The advantages of medication are that the drugs are readily available and relatively inexpensive. An important take-away message about your newly-diagnosed hyperthyroid cat is that there is a wide range of treatment options, so you can likely find something that works for your family. Actually it is quite safe, because the radioactive iodine is absorbed only by thyroid cells; no other cells in the body are exposed to the radiation. For this long-term treatment, the cat is injected with the radioactive iodine, which destroys the tissue of the overactive thyroid gland. The dose of radioactive iodine is taken orally. This single treatment will cure 95-98% of cats. Generally, about 5 to 10 pounds of excess weight can likely be attributed to the lack of thyroid hormones that occurs in people diagnosed with hypothyroidism. Lifelong administration of methimazole can control the effects of an overactive thyroid gland. Cats receive a single dose of radioactive iodine by either subcutaneous injection or by a capsule given by mouth. and Turrel J.M., A Multicompartmental Model for Iodide, Thyroxine, and Triiodothyronine Metabolism in Normal and Spontaneously Hyperthyroid Cats. Dr. Linder has received speaker fees or research fudning from Hills Pet Nutrition, Nestl Purina PetCare, Royal Canin, and Virbac, and has provided professional services for Mark Morris Institute. Some places realize that the stress of being away from home for so long is not good for older cats. It takes several weeks for methimazole to restore thyroid hormone levels to normal. As for your dose, my primary concernespecially if you were allowing the cat to have direct, prolonged contact within the first week of releasewould be the potentially contaminated materials that could result in your intake of radioactive 131I. In some cats, anorexia develops as the disease progresses. In cats > 95% of the radioiodine is excreted in the urine. Why? They may develop periodic vomiting or diarrhea, and fur may appear unkempt. Determination of Release Criteria for I-131 Therapy Cats in Conference Proceedings American College of Veterinary Radiology. By 14 days after treatment, the radioactivity will have decayed to a very low level. Before treatment he was ravenous and losing weight -- typical of cats with that disorder I'm told. During treatment, radioactive iodine is administered as an injection and is quickly absorbed into the bloodstream. Older cats are at greater risk for developing hyperthyroidism. If thyroid disease is a possibility, your veterinarian will likely order a blood chemistry panel and an analysis of thyroid hormone levels. Many times the only symptoms these other conditions cause are weight loss. Another significant risk for hyperthyroid cats is not actually related to their thyroid disease. Cornell University College of Veterinary Medicine, Cornell Ruffian Equine Specialists, on Long Island, Cornell Veterinary Experts Address Feline Nutrition. Although it has a slightly higher iodine content than the previous option, Tiki Cat Hanalei Luau Wild Salmon is the best value for money. While the treatment is fairly expensive, over the long term it could be cheaper than medication and is on a par with surgical treatment. Prior to the onset of symptoms he was eating a high quality dry cat food but when he started losing weight and begging for food we were told we could . Prior to the onset of symptoms he was eating a high quality dry cat food but when he started losing weight and begging for food we were told we could give him some baby food and wet cat food. A large study found an increase in some cancer types in people who had radioactive iodine treatment for hyperthyroidism compared with the general population. Radioactive iodine therapy is a very effective way to treat hyperthyroidism (I-131). Cats may also continue to show signs of hyperthyroidism, including vomiting and diarrhea, for 3-4 weeks after the radioiodine therapy as the disease continues to resolve. Clients owning hyperthyroid cats undergoing radioiodine therapy are always considered members of the general public. This helps us offset the costs of running this site, so thank you for your support! Antithyroid medications are also available in a gel that can be applied to the skin. Other therapeutic monitoring. . The coat of affected cats may appear unkempt, matted, or greasy (see Figure 1).
The first step is determining the blood level of one of the thyroid hormones calledtotal thyroxine (TT4). Laura Porter / Verywell You should talk with your veterinarian about what diets may be best for him in this case.
