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Coping with Physical & Emotional Changes
 
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What Can I Do to Take Care of Myself during Therapy?

What can I do to take care of myself during therapy?

You need to take special care of yourself to protect your health during radiation treatment. Your doctor or nurse will give you advice about your treatment and the side effects you might have. Here are some other tips:

  • Be sure to get plenty of rest. You may feel more tired than normal. Try to get good, restful sleep at night. This tiredness, often called fatigue, may last for several weeks after your treatment ends. See the section "Dealing with fatigue" for more information.
  • Take care of the skin in the treatment area. If you get external radiation therapy, the skin in the treatment area may become more sensitive or look sunburned. Ask your doctor or nurse before using any soaps, lotions, deodorants, medicines, perfumes, cosmetics, talcum powder, or other substances on the treated area. Some of these products may irritate sensitive skin. See the section "Dealing with skin problems" for more information.
  • Avoid wearing tight clothes. This includes girdles, pantyhose, or close-fitting collars over the treatment area. Instead, wear loose, soft cotton clothing. Do not starch your clothes.
  • Do not rub, scrub, or use adhesive tape on treated skin. If you skin must be covered or bandaged, use paper tape or other tape for sensitive skin. Try to put the tape outside the treatment area, and do not put the tape in the same place each time.
  • Do not put heat or cold (such as a heating pad, heat lamp, or ice pack) on the treatment area. Talk with your doctor first. Even hot water may hurt your skin, so use only lukewarm water for washing the treated area.
  • Protect the treated area from the sun. Your skin may be extra sensitive to sunlight. If possible, cover the treated skin with dark-colored clothing before going outside. Ask your doctor if you should use a lotion that contains a sunscreen. If so, use a sunscreen product with a sun protection factor (SPF) of at least 15. Reapply the sunscreen often, even after your skin has healed. Continue to give your skin extra protection from sunlight for at least 1 year after radiation therapy.
  • Tell your doctor about medicines you are taking before treatment. Let your doctor know if you take any medicines, even things like aspirin, vitamins, or herbs.

Side effects can vary

Your doctor and nurse are the best people to talk to you about your treatment, side effects, home care, and any other medical concerns you may have. Tell them about any side effects you are having, including skin changes, tiredness (fatigue), diarrhea, or trouble eating. Be sure that you understand any home care instructions and know who to contact if you have more questions.

Side effects vary from patient to patient and will depend on the radiation dose and the part of your body treated. Some patients have no side effects at all, while others have quite a few. There is no way to know who might or might not have side effects. Your overall health can sometimes affect how your body reacts to radiation treatment and whether you have side effects.

Radiation therapy can cause early and late side effects. Early side effects are those that happen during or shortly after treatment. They usually are gone within a few weeks after treatment. Late side effects are those that take months or years to develop. They are often permanent.

The most common early side effects are:

  • fatigue (feeling tired)
  • skin changes

Other early side effects usually are related to the area being treated, such as hair loss and mouth problems following radiation treatment to the head.

Most side effects go away in time. In the meantime, there are ways to reduce the discomfort they may cause. If you have bad side effects, the doctor may stop your treatments for a while, change the schedule, or change the type of treatment you are getting. Tell your doctor, nurse, or radiation therapist about any side effects you notice so they can help you manage them. The information here can serve as a guide to handling some side effects, but it cannot replace talking with your doctor or nurse about what is happening to you.

Last Medical Review: 12/23/2008
Last Revised: 12/23/2008

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