Radioactive iodine

Questions and answers on "Radioactive iodine"

Hi Dr. my age is 30 years. I had goiter for last 5 years on my left thyriod. It was year 2007 when goiter find and grow very sloely. i was on Homeopathic medicine but not cured. In the mean time my goiter grow, Then I decide for surgery. Following sequences are: 23/09/2013 FNAC done and result "suggestive of adenomatous nodules. 27/09/2013 CT Scan done and result "A large (73mm*61mm size) well defined heterogeneous density nodule is seen in the left lobe thyriod." 4/10/2013 thyriod scan is done and result "cold nodule involving nearly the entire left". 26/10/2013 surgery done hemi thyroidectomy left side, and after surgery, Biopsy report "features are suggestive of minimally invasive follicular carcinoma, thyriod with focal hurthle cell change and tumor 250grm. 16/11/2013 again second operation of total thyroidectomy. Biopsy report " NO evidence of follicular carcinoma is seen." ..........then my surgen advice me for radioactive iodine. I was gone cancer hospital in KOLKATA for radioactive iodine. Here my I-131 scan done and was find that "neck uptake (48 hrs.) =7.7% i.e. 7.7% thyriod cell are still functioning. Then cancer hospital dr. advice me for third operation for removal of 7.7% functioning thyriod cell and then radioactive iodine. What should I do. Is third surgery is necessary. I am in confused mind. please help me?

doctor1 MD

Brief Answer:
Third surgery is necessary. Refer to answer below

Detailed Answer:
Hello,
Thanks for posting your query on HealthCareMagic.
The history given by you tells that you had a minimally follicular carcinoma in the left lobe of the thyroid.
The management of minimally invasive follicular...

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I have a large growth on left lobe of my thyroid. Multi needle bx, results non-diagnostic. Could cyberknife surgery be used to destroy this growth ?

doctor1 MD

Brief Answer:
About thyroid nodules;

Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
If the FNA is inconclusive, to decide the treatment of choice the ultrasound characteristics are very important.
If there are suspicious characteristics in ultrasound,...

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Hello Doctor,

I took radioactive iodine yesterday. Can I do masturbation ?

doctor1 MD

Brief Answer:
There is no harm in doing masturbation

Detailed Answer:
Hello
Thanks for query .

Doing masturbation after taking radioactive Iodine will not make any harm .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and...

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If someone has macular degeneration and also an overactive thyroid and they take radioactive iodine to fix the thyroid problem, will the radioactive iodine zap some eye cells?
How does age affect the treatment options?
If someone is taking medication for the overactive thyroid and they stop taking it after a year, what is the probability of the thyroid flaring up again after the carbimazole(5mg) is stopped?
How does the radioactive iodine work? Does it kill the cell or just destroy the dna so that it can't make anything anymore? Does the cell die or does it just stop making stuff?
How many receptor cells are in the eye? How often do they get replaced? If a receptor cell's DNA got damaged could it still function by transmitting signals to the brain?
If the iodine is safe and wont cause cancer why are there so many precautions that the patient has to take. Ie dont hug people etc.
I am asking these questions on behalf of another person.


doctor1 MD

Brief Answer:
Answers

Detailed Answer:
Good day,
Noted the concern.
Radio active iodine is used to treat Hyperthyroidism due to Grave's disease or Toxic multi nodular goiter.
Radio idoine is taken up by the thyroid follicular cells and after that Radio Iodine emits low grade radiation to the...

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Doctor, my husband is 49 yrs old, 4 yrs ago he was diagnosed with Papillary Thyroid cancer, he underwent a neck dissection, the thyroid was removed along with surrounding lymph nodes, followed by Radioactive Iodine pills treatment. The following year (3 yrs ago) the cancer returned on some neck lymph nodes, again he underwent an operation to remove them, followed by Radioactive Iodine pills. The following year (2 yrs ago) for the 3rd time, the cancer returned on some neck lymph nodes, again he underwent surgery to remove them, followed by Radioactive Iodine pills. Earlier this year 2013 for the 4th time the cancer returned, but now the new and terrible diagnosis is Matestacised thyroid cancer which has spread down his neck and into his lungs. MY QUESTION IS: he is on Naxaver

doctor1 MD

Dear Ma'am,

Sorry to hear about your husband's problem. Recurrent thyroid cancer with metastasis can be challenging to treat but radioiodine can be given in such patients and sometimes it can cause regression of the metastasis.
Naxaver (sorafenib) is a drug which is being used to treat...

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I just took radioactive iodine (not for the scan and dose calibration which was two weeks ago) treatment yesterday for Graves Disease.
But I had blood drawn in the morning right before taking the iodine pills and my thyroid panel shows T4 and T4
were high. ( For example my T3 was 3.5.) I am having hyperthyroidism symptoms like my pulse is 100/minute. I feel like I am having a constant panic attack. Should I begin taking my methimizole pills again? Or should I wait 45 days for my scheduled follow up appointment with my endocrinologist?

doctor1 MD

Brief Answer:
Thyroid

Detailed Answer:
Generally there is a systematic way to approach this. When I see someone like you in my practice I counsel them that radioactive iodine treatment takes several weeks to have its effect on the thyroid. I am sure you were told so too.
I further manage many of...