These include surgical removal of the thyroid gland (thyroidectomy) or treatment with radioactive iodine. Thus, individuals who opt for . Radioactive iodine therapy offers a cure through a simple injection that returns thyroid function to normal levels. This is more common if you still had a large part of your thyroid gland when you have radioactive iodine treatment. Weight change was analyzed in only 228 patients and 84% gained weight by 1 year after radioactive iodine therapy. Cats also sweat through their paws and the sweat will have trace amounts of radioactive iodine. Dietary restriction of iodine is, however, somewhat controversial because of concerns about the effects of long-term iodine restriction on overall health and the possibility that such a diet may actually backfire and worsen hyperthyroidism. What about radioactive iodine treatment for children and teenagers? Exposure limitations: Hyperthyroidismis characterized by the overproduction of thyroid hormone and a subsequent increase in metabolic rate. Why isn't there a study directly linking medical imaging and cancer? Further, the litter will be radioactive as most of the radioactive iodine will be excreted via this route. If your cat is showing signs of illness or depression, please contact PVESC. By 14 days after treatment, the radioactivity will have decayed to a very low level. This treatment is appropriate for cats with more surgical risk due to other health problems or who are exceptionally old. The medication can be given life-long or to stabilize the cat before other treatment. A small number of cats will remain hyperthyroid after treatment, if this is the case your cat will need . The food isnotmedicated. Hays M.T., Broome M.R. This can be accomplished in several ways: Radioactive iodine therapy. The goal of hyperthyroidism treatment is to lower the levels of thyroid hormones in the body. And not only do we love the pets, we also love their people, and you are our reason for making this site. Let's tackle the external exposure first as it is the simplest concept. For some cats, a veterinary therapeutic diet low in iodine may be all thats required to control symptoms. Wet food is much better for him anyhow, so this is a good time to get him settled on it. Risks unrelated to radioiodine therapy: Cats treated with radioactive iodine for their hyperthyroidism have several risks unrelated to the radioiodine therapy itself. 35(3): p. 204-209. To date the studies following hyperthyroid cats treated with radioiodine have not shown any increased incidence of cancer (thyroid or other types) associated with radioiodine therapy. The clinical significance of weight gain from the time of diagnosis of hyperthyroidism to 2 years after radioactive iodine therapy is unclear. Researchers estimated a 12% increased risk for death from breast cancer and a 5% increased risk for death from . You'll have to give him this drug twice daily for the rest of his life, which treats but doesn't cure the condition. Occasionally cats will act like they may have a sore throat for a couple of days after the radioiodine therapy. If DNA is damaged, there are three possible outcomes: These statistics are averages and do not predict what is going to happen to you. Clients frequently have the following 2 questions when considering radioiodine therapy for their cat's hyperthyroidism. This disease is common in older cats. Gained over three pounds! Hence additional separation between the patient and children are unnecessary. Hyperthyroidism may also cause vomiting, diarrhea, and hyperactivity. Since hyperthyroidism can predispose a cat to other conditions, it is important to evaluate general health, with particular focus on the heart and kidneys. Of 135 patients with documented pubertal status . When an injection of radioactive iodine is given, it destroys the abnormal thyroid tissue without endangering other organs. In some cases, complications involving other organs may worsen this prognosis. It is also common for some cats to hide under the bed for a day or so after returning home as they de-stress following their out of home experience. Now that I know my cat has hyperthyroidism, what do I do? He also can't sleep with you during that time, and the facility will inform you about special arrangements you'll have to make for disposing of his litter. Radioactive iodine therapy offers a cure through a simple injection that returns thyroid function to normal levels. ), family history (genetics) or radiation exposure. Iodine-131, Hyperthyroidism, and Radioactive Iodine Therapy Iodine-131 (I-131) is a radioisotope of iodine with a physical half-life of 8.02 days; its primary decay emissions include a 606 keV - particle with 89.6% abundance and a 364 keV -ray with 81.5% abundance (Knolls Atomic Power Lab 2010).
In an effort to put some weight back on him we are still feeding him turkey and gravy baby food in the morning to supplement the dry food. Your cat will not experience nausea, hair loss, lethargy, or decreased appetite as a result of the procedure. Did You Know? Because metabolism is altered in hyperthyroidism, its important to monitor your cats weight and muscle mass. The radioactive iodine damages these cells and causes your thyroid to shrink and thyroid hormone levels to go down over a few weeks. The most common clinical sign of hyperthyroidism is weight loss due to the increased rate of metabolism despite an increased appetite. In almost all cases, your thyroid hormone levels will return to normal or below normal after radioactive iodine treatment. Some people may have a feeling of tightness or swelling in their neck for a few days after treatment. For example, some families cant medicate cats every day, so a more permanent solution such as radioactive iodine treatment or surgery may be best. Hypertension develops due to the increased pumping pressure and elevated heart rate that occurs with hyperthyroidism. DNA can also be damaged directly by radiation. I am certain that your veterinarian probably told you to take care when handling the litter and to wash your hands thoroughly after handling litter, the cat, and items that the cat came into contact with. It is used less commonly in younger children.
The majority of cats treated with radioactive iodine have normal hormone levels within one to two weeks of treatment. Radioactive iodine therapy is curative within three months of therapy in approximately 95 percent of all hyperthyroid cases.
It has to do with how important your thyroid is in regulating your metabolism and your weight. This I131 injection accumulates in the abnormal thyroid tissue, and the radioactivity kills the abnormal tissue without harming other vital structures nearby. If radioactive iodine therapy won't work for you and your cat, alternatives are available. Once his radiation levels come down and you can bring him home, you still have to keep him away from young children and pregnant women, as he'll pass small amounts of radioactive iodine through his urine for approximately two weeks. Whats the difference between type 1 and 2 diabetes NHS. If both thyroid glands require removal, there is a risk of developing hypocalcemia (low blood calcium levels) after surgery. But there are clear reasons for the precautions that the veterinarian has given you and I also recommend that you follow them. However, these options tend to be expensive and not possible for all pet owners. In a cat treated with radioactive iodine, the drool will contain radioactive materials. Nuclear Medicine Patient Issues Questions Concerning Domestic Animals. As a cat owner, I completely understand your desire to get your cat back to his normal routine as soon as possible. You may also be advised to suck on sour candy after treatment to help the radioactive iodine come out in your saliva. They do not take into consideration individual risk factors including lifestyle (smoking, diet, exercise, etc. Hopefully this answers your questions and good luck with your cat. Once the correct dose of radioiodine has been determined and administered, most of the time the tumors responsible for causing the elevated thyroid levels resolve and the cats are cured. If you suspect your cat might be experiencing some of these symptoms, the next step is visiting your veterinarian for a blood test to check your cats thyroid hormone levels. There are several treatment options, and your veterinarian will determine the best choice for your cat.
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