Treatment FAQ

why do you need to be on isolation during radioactive iodine treatment for thyroid cancer

by Jocelyn Hickle IV Published 2 years ago Updated 2 years ago

Depending on the dose of radioiodine used and where you are being treated, you might need to be in the hospital for a few days after treatment, staying in a special isolation room to prevent others from being exposed to radiation. Some people may not need to be hospitalized.

Your body will give off radiation for some time after you get RAI therapy. Depending on the dose of radioiodine used and where you are being treated, you might need to be in the hospital for a few days after treatment, staying in a special isolation room to prevent others from being exposed to radiation.Mar 14, 2019

Full Answer

How do you clean after radioactive iodine treatment?

  • Avoiding physical contact with other members of the household, including sleeping alone
  • Flushing your toilet twice after every use
  • Washing your hands frequently with decontamination soap
  • Avoiding cooking for others
  • Using plastic gloves to cook
  • Keeping all clothing and linens separate from the rest of the household

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What are the risks of radioactive iodine 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. ...
  • Sleep apart from adults by at least six feet (a separate bedroom is recommended) and avoid sexual activity.
  • Avoid sleeping in the same bed with a pregnant woman, infant, or child for a period of six to 23 days. ...

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Can you smoke while on radioactive iodine treatment?

currently undergoing a low dose 30mg radioactive iodine treatment. Will the treatment have a different effect if I smoke. Thank you. ... View answer What causes pain in ribcage after receiving dose of radioactive iodine?

What are the long term side effects of radioactive iodine?

Long term side effects of radioactive iodine treatment vary depending on:

  • your age
  • other medical conditions
  • your dose of radioactive iodine

Why 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 be around someone who has had radioactive iodine?

General recommendations. For a period of time, you will need to keep your distance from other people, especially young children and pregnant women. Avoid close contact, kissing, and sexual activity. You may need to sleep in a separate bed from your partner.

What precautions should be taken with radioactive iodine therapy?

What precautions should be taken with radioactive iodine therapy?Avoid prolonged, close physical contact with others, especially children and pregnant women.For the first few days stay a distance of at least 6 feet away from others. ... Sleep alone in a separate bed (at least 6 feet away from another adult).More items...•

Do I have to isolate after radiation therapy?

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.

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.

How long is radioactive iodine isolation?

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 long do you have to quarantine after radioactive iodine treatment?

Depending on state regulations, patients may have to stay isolated in the hospital for about 24 hours to avoid exposing other people to radiation, especially if there are young children living in the same home.

Can I touch things after radioactive iodine?

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.

Can you wash radiation off clothes?

Any radioactive material that gets into surface water or ground water sources will be diluted to very low levels by the water and will be safe to use for washing skin, hair, and clothing.

What is radioactive isolation?

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.

How do you clean your house after radioactive iodine?

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.

What can you not do during radiation treatment?

Avoid raw vegetables and fruits, and other hard, dry foods such as chips or pretzels. It's also best to avoid salty, spicy or acidic foods if you are experiencing these symptoms. Your care team can recommend nutrient-based oral care solutions if you are experiencing mucositis or mouth sores caused by cancer treatment.

What is the radiation used for thyroid cancer?

The radiation dose used here is much stronger than the one used in radioiodine scans, which are described in Tests for Thyroid Cancer. This treatment can be used to ablate (destroy) any thyroid tissue not removed by surgery or to treat some types of thyroid cancer that have spread to lymph nodes and other parts of the body.

How long after radiation therapy can you go home?

Depending on the dose of radioiodine used and where you are being treated, you might need to be in the hospital for a few days after treatment, staying in a special isolation room to prevent others from being exposed to radiation. Some people may not need to be hospitalized. Once you are allowed to go home after treatment, you will be given instructions on how to protect others from radiation exposure and how long you need to take these precautions. These instructions may vary slightly by treatment center. Be sure you understand the instructions before you leave the hospital.

How long should I take thyrotropin before RAI?

Another way is to get an injection (shot) of thyrotropin (Thyrogen), which can make withholding thyroid hormone for a long period of time unnecessary. 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.

How to treat RAI?

For RAI therapy to be most effective, you must have a high level of thyroid-stimulating hormone (TSH or thyrotropin) in the blood. This hormone is what makes thyroid tissue (and cancer cells) take up radioactive iodine. If your thyroid has been removed, there are a couple of ways to raise TSH levels before being treated with RAI: 1 One way is to stop taking thyroid hormone pills for several weeks. This causes very low thyroid hormone levels (hypothyroidism), which makes the pituitary gland to release more TSH. This intentional hypothyroidism is temporary, but it often causes symptoms like tiredness, depression, weight gain, constipation, muscle aches, and reduced concentration. 2 Another way is to get an injection (shot) of thyrotropin (Thyrogen), which can make withholding thyroid hormone for a long period of time unnecessary. This drug is given daily for 2 days, followed by RAI on the 3 rd day.

What to do if you have any questions about the possible risks and benefits of your treatment?

Talk to your health care team if you have any questions about the possible risks and benefits of your treatment.

Can you use rai for thyroid cancer?

