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Radiation therapy
Radiation therapy


Radiation sickness

Definition:

Radiation sickness is illness and symptoms resulting from excessive exposure to radiation. Exposure may be accidental or intentional (as in radiation therapy). The term also includes the side effects of exposure to radiation.



Alternative Names:
Radiation poisoning

Considerations:

Radiation is normally classified into ionizing and nonionizing types. Nonionizing radiation comes in the form of light, radio waves, microwaves and radar. These types of radiation generally do not cause tissue damage.

Ionizing radiation is radiation that produces immediate chemical effects (ionization) on human tissue . X-rays, gamma rays, and particle bombardment (neutron beam, electron beam, protons, mesons, and others) give off ionizing radiation. This type of radiation can be used for medical testing and treatment, industrial testing, manufacturing, sterilization, weapons and weapons development, and many other uses.

Radiation sickness results when humans (or other animals) are exposed to excessive doses of ionizing radiation. Radiation exposure can occur as a single large exposure (acute), or a series of small exposures spread over time (chronic).

Radiation sickness is generally associated with acute exposure and has a characteristic set of symptoms that appear in an orderly fashion. Chronic exposure is usually associated with delayed medical problems such as cancer and premature aging, which may happen over a long period of time.

The degree of illness (acute radiation sickness) depends on the dose and the rate of exposure. Exposure from x-rays or gamma rays is measured in units of roentgens. For example:

  • Total body exposure of 100 roentgens causes radiation sickness.
  • Total body exposure of 400 roentgens causes radiation sickness and death in half the individuals.
  • 100,000 rads causes almost immediate unconsciousness and death within an hour

The severity of symptoms and illness depends on the type and amount of radiation, the duration of the exposure, and the body areas exposed. Symptoms of radiation sickness usually do not occur immediately following exposure.

Because it is difficult to determine the amount of radiation exposure from accidents, the best indications of the severity of the exposure are: the length of time between the exposure and the onset of symptoms, the severity of symptoms, and severity of changes in white blood cells.

Children who receive radiation treatments or who are accidentally exposed to radiation will be treated based on their symptoms and their blood cell counts. Frequent blood studies are necessary and require a small puncture through the skin into a vein to obtain blood samples.



Causes:

The causes include:

  • Accidental exposure to high doses of radiation, such as in certain occupations
  • Exposure to excessive radiation for medical treatments (may include excessively high doses, excessive time of exposure, or excessive body areas exposed)



Review Date: 2/19/2005
Reviewed By: William D. Whetstone M.D., Division of Emergency Medicine, University of California San Francisco, San Francisco, CA. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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