Treatment FAQ

where to stay after radioactive iodine treatment montefiore

by Ms. Margarita Altenwerth Published 3 years ago Updated 2 years ago

How do you store radioactive iodine in the hospital?

The bedsheets and pillowcases will retain most of the radioactive iodine, as will anything she touches, such as the phone. If we keep a patient in the hospital, we cover the TV clicker and the telephone with Saran Wrap.

Should I go to the hospital after iodine 131?

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. Do not cook for anyone else.

What can I expect to live after radioactive 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'.

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.

Do you have to stay in the hospital after radioactive iodine treatment?

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.

How long do you have to be in isolation 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.

Why do you have to quarantine after radioactive iodine treatment?

Patients who need to travel in the days after I-131 RAI treatment are advised to carry a letter of explanation from their physician. This is because radiation detection devices used at airports or in federal buildings may pick up even very small radiation levels.

Do you have to isolate after radiation treatment?

The radiation travels a very short distance, so the effects are mostly to the tumor. However, you may have to limit contact with other people for up to one week after treatment. It is especially important to avoid close contact with children and women who are pregnant.

How long should my husband sleep alone after radioiodine treatment?

Sleep alone for the first few (3 - 4) days. Avoid kissing or sexual intercourse for three to four days after treatment. Do not sleep together for an entire night until a week after treatment. Avoid prolonged physical contact, particularly with children and pregnant women; limit to 15 minutes.

What should I do after radioactive iodine treatment?

After Your Radioactive Iodine TreatmentDrink lots of liquids. ... Your urine will be radioactive so urinate as much as you can to empty your bladder. ... Your bowel movements (poop) will also be radioactive. ... Some people have a dry mouth after treatment. ... Call your nurse if you have any problems, such as nausea or stomach pain.

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.

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.

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.

Can you gain weight after radioactive iodine treatment?

You may gain weight. This is probably not what you want to hear, especially if this is a procedure that is necessary for your health, but it's still important to know about it. You may gain weight after you undergo radioactive iodine 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.

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 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.

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 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 to get radioactive iodine out of a daughter's body?

A. The iodine will come out of your daughter's pores in sweat, urine, and stools. Frequent hand washing will reduce the spread of contamination. The bedsheets and pillowcases will retain most of the radioactive iodine, as will anything she touches, such as the phone.

How long does it take for radioiodine to come out of your body?

My institution recommends the following: The First Four Days : 1. Most of the radioiodine in your body will come out through the urine and stool. A small portion of radioactivity will be found in your saliva and sweat. To decrease the spread of radioactivity: If possible, use a separate bathroom.

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.

How to reduce radiation dose to others?

To decrease the radiation dose to others: You should sleep in a separate bed. Cover the pillow with two pillowcases or a water-resistant cover if possible. Remain in your home for the first four days. Do not hold young children or spend much time near a pregnant woman.

Does iodine 131 wash out?

She should have received written instructions on handling of the linens and bath towels. 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.

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 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 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 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 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.

What tissue is 131 I?

Only one tissue in the body has a need to fix and hold onto the iodine, namely thyroid tissu e. The remaining tissues in the body treat the iodine as salt and the iodine is rapidly cleared from the body circulation, ...

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