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Article Series: Cancer
Help Me Understand Cancer
Side
Effects Of Chemotherapy : Part 1
Despite the benefits of chemotherapy for treating
cancer, there are side effects. The type of chemotherapy you
receive, the dosage, and the duration of your treatment all
impact your side effects. Fortunately, most are temporary and
go away once the treatment ends.
Diarrhea: This is one of the more common side effects of chemotherapy
used to treat cancer. It is caused by chemotherapy acting on
the fast-dividing, normal cells lining the inside of the stomach
and intestines. Abdominal cramping can also accompany diarrhea.
Both may last several hours to several days and can lead to
dehydration.
Drink
plenty of fluids. Since diarrhea can cause the body
to lose a large amount of water in a short period of time,
you can also lose important minerals and electrolytes. Ask
your doctor about replacing these. If you're having diarrhea,
avoid coffee, tea, alcohol, and sweets. Stay away from high-fiber,
greasy, and spicy foods. Eat small amounts of solid food frequently
throughout the day. If the diarrhea persists for more than
twenty-four hours, call your doctor. Do not take any over-the-counter
medicine for diarrhea without consulting your doctor.
Nausea & Vomiting
Both nausea and vomiting are side effects of chemotherapy
used to treat cancer. The effects of chemotherapy on the cells
lining your stomach and certain cells in the brain that control
nausea cause these side effects. It is difficult to predict
how each person will react to chemotherapy and how long the
nausea and vomiting will last.
If you feel nauseous at home, stay hydrated by drinking plenty
of water or other liquids. Eat bland food in small amounts
and stay away from strong, spicy foods. Ask your doctor about
medication that can counteract nausea. If the medication doesn't
correct your nausea and vomiting within twenty-four hours,
notify your doctor. If the nausea and vomiting persist, you
may need to be admitted to the hospital for intravenous fluids
and medication. Below are some tips for dealing with nausea
or vomiting:
- Eat
several small meals during the day to avoid feeling too
full.
- Eat
and drink slowly. Chew foods well.
- Try
eating dry foods like toast or crackers.
- Wear
loose-fitting clothes.
- Avoid
odors that bother you. If the smell of food makes the nausea
worse, try staying out of
the kitchen
while food
is being cooked.
- Breathe
deeply and slowly when you feel nauseous.
- Suck
on ice cubes, mints, or tart candies (unless you have mouth
sores).
Hair Loss: Hair loss is another common side effect of chemotherapy.
Hair loss is caused by damage to the fast-dividing hair follicles.
Although hair loss can occur anywhere on the body, it is mainly
confined to the head. Once the treatments are complete, the
hair grows back. However, the hair may grow back in a different
color or somewhat different texture. During chemotherapy, some
people wear hats, scarves, or wigs to cover their heads and
stay warm. If you're experiencing hair loss, protect exposed
hairless areas from sun exposure with sunblock and protective
clothing.
To cope with hair loss:
- Use
mild shampoos.
- Use
a soft hair brush.
- Use
low heat on your hair dryer.
- Don't
use brush rollers to set your hair.
- Don't
dye your hair or get a permanent.
- Have
your hair cut short. A shorter style will make hair look
thicker and fuller.
- Protect
your scalp from the sun with a hat, scarf, or sunscreen.
Fatigue: Fatigue is a very common side effect of chemotherapy
and can have a number of causes. It can be caused by the chemotherapy's
effect on the bone marrow and resulting reduction in red blood
cells; this reduction may cause anemia and, in turn, fatigue.
Fatigue can also result from dehydration from persistent diarrhea.
Whatever the cause, most patients on chemotherapy experience
some degree of fatigue. For some, fatigue occurs around the
time of treatments. Others feel fatigued during the entire
course of therapy. The fatigue may last even after chemotherapy
has ended, and it may take weeks for your body to recover its
normal energy. For normally active patients, the fatigue can
be a source of frustration, even depression. Try to stay positive
and remember that the fatigue is temporary. Here are a few
tips for coping with fatigue:
- Limit
your activities. Do only those things that are most important
to you.
- Take
several short naps or breaks during the day.
- Some
people find that taking short walks or exercising lightly
helps
to decrease fatigue.
- Maintain
good nutrition. Try to eat a well-balanced diet. Ask for
help when you need it.
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: 2006
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