation treatment?
You may be able to go home shortly after the procedure. Depending on the area treated, you may receive several treatments over a number of days or weeks. Most patients feel little discomfort during brachytherapy. If the radioactive source is held in place with an applicator, you may feel discomfort from the applicator.
How long do you stay in the hospital after radioactive iodine treatment?
Most people are in the hospital for 1 night. Your doctor will tell you if you need to stay longer. You'll have another whole-body scan several days after your treatment. This helps your doctor see where the dose of radioactive iodine was taken up in your body.
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.
What can I expect from radioactive iodine treatment?
Risks and side effectsNeck tenderness and swelling.Nausea and vomiting.Swelling and tenderness of the salivary glands.Dry mouth.Taste changes.
How do you prepare for radioactive iodine?
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.
What can you eat on radioactive iodine treatment?
Which foods are allowed on the low-iodine diet?vegetables and fruits (fresh or frozen)nut butters.egg whites.fresh meats (less than 6 ounces per day)peeled sweet or regular potatoes.pastas.vegetable oils.whole grains, such as rice or oatmeal.More items...•
Is radiation worse than chemo?
The radiation beams change the DNA makeup of the tumor, causing it to shrink or die. This type of cancer treatment has fewer side effects than chemotherapy since it only targets one area of the body.
Is radiation therapy painful?
Does radiation therapy hurt? No, radiation therapy does not hurt while it is being given. But the side effects that people may get from radiation therapy can cause pain and discomfort. This booklet has a lot of information about ways that you and your doctor and nurse can help manage side effects.
What does radiation fatigue feel like?
Feeling very tired and lacking energy (fatigue) for day-to-day activities is the most common side effect of radiation therapy to any area of the body. During treatment, your body uses a lot of energy dealing with the effects of radiation on normal cells.
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 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 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 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.
Is radioactive thyroid medicine safe?
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 . Cleveland Clinic is a non-profit academic medical center.
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.
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.
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.
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 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.
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).
How long before breast cancer treatment can you pump milk?
To prevent having radioactive iodine collect in your breast after your treatment, you’ll need to stop breastfeeding or pumping breast milk at least 6 to 12 weeks before 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.
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.
How long after iodine treatment can you drink?
The capsule is about the size of a paracetamol capsule. You won’t be able to eat or drink for a couple of hours afterwards so that your body can absorb the iodine. After that, you should drink plenty of fluids to flush the radioactive iodine out of your system.
How long does saliva stay radioactive?
So your sweat, urine and saliva will be radioactive for a few days. There are certain precautions that you and the staff need to follow. Try not to be alarmed by these. Your treatment contains a low dose of radiation that is necessary to treat your cancer.
How long do you stay in the hospital after taking iodine?
On the third day, you’ll be admitted to the hospital for your treatment. Most people are in the hospital for 1 night. Your doctor will tell you if you need to stay longer.
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 your thyroid from taking up the radioactive iodine. Continue to follow this diet for 24 hours after the treatment is completed, or as instructed by your doctor.
What is the name of the shot that helps the thyroid absorb radioactive iodine?
After those tests, you’ll see your doctor and get a thyrotropin alfa (Thyrogen ®) injection (shot) to help you get ready for your treatment. This injection will help any leftover thyroid tissue absorb the radioactive iodine. On the second day, you’ll get another thyrotropin alfa injection.
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.
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, sweat, and stool (poop).
How long before breast cancer treatment can you pump milk?
To prevent having radioactive iodine collect in your breast after your treatment, you’ll need to stop breastfeeding or pumping breast milk at least 6 to 12 weeks before your treatment.
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.
How long can you live after iodine treatment?
You can expect to live a fairly normal life after radioactive iodine treatment but your life will probably not be exactly as it was before your procedure. For most people, this means that you can expect to live at 80-90% of your 'normal'.
How long does radioactive iodine affect sperm count?
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.
How to avoid weight gain after RAI?
Your best bet to AVOID weight gain after RAI is to go into your procedure with a normal weight and to maintain a healthy lifestyle both before and after. Just realize that you will always be in a 'sensitive' category and you will be more likely to gain weight compared to people with their thyroid intact. #3.
What happens if you destroy your thyroid gland?
And, if you destroy your thyroid gland, it turns out that that may have consequences on your metabolism. Anectodally, you've probably already heard stories about people gaining weight after their procedure.
Can you survive after RAI?
You can obviously survive after RAI (otherwise they wouldn't do the procedure) but I want to teach you how to thrive afterward. And to key to getting there is to understand what happens to your body after this procedure and how it influences your thyroid function.
Can you take a thyroid pill every day?
There's no way for doctors to give you a pill once a day and for that pill to perform the exact same function that your thyroid gland does every minute of every day. Because of this, people may experience symptoms which may lead them to want to restore whatever thyroid function they can.
Can beta cells take up iodine?
But you probably at least know a little bit about RAI or you wouldn't be here.
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.
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 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 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 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 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.
What is the purpose of radioactive iodine?
The aim of the treatment is to damage and kill the cells responsible for the hyperthyroidism. Radioactive iodine and some other radioisotopes used in Nuclear Medicine are produced during the production of nuclear energy. They are a by-product or, if you like, a useful waste product.
Why is radio iodine so effective?
One of the reasons that radio-iodine treatment is so effective is because the thyroid readily takes up iodine, which is used in thyroid hormone production. To ensure that the treatment is maximised you will be asked to avoid any foods and medicines ...
How long do you have to stay in hospital after ablative thyroid?
Patients who have what is called an ablative dose (usually for treatment of thyroid cancer) are asked to stay in hospital for three days following the treatment. This is to reduce the doses to other members of the public.
How long does it take to stop taking anti-thyroid medication?
This is usually prescribed in the beginning, for all patients, and approximately half of all patients are successfully treated with this method and can cease taking the medication after six months.
Why is lead used in medicine?
The lead captures the emitted radiation, preventing it from resulting in a dose to anybody. It also helps to reduce the amount of time staff spend in contact with radiation, making it possible for us to prepare injections and transport doses without exposing ourselves to an unnecessary dose of radiation.
Why can't you get pregnant after radiotherapy?
Patients are advised not to become pregnant for 6 months following radio-iodine treatment. This is because the radiation that is used could potentially affect the DNA in human cells.
What are the three types of radiation?
Nuclear Medicine concerns three types of radiation: Alpha particles, which are made up of two protons and two neutrons (the material that makes up the nucleus of any atom), Beta, which is either an electron or a positron (smaller particles that form part of an atom) and Gamma, which is basically an energy wave.