Discuss your risks and benefits of RAI therapy with your doctor. Radioactive iodine therapy cannot be used to treat anaplastic (undifferentiated) and medullary thyroid carcinomas because these types of cancer do not take up iodine.

Can radiation cause irregular periods?

Radioactive iodine may also affect a woman’ s ovaries, and some women may have irregular periods for up to a year after treatment.

How to stay in isolation?

Just because you have to be in isolation, does not mean you have to stay inside 4 walls. Go for a walk. Get some sunshine. Breathe fresh air. Be cautious in staying away from people, obviously. But going outdoors can be a real boost.

Do you need to put others first during radiation?

Other than being careful not to expose others to radiation, you do not need to put others first during this time. What to do I mean?

Can you eat gummy bears on a low iodine diet?

It can be hard to indulge on the low iodine diet, but you can do it. I got a giant bag of gummy bears and ate the whole thing. I binge watched Jane Austen movies.

Is mindset a part of isolation?

Mindset is at least half the battle with isolation. There are plenty of negatives in your life going into isolation. I’ve listed just a few above.

Is radioactive iodine treatment hard?

Radioactive iodine treatment isolation is hard. You don’t feel well, are tired, and are lonely. The low iodine diet makes eating challenging. The world is still reeling from your surgery and cancer diagnosis in the first place. The treatment itself can have unpleasant side effects.

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.

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.

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.

How long should you have a low iodine diet?

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.

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 fast food contain iodine?

take away foods, fast foods and restaurant food as their ingredients aren't known and might contain iodine

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.

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.

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Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

Why is iodine important for the thyroid gland?

Iodine is essential for proper function of the thyroid gland, which use s it to make the thyroid hormones. The thyroid is equipped with an active system or “pump” for moving iodine into its cells, where it is concentrated as iodide. The thyroid gland is the only tissue in the body that takes up and holds onto iodine.

WHAT IS RADIOACTIVE IODINE (RAI)?

Iodine, in the form of iodide, is made into two radioactive forms of iodine that are commonly used in patients with thyroid diseases: I-123 ( harmless to thyroid cells) and I-131 ( destroys thyroid cells ). The radiation emitted by each of these forms of iodine can be detected from outside the patient to gain information about thyroid function and take pictures of the size and location of thyroid tissues. RAI is safe to use in individuals who have had allergic reactions to seafood or X-ray contrast agents, since the reaction is to the compound containing iodine, not the iodine itself. RAI is given by mouth in pill or liquid form.

WHEN IS RAI USED FOR TREATMENT OF THYROID DISORDERS?

I-131 may occasionally cause mild pain in the neck that can be treated with aspirin, ibuprofen or acetaminophen. The RAI treatment may take up to several months to have its effect. Frequently, the end result of RAI treatment of hyperthyroidism is hypothyroidism, which is treated by thyroid hormone replacement (see Hypothyroidism brochure ).

What is the purpose of I-131?

THYROID CANCER – Large doses of I-131 are used to destroy thyroid cancer cells (see Thyroid Cancer brochure ). This is performed after the remaining thyroid cells ( including any cancer cells) are stimulated by raising TSH levels by either withdrawing the thyroid hormone pills or by treating with recombinant human TSH.

Is rai safe for thyroid?

In general, RAI is a safe and effective treatment for the thyroid disorders mentioned above. Hypothyroidism is a common side effect of RAI for hyperthyroidism and always seen after RAI for thyroid cancer. This is usually easily treated with thyroid hormone replacement (see Hypothyroidism brochure ). Some studies suggest a slight increase in thyroid cancers may be seen after RAI treatment for hyperthyroidism. Loss of taste and dry mouth due to salivary gland damage may be seen. The use of lemon drops, vitamin C or sour stimulation to potentially decrease the exposure of the salivary glands to RAI is controversial and should be discussed with your physician. Importantly, once you have been treated with RAI, regular medical follow-up is lifelong.

Is 131-I radiation safe?

Although the treatments with 131-I are generally safe, RAI produces radiation so patients must do their best to avoid radiation exposure to others, particularly to pregnant women and young children. The amount of radiation exposure markedly decreases as the distance from the patient increases. 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. Details should be discussed with a physician prior to, and at the time of, the RAI treatment.

DOES RAI FOR THYROID IMAGING PROVIDE THE BEST RESULTS?

No special radiation precautions are necessary after a thyroid scan or RAIU using I-123. I-131 can also be used to take pictures of the thyroid gland, although it is rarely used due to the harmful effects it has on thyroid cells.

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 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.

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.

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.

Why do people get radioactive iodine?

Most people who get radioactive iodine treatment do so because they are considered to be hyperthyroid ( sometimes people get RAI for thyroid cancer (5) but most people get it for hyperthyroidism).

What is radioactive iodine used for?

Radioactive iodine is a procedure that is often used to treat hyperthyroidism.

How long does 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).

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'.

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.

What happens if you don't have thyroid?

If you don't have thyroid hormone at all then you risk the chance of coma and death.

Why do I get RAI?

The most common reason for RAI is the autoimmune condition known as Graves' disease (6).

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