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Respected Sir, My wife (Female,35 years old,Height-5`9",Weight 104 kg) has Right hemithyroidectomy on 06.01.2013. She has no previous history of Blood Sugar or High Blood Pressure. On 14.10.2013,she delivered a healthy Baby Girl after a cesearian operation. She used to take Eltroxin (Thyroxin Sodium IP 25 mcg) 25mcg since 01.01.2013 because of a simple goitre in her right neck. She take this medicine during her full pregnancy period, as per medical advice. Presently, she also take Vitamin D3 60000 (D-Rise 60 K) units capsule once in a week (advised to take for 8 weeks,because of her low vitamin D level i.e. 7, after delivery). Her BIOPSY REPORT given by the Dr.Lal Path lab, Delhi says Papillary Carcinoma,Microcarcinoma(occult) with two foci,tumour size 0.5cm*0.5cm,primary tumour pT1 limited to thyroid. Our surgeon Dr.(Prof.) Majeed Alam, M.S. F.R.C.S, has advised us for Total Tyroidtectomy within 6 to 8 weeks. Pl peruse and advise us the next course of action, as soon as possible, on my E-Mail Id.

doctor1 MD

Brief Answer:
Total thyroidectomy is treatment of choice

Detailed Answer:
Hello,
Thanks for posting your query on XXXXXXX
The presence of cancer of thyroid (papillary carcinoma, microinvasive) is managed by surgery.
A cancer of thyroid has high chance of spread to distant sites and after spread...

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I was diagnosed 2 years ago with graves disease and hypothyroidism. I had radiation iodine to take care of the goider. I am now hypothyroidism and Graves disease. Why is my Dr only treating me for the hypo and not the immune disorder?

doctor1 MD

Brief Answer:
About Graves' disease;

Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
The radioactive iodine treatment consists in treating the autoimmune process and the fact that you are with hypothyroidism now, means that it has been affective.
So...

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I am 21 years old with thyroid ca dx in XXXXXXX Thyroid removed, took radiactive iodine pill, after a iodine free diet. 1st scan showed L1 mass. Scan today showed L1 mass, something in my thyroid bed and medialstinal metastasis. Nothing will be done until Oct...and they will do a neck scan then. Also will repeat radioactive iodine diet followed by radioactive pill.? Doesnt it need treatment now? What about the mass in my medial stinum area and L1? Please advise me on questions to ask my oncologist. what do you think my prognosis is?

doctor1 MD

Brief Answer:
Hello. It depends upon the tumor mass

Detailed Answer:
Hello dear. I have gone through the details. So we usually go for radioactive iodine ablation after 6 to 12 weeks of surgery. However, it can be postponed further if the tumor burden is low.
You can discuss these issues with...

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Hello, I have just recently been diagnosed with hyperthyroidism 16/08/2015.My TSH is 0.03 and my free T4 is 38.0. I am male of 39 years. I have been put propranolol . My doctor has referred me to the UCL for the 04/09/2015.

With how I feel, lethargy, SOB, palpitations. Is there any advice you can give me for hastening seeing a professional ASAP?

I anticipate your reply
Kind regards

XXXX

doctor1 MD

Brief Answer:
Thyroid

Detailed Answer:
Sorry to learn about your thyroid condition.

When I see someone like you in my practice, I order the following tests in addition to a thorough physical examination:

CBC
Electrolytes
Glucose
Liver function tests
Kidney function tests

Then typically a...

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Recent questions on  Radioactive iodine

doctor1 MD

I recently got AMA - Anti Microsomal Antibody test done. The range was supposed to be 34 as Positive. My reading showed a Value of 91. The lab person said this is very high. Can you plz let me know If I need to get any further tests done to know...

doctor1 MD

Hello Doctor, I took radioactive iodine yesterday. Can I do masturbation ?

doctor1 MD

Hi Doctor, In a recent blood test , my moms TSH was recorded as 0.006 which may point to a thyroid disorder as we are told . What next tests and treatments she should go through for remedy?. She is 64 and her symptoms include tiredness , low...

doctor1 MD

Doctor, my husband is 49 yrs old, 4 yrs ago he was diagnosed with Papillary Thyroid cancer, he underwent a neck dissection, the thyroid was removed along with surrounding lymph nodes, followed by Radioactive Iodine pills treatment. The following year (3 yrs ago) the cancer returned on some neck lymph nodes, again he underwent an operation to remove them, followed by Radioactive Iodine pills. The following year (2 yrs ago) for the 3rd time, the cancer returned on some neck lymph nodes, again he underwent surgery to remove them, followed by Radioactive Iodine pills. Earlier this year 2013 for the 4th time the cancer returned, but now the new and terrible diagnosis is Matestacised thyroid cancer which has spread down his neck and into his lungs. MY QUESTION IS: he is on Naxaver

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