Doctor insights on:
Radioactive Iodine Contraindications
Which is a possible contraindication to the use of radioactive iodine? The use of salt substitute, presence of a goiter, or shellfish allergy
Eye disease: For patients with graves' orbitopathy (bulging eye/s), the eyes might get worst with radioactive iodine. This is a relative contraindication as we can treat with steroids to lessen the effects or prevent this from happening. The three scenarios you described above are not contraindications, however. ...Read more
Radioactivity refers to the particles which are emitted from nuclei as a result of nuclear instability. Because the nucleus experiences the intense conflict between the two strongest forces in nature, it should not be surprising that there are many nuclear isotopes which are unstable and emit some kind of radiation. The most common types of radiation are called alpha, ...Read more
Generally yes: If you're referring to radioactive iodine for treatment of hyperthyroidism, it's probably the safest treatment. Not associated with birth defects, cancer, leukemia etc. Much safer than not treating the hyperthyroidism, particularly if you have "health issues". There are also oral anti-thyroid pills. Surgery has potential risks and should be avoided except in special cases. ...Read more
Need more info: Radioactive iodine is often used for graves' disease which is a hyperactive thyroid condition. I am assuming you were given this option or partial thyroid removal to control the problem. The radioactive therapy is usually preferred but sometimes surgery is better depending on many issues. You need to discuss with endocrinologist and surgeon. ...Read more
Radioactive iodine: Your thyroid levels will likely be low and you will be prescribed thyroid medication. ...Read more
RAI: Hi. Was the 131-I for hyperthyroidism or for thyroid cancer? Once your hypothyroidism is treated and you stably have normal thyroid function (or slightly hyper if thyroid cancer), you're good to get back to your pre-illness workout routine. Be patient...you've been thru a lot. But go for it. You'll get back in your groove. To your health! ...Read more
Radioactive iodine: Eat low I foods and avoid high I products (kelp, certain vitamins, certain cold/cough remedies). Is this for hyperthryroidism or cancer? If for hyperthyroidism, you need to wait 3-4 days, and then you can resume your (other) treatments, eg methimazole. But discuss this with your doctor. It may take 3-4 months for the rai to ablate the thyroid. Watch for symptoms of hypo. ...Read more
What to if I am having radioactive iodine 131 treatment in two weeks, does anyone have any tips for me?
Follow instruction: Just follow the instructions from your doctor, and from the nuclear medicine docs. You may have been given written instructions. Read them. Avoid dietary iodine. Follow instructions on medications, esp thyroid-related drugs (methimazole, levothyroxine, etc). If this is for graves disease, you may want to take/resume a b-blocker after the treatment since T4 and T3 (liothyronine) may increase transiently. ...Read more
To ablate remnant tissue after complete thyroidectomy (initially had multiple noduls, 1-ca node), what maximum dose of radioactive iodine be taken?
Depends: The dose is related to the risk of recurrent disease. The larger the primary tumor, the higher the risk. In your age group (under 45 yo) the risk is relatively low, even with having a positive lymph node. The recommended dose would be as low as 30 mci or as high as 100. ...Read more
How long after a complete thyroidectomy and radioactive iodine until you get your stamina back? My surgery was october 19, 2010 and ri was done nov 30
Post thyroidactomy: You should feel normal (if not hyper) after around 3-4 weeks from starting your thyroid replacement therapy. Not feeling well. Is usually due to both either over or under replacement. Check your levels and adjust treent. ...Read more
Avoid surgery: Rai is designed to "kill" the thyroid without the need for surgery and surgical complications. The side effects of rai are few and manageable if done properly. Once your thyroid is dead, then you will need to take synthroid, (thyroxine) but that is easy... Much easier than taking antithyroid drugs like methimazole. You need an endocrinologist to guide you through this. ...Read more
RAI...: Radioactive iodine is used for many conditions such as graves disease, thyroid cancer, and hyperfunctioning/autonomous nodules. In each case, a particular dose of radioactive iodine is used to achieve the desired result. Each case is individual and will decide how much of the gland needs to be damaged. ...Read more
Simple answer is no: Although long term data is lacking, the current guidelines recommend rai as first choice for treatment of hyperthyroidism/Grave's (in the US) if child's age is above 7yrs of age. Medication and surgery are other options and each choice has it's pros and cons. I personally tend to opt for pharmacologic treatment if presentation is mild. Talk with your endocrinologist. ...Read more
Improvement: Radiation treatment is designed to render non-functional the hormone producing cells of the thyroid in cases of overactivity. You can expect to have an improvement in your symptoms and a feeling of well being. You probably will need to supplement your body with thyroid hormone to replace the loss from these cells that no longer work. ...Read more
Usually capsule: Usually liquid in capsule and is ingested by patient with liquid drink. Sometimes some patients can not swallow pills and can be administered in these rare cases, if facility is informed in advance, in liquid form. ...Read more
Thyroid scan: As above plus thyroid hormones.Get a more detailed answer ›
Radioactive iodine uptake test - can I still travel afterwards or would I have to hide out for a few days?
No need to hide.: Once you are released by your doctor you are no longer a hazard, but you may set off radiation detectors at a port. This could be very difficult in a foreign country. Best to carry a brief letter noting your recent treatment. ...Read more
Should I consider radioactive iodine therapy for regrowth of tissue after -partial, then total thyroidectomy?
It depends: That would depend on the original diagnosis and reason for thyroidectomy. If it was for benign modular disease or goiter then it shouldn't be necessary. If it was treatment of cancer then it is probably advisable but there are other factors that would need to be explored with your doctor. ...Read more
Radiation cures!: A hyperactive thyroid will absorb injected radioactive iodine. This iodine will kill the overactive thyroid cells and stop excess production of thyroid hormone. After treatment you will likely require some degree of thyroid hormone replacement to compensate for the loss of thyroid tissue. ...Read more
No: Graves' is a treatable but potentially serious disease. There is no natural alternative to treat this. ...Read more
I'm allergic to radioactive iodine. I was wondering if other thyroid meds have the iodine in them as well?
Are you sure?:
Are you allergic to iodide in contrast material? Allergy to the small amount of I in rai is extremely rare.
Thyroid hormones all have i.
You need to discuss this with your doctor or see a thyroidologist. ...Read more
Can an underactive thyriod become overactive after being burnt out with radioactive iodine 12 years earlier?
Yes, but uncommon: Some patients with graves' disease, and others with overactive thyroid nodules will undergo radioactive i-131 therapy to control thyroid levels. Usually, the thyroid hormone levels go low as the near-entire thyroid gland is destroyed. In a minority of cases, the underlying autoimmune stimulation of graves' will cause a small remnant to slowly grow back, and eventually cause overactivity again. ...Read more
I have had a full thyroid taken out july 6 2012 how long is normal time to have radioactive iodine trearmnet done?
Had 100micu of radioactive iodine 2 days ago. Radiation level first day was 15 and now its 6. When is it safe to be around my 2/6 year olds?
The treatment facility should have given you detailed instructions on this. Ask them, or look through the material they gave you. A guide to exposure can be found at http://www. Thyroid. Org/radioactive-iodine/.
There are certain things you can do in several days with your kids, but other things that involve more close contact (eg sleeping in the same bed) need more time. ...Read more