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G.I.T. Haemorrhage Scintigraphy is a means of detecting the origin of bleeding when a patient is being investigated for bleeding from the gut. The scan can be very helpful to the surgeon who may be able to stop the bleeding once the location of its source is known. Also, if a patient has been bleeding from the gut and has a scan that fails to show any evidence of active bleeding, this result can be a useful predictor of a good outcome for the patient without need of surgical intervention.
❰❰ PATIENTS INSTRUCTIONS
| • This procedure requires injection of radioactive material. | |
| • If there is a possibility that you are pregnant, please inform the Nuclear Medicine staff. | |
| • If you are breast-feeding, please inform the Nuclear Medicine staff. | |
| • Please inform the Nuclear Medicine staff or the doctor if you had surgery on your bowel. | |
| • Do not stop any medications. | |
| • Fasting is NOT required for this procedure unless instructed to be nil oral. | |
| • Before coming for scan: Empty bowel and bladder, change diapers (if applicable). | |
| • For 12 hours after the injection Drink plenty of water and empty your bladder frequently unless instructed to be nil oral. |
| • This procedure requires an injection of a radioactive material. | |
| • If there is a possibility that you are pregnant, please inform the Nuclear Medicine staff. | |
| • If you are breast-feeding, please inform the Nuclear Medicine staff. | |
| • 4 days before the procedure NO: | |
| o Barium studies. | |
| o Iodinated Contrast. | |
| o Doxorubicin. | |
| • Please inform the Nuclear Medicine staff if you have had surgery on your bowel before. | |
| • 4 days before the test STOP* the following medications: | |
| o Methyldopa. | |
| o Hydralazine. | |
| o Quinidine. | |
| * Check with your referral doctor if you can stop taking these medications and use alternative ones. | |
| • Do not stop other medications. | |
| • Fasting is NOT required for this procedure. | |
| • Before coming for scan: Empty bowel and bladder, change diapers (if applicable). | |
| • For 12 hours after the injection: Drink plenty of water and empty your bladder frequently. | |
❰❰ RADIATION SAFETY
Nuclear medicine diagnostic procedures are safe except for pregnant ladies, unless it is requested by the physician for exceptional cases. However, the procedure better to be discussed with the doctor to know the desired benefits of the test and the alternative procedures, or you can ask the the nuclear medicine specialist about the procedure.
No, you shouldn’t because nuclear medicine scans use high-energy radioisotopes, the radiation passes directly from the other person without interacting with tissues. In contrast, wearing a lead apron slows down the radiation beam, which allows it to deposit its energy in the body and interact with tissues.
The risks from diagnostic doses are usually small compared to other lifetime risks to which the patient is exposed to and the amount of radiation dose in most diagnostic procedures is less than an x-ray, CT scan, or fluoroscopy.
When the body is exposed to radiation, tissue damage may occur, which in turn may damage DNA or chromosomes, increasing the risk of genetic mutations. When a fetus is exposed to radiation doses, it may cause abnormalities in an organ or irreparable damage and if the radiation dose is too high, it may cause the death of the fetus.
The radioactive dose used in diagnostic procedures in nuclear medicine is very low, unlike radiation treatments in which the amount of radioactive dose is high and this gives the desired effect on the tissues or organs when radiotherapy. That is why the patient must undergo a pregnancy test in the event of suspicion or if the pregnancy is uncertain before starting the therapeutic doses.
In diagnostic procedures the radioactivity is very low. However, the patient may be asked to maintain a distance of approximately one meter between him and his family members for a period of time given by the nuclear medicine specialist to protect them from exposure to radiation.
One the other hand, in therapeutic procedures, the patients may present some slight risk to their family members if they do not follow the INSTRUCTIONS ON RADIATION SAFETY given to them by the nuclear medicine specialist.
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