Thrush .. a little info. --> Shelagh

[Guest guest]

At 12/14/01 05:37 PM, you wrote:

>I just did a quick search on the archive to try and save everyone's

>energy, but came up w/ zippity on thrush. Wondering if this is

>common RAI side effect? I believe I read somewhere of the dim

>possibility, and there appears to be only a coating on my tongue (I

>know, how VERY attractive). My primary is a bit of a weenie (newly

>discovered weenieness, will be switching when I have the enertia to

>do so), and my endo a bit of a drive.... My rambling point being --

>has anyone had this reaction to RAI and if so does it require a

>prescription?

>

>

>Thanks,

>Shelagh

>TT/right neck dissection 10/31/01

>RAI 150 mCi 12/11/01

>

>(Gloria, if you read this, I was not hospitalized for my RAI, empty

>house to occupy, thank you for your lovely email!)

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(Dr. )

Date: Sun, 20 Feb 2000 12:39:41 -0500

Jane,

The mouth changes of soreness, sores and loss of taste are an effect of

the radioiodine. I don't know the exact mechanism of this effect.

Jeff

Jane wrote:

> FOR THE DOCTORS - Thanks in advance.

>

> What triggers the sloughing off of the papillae of the tongue and the

> epithelium in the mouth, high dose RAI or commencing synthetic thyroid

> medication after 6 weeks hypo? How does this work?

>

> Thanks.

>

> Jane

--

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A. , MD

Nuclear Medicine, A-72

Albany Medical Center

Albany, NY 12208

cooperj@...

(voice)

(fax)

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Date: Wed, 13 Sep 2000 00:57:08 -0400 (EDT)

From: BobC101468@...

Subject: Oral Thrush after RAI

The human mouth is a genuine little eco system with lots of organisms

swimming around - there are staph and strep bacteria - fungus - and a bunch

of other species which live on food particles that coats the mouth - they

hold each other in check - and maintain an eco balance - as I understand it

- the RAI in some cases wipes out a lot of normal mouth flora - and the

Thrush - Candida Albicans - is fungus that grws back quickly - it also

happens some time when patients get massive doses of antibiotics and a lot of

the normal mouth flora get wiped out -

BobC PapCa

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Date: Sun, 05 Dec 1999 20:25:23 -0500

Subject: Re: Oral Thrush after RAI

I've had oral thrush (or something of that nature) ever since my RAI in

1995. I've used the Oral Mycelex, but find it hard to remember to suck

on them 5 times a day. If it gets really bad, I can usually talk the

doc into giving me Diflucan, which is really powerful and frightfully

expensive. I know of at least one other member of this list who has

also had this ongoing problem. If you find a solution, please pass it

on! :-)

Jan

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--... ...-- ---.. ---..

Jan Scheuerman, KJ4N

Home Page: http://www.geocities.com/Heartland/Estates/1457

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Date: Sun, 05 Dec 1999 15:19:50 -1000

Subject: Re: Oral Thrush after RAI

wrote--

> I had a sore mouth - mostly my tongue and the insides of my cheeks.

> Also, the inside of my nose is very sore. Both areas tended to crack or

rip

> and bleed a bit. The mouth seemed to get better on it's own after about 2

> weeks. Nose is still sore.

I also had this mouth problem right after an RAI scan last month. My gums

were sore, & the insides of my lips & cheeks were swollen, red, rough &

sore. (There was no white stuff like I think thrush causes.) It hurt to

brush my teeth or drink hot stuff. But it went away on its own w/in 2

weeks. I attribute it to the RAI, particularly since the rad doc noted that

the RAI, in the absence of thyroid tissue, largely went to the mucus

membranes of the mouth & nose; he said that those tissues were

physiologically closest to thyroid tissue.

Nina

geiger@...

[tt 8-98 w/ tumor dx follicular thyca but " poorly differentiated " by local

path. & " less well-differentiated " by Mayo Clinic, also papillary thyca in

_other_ lobe; 100mCi RAI 9-98; .2 Synthroid; undetectable TSH & TG; clean

bone scan & chest x-ray 4-99; clean RAI scan 11-99!!!]

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Date: Sun, 10 Sep 2000 00:33:33 -0400

From: tellagraph@...

Subject: Re: Thrush after RAI?

Star,

On Sat, 9 Sep 2000 21:38:46 EDT Starnbill@... writes:

I believe I have thrush since I just had a 100 mCi RAI dose. Can

anyone advise me on what to do tonight?

Hey, kid, join the thrush club!!! I get it every time...even with the

tracer dose...and yes it is yucky!!! It is also hard to get rid of, but,

I have found a trick...The doc should prescribe Nystatin for

you...usually 2 Tblsp per dose (not sure how many times/day i took

it)...that in and of itself does do the complete job...Here's the trick:

use Lysterine (the mint kind tastes better) BEFORE the nystatin each

time...helps to rid the bacteria and washes the mouth before the

medication...When I haven't done it this way, it has taken forever to get

rid of. Hope it works for you as well.

Hang in there, kid...just think how far you've come so far...just a

little while longer before you start your way back...amy!!

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> Hi Star,

>

> I had a friend who successfully treated her thrush with taking acidopholus

> orally. She got thrush after a course of chemotherapy for colon cancer.

> Acidopholus can be purchased in health food stores in the refrigerator

> section. It comes in a liquid or in capsules, the capsules being the

easiest

> to use. Many well respected medical doctor's and licensed acupuncturist's

> where I live recommend taking acidopholus during and after any course of

> antibiotics.

>

> Hope this is useful info. Good luck, I know thrush can be extremely

> uncomfortable.

>

> Beverly

>

> >

> > > Hate to break up the party but I believe I have thrush since I just

had a

> > 100

> > > mCi RAI dose. Can anyone advise me on what to do tonight? Or can I buy

> > > something over the counter tomorrow until I can go to the doctor?

> > >

> > > Any advice will be appreciated. Thanks, Star

> > >

>

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