Doctor insights on:
Radioactive Treatment For Hyperthyroidism
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
Used as treatment: Your thyroid gland uses iodine to produce thyroid hormone. If you have an over-active thyroid gland, one option is to remove/destroy part of the gland. if radioacive iodine is given, the gland will take it up and will be damaged by the radiation, thus reducing the amount of hormone produced. after this occurs, some patients then have too little thyroid and need to take thyroid pills. ...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
Do doctors know of natural alternatives after having radioactive iodine treatment for graves disease?
No: This is one not to play around with. Untreated graves' will kill you. Your options include thyroid suppressors (which are based on stuff that occurs in vegetables, if that appeals to your sense of the natural, which is reasonable) and surgery as well as radioactive iodine. I'm simply glad you have the luxury of asking -- in the old days, graves' promised an especially miserable death. ...Read more
RAI: Rai has less risk.Get a more detailed answer ›
What is the best treatment for hyperthyroidism, particularly for autoimmune thyroiditis unresponsive to drug therapy?
Furhter eval: Hashi and most autoimmune illnesses stem from undiagnosed food allergens or environmental toxins stored in the body. Go to a4m.Com and use doctor locator function to find a local functional medicine doc to help you order specialized testing for gut like genova cdsa as well as metametrix igg food allergen testing to discover real cause. If not "fixed" other autoimmune illnesses will be in upcoming! ...Read more
Can you stay on antithyroid medication indefinitely rather than definitive treatment for Graves' disease ?
Meds for Grave's: 52F from UK asks if one can take antithyroid meds indefinitely rather than definitive treatment for Graves' Disease. ANS: Yes and sometimes one can even stop after a period of time but need to weigh side effects of meds vs radiation and your other circumstances that are best assessed by your thyroid Dr. ...Read more
Several options: The treatments come down to antithyroid drugs (eg. Methimazole), radioactive iodine (rai), or surgery. Each has advantages and disadvantages, and you should discuss with your endocrinologist. If you opt for surgery, make sure the surgeon is an experienced thyroid surgeon. ...Read moreSee 1 more doctor answer
Ptu (propylthiouracil): Ptu (propylthiouracil) is an antithyroid drug. It decreases the amount of hormones produced by the thyroid thus it's a treatment for hyperthyroidism. Methimazole is another drug that does the same thing and is the drug of choice in this drug class. ...Read moreSee 1 more doctor answer
Unusual: In most cases, external beam should be considered only if i-131 and surgery have failed. Targeting a single brain or bone lesion with external beam can be done, usually with limited side effects, but the goal is usually not for cure in those cases. Depending on the specifics, some thought should be given to a tyrosine kinase inhibitor as a third-line treatment. ...Read moreSee 2 more doctor answers
Have graves disease with graves ophthalmology(bulging eyes).Need to stop thyroid. Which is better radioactive iodine or surgical removal?
Depends: Depends on specific thyroid condition.Get a more detailed answer ›
How do doctors know if thyroid cells(cancerous and non) take up the radioactive iodine after rai treatment for papillary thyroid cancer?
Does subclinical hyperthyroid caused by graves always progress to hyperthyroid and is treatment necessary for subclinical hyperthyroid?
Watch carefully: Eventually, you will likely develop either overt hyperthyroidism, or you could possibly become hypothyroid. But not always, and this could take years. If you feel well, and your heart/bones/psyche/ etc are ok, you and your doctor (best: Endocrinologist) could elect to watch this and not treat now, but watch carefully. ...Read moreSee 1 more doctor answer
Mymumreceivedexternalradiation therapy and radiation iodine therapy for her thyroid papillary carcinoma.What are the sideeffects of these treatments?
Discuss with your MD: External radiation and radioiodine therapy for thyroid cancer are relatively safe but they have different possible side effects. Radiation therapy may affect nearby structures like nerves affecting vocal cords causing hoarseness. The effects of radioiodine therapy may be: neck tenderness and swellin, nausea and vomiting, swelling and tenderness of the salivary glands, dry mouth and taste changes. ...Read more
Surgery: A surgery named total thyroidectomy is the mainstay of therapy for thyroid cancer. This may be done with or without a central neck dissection depending on your particular surgeon's prefrences and how aggressive your particular thyroid cancer may be. After surgery depending on multiple factors you may or may not receive radioactive iodine ablation. ...Read moreSee 2 more doctor answers
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