• Skip to content

TriStar Centennial

  • Home
  • Need A Doctor?
  • Maps & Directions
  • Phone Directory
  • Contact Us
ER Wait Time

Wait times are an average and provided for informational purposes only. What does this mean?

Search TriStar Centennial
GO
  • About
    • Awards and Honors
    • Contact Us
    • CEO Message
    • Mission and Values
    • Phone Directory
    • Hospital Overview
    • Maps & Directions
    • News
    • TriStar Health
  • Services
  • Careers
    • Volunteers
    • Find a Career
    • Benefits
    • For Physicians
    • Pharmacy Residency
    • Need Help?
    • TriStar Centennial Store
  • News & Media
    • Newsroom
    • Media & Vendor Resources
    • HealthBreaks
  • Your Health
    • Health Videos
    • Virtual Body
    • Health Tools
    • Kids Health
  • Quality & Patient Safety
    • Patient Safety
    • Awards & Recognition
    • Quality & Safety Measures
    • Electronic Health Record
    • Resources & References
    • HIPAA Notice of Privacy Practices
    • Policies & Procedures
    • Joint Commission Public Notice
prescription
  • For Physicians
  • For Visitors
  • For Patients

Radioactive Iodine Treatment

  • Homect_img
  • Your Health
Back
DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your Doctorrevision

Definition

Radioactive iodine treatment is used to treat certain thyroid diseases and thyroid cancer. The procedure is done with a radioactive form of the element iodine. Radioactive iodine is taken up by the thyroid gland. There it treats thyroid disease by destroying the cells. The radioactivity is not spread to other parts of the body.

The Thyroid Gland
IMAGE
Copyright © Nucleus Medical Media, Inc.

Reasons for Procedure

It may be done to treat:

  • Hyperthyroidism —the thyroid gland is overactive
  • Certain types of cancers such as thyroid cancer

Possible Complications

Possible side effects and complications of radioactive iodine therapy include:

  • Inflammation of the salivary glands causing painful cheeks and dry mouth
  • Metallic taste in the mouth
  • Dry mouth
  • Sore throat
  • Pain in the neck
  • Nausea or vomiting
  • Fatigue
  • Flushing
  • Tightness in throat
  • Abnormally high or abnormally low thyroid hormone levels

Pregnant women are at an increased risk of complications. The procedure may be harmful to the fetus. It should not be done in pregnant women. Nursing mothers should stop breastfeeding for at least a week after the procedure.

What to Expect

Prior to Procedure

  • If advised by your doctor, eat a special diet. Your doctor may want you on a special low iodine diet prior to the procedure. This may help your procedure to be more successful.
  • Talk to your doctor about your medicines. Some thyroid hormone medicine should be discontinued four weeks before the procedure. Other medicines used to treat hyperthyroidism should be discontinued 5-7 days before the procedure.
  • For two hours before the procedure, do not eat or drink anything. Water may be allowed.
  • If you are a woman of childbearing age, the doctor will do a pregnancy test.
  • A thyroid uptake and scan may be done before the treatment.

Description of the Procedure

You will be given some tablets or liquids that contain radioactive iodine. You will swallow the tablets. The iodine will be naturally taken up by the thyroid.

How Long Will It Take?

At least an hour

Will It Hurt?

The treatment is painless.

Postoperative Care

Any radioactive iodine that is not taken up directly by the thyroid will be passed through the urine. Be sure to follow your doctor's instructions . This may include:

  • Do not eat any solid foods for at least two hours after treatment. Drink a lot of clear liquids (water or juice).
  • For the first 8-12 hours following treatment, use the bathroom every hour. This will help flush the excess iodine from your body.
  • Limit your contact with others. Do not enter a room with any infants or children. Stay at least three feet away from other adults. Do not stay near any other adult for more than a few minutes. Do not share a bed with anyone for 48 hours following the treatment.
  • Do not share any food, drink, or dishes with anyone for the first week. Do not allow your saliva to come into contact with anyone. Avoid kissing and sexual contact.
  • Flush the toilet twice after use.
  • Wash hands often and thoroughly.
  • Resume normal thyroid medicines 48 hours after the treatment.

The majority of people who undergo the treatment will have their thyroid levels return to normal within 8-12 weeks. However, in a small number of patients, a second dose of radioactive iodine treatment is needed.

A follow-up visit with your doctor will be scheduled 4-6 weeks after treatment. Radioactive active iodine treatment can cause hypothyroidism (low thyroid function). This can occur at any time after treatment. It may be temporary or permanent. Your doctor will need to check your thyroid status every few months until levels are stable.

Call Your Doctor

While side effects may occur, they are rarely severe. If the following persist for more than 24 hours, talk to your doctor:

  • Metallic taste in the mouth
  • Dry mouth
  • Sore throat
  • Pain in the neck
  • Nausea or vomiting
  • Fatigue
  • Flushing
  • Tightness in throat
  • Constipation or diarrhea

In case of an emergency, call for medical help right away.

Revision Information

  • Reviewer: Kim Carmichael, MD
  • Review Date: 11/2012 -
  • Update Date: 11/26/2012 -

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

Copyright © EBSCO Publishing
All rights reserved.

Health Library Home

Related Health Content

  • Radioactive Iodine Treatment
Show All

RESOURCES

  • American Association of Clinical Endocrinologists

    http://www.aace.com/

  • Endocrine Society

    http://www.endo-society.org/

CANADIAN RESOURCES

  • Health Canada

    http://www.hc-sc.gc.ca/

  • Thyroid Foundation of Canada

    http://www.thyroid.ca/

References

  • Effects of low-iodide diet on postsurgical radioiodide ablation therapy in patients with differentiated thyroid carcinoma. Clin Endocrinol (Oxf) . 2003;58(4):428-435.

  • Instructions for receiving radioactive iodine for hyperthyroidism. University of Washington Medical Center website. Available at: http://www.uwmedicine.org/PatientCare/MedicalSpecialties/SpecialtyCare/UWMEDICALCENTER/Radiology/instructionsforhyperthyroidism.htm . Accessed December 31, 2012.

  • Radioactive iodine use for thyroid diseases. American Thyroid Association website. Available at: http://www.thyroid.org/patients/brochures/RadioactiveIRAI.pdf . Accessed December 31, 2012.

  • Radioiodine (I-131) therapy. RadiologyInfo website. Available at: http://www.radiologyinfo.org/en/info.cfm?pg=radioiodine&bhcp=1 . Accessed December 31, 2012.

  • Rivkees SA, Dinauer C: An optimal treatment for pediatric Graves’ disease is radioiodine. J Clin Endocrinol Metab . 2007; 92:797-800

  • Patients & Visitors
    • Admissions
    • View / Pay Bill
    • Need A Doctor?
    • Events & Classes
    • Visitor Information
    • Maps & Directions
    • Insurance Plans Accepted
  • Services
    • Emergency Services
    • Radiology
    • Orthopaedics
    • Neurosciences
    • Cardiac
    • Sleep Disorders Center
    • Physical Therapy
  • Our Community
    • Events & Classes
    • Local News
    • Facebook
    • YouTube
HIPAA Privacy  |  Patient Satisfaction  |  Policy & Procedures  |  Site Map  |  Disaster Preparedness

TriStar Centennial
2300 Patterson St
Nashville, TN 37203
(615) 342-1000
You May Also Visit Us At
TriStarHealth.com.

Copyright 1999-2013 ehc.com ; All rights reserved. Terms & Conditions of Use | Privacy Notice