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Coping with Physical & Emotional Changes
 
    Chemotherapy Effects
    Radiation Therapy Effects
    Pain
    Managing Care at Home
    Nutrition for Cancer Patients
    Long-term Physical Changes
    Anxiety, Fear, and Depression
    Coping with Cancer in Everyday Life
    Coping with Grief and Loss
    Listen With Your Heart
    Coping Tools and Quizzes
    Stories of Hope
    Feeling Good About Your Appearance
   
   
   
Fatigue

Fatigue can be a problem for some people during cancer treatment. If you are feeling tired, talk to your doctor or nurse. Fatigue can have many causes, including the cancer treatment, not eating enough food, lack of sleep, depression, low blood counts, and certain medicines. When the cause of the fatigue is medical, your doctor may be able to treat the cause of the fatigue. In addition to treatment, there are many nutrition steps you can take to help you cope with fatigue.

Tips for decreasing fatigue

Talk to your doctor or nurse about your fatigue. If the fatigue has a medical cause, there might be treatment for it. In addition, your doctor or nurse can help identify self-care measures that may help with the fatigue.

Take short walks or get regular exercise, if possible. More and more research tells us that being moderately active can help decrease cancer-related fatigue.

Drink plenty of fluids. Dehydration can make fatigue worse. Be sure to get at least 8 cups of fluid each day. If you are losing weight, be sure to include some fluids that have calories, such as juices or milk.

Make sure you get enough rest: take several naps or rest breaks during the day instead of 1 long rest, plan your day to include rest breaks, make rest time special with a good book in a comfortable chair or a favorite video with a friend.

Try easier or shorter versions of your usual activities; don't push yourself to do more than you can manage.

Ask for a referral to a dietitian who can work with you to choose the best diet for you. Avoid eating sugary foods. These foods give you a quick energy boost but it wears off and you will be even more tired afterward.

Try eating some protein, fat, and/or fiber with each meal and snack. Protein, fat, and fiber can help keep blood sugar more stable. This will give you a more sustained feeling of energy from the food you eat. For example instead of eating 2 pieces of fruit, try eating 1 piece plus a small handful of walnuts, almonds, peanuts, or other nuts. Or try fruit with cottage cheese.

Be sure to eat enough protein. Your body needs protein to repair and build new tissue. (See "Suggestions for increasing calories and protein" in the "Preparing yourself for cancer treatment" section.)

Be sure to meet your basic calorie needs. (See "Suggestions for increasing calories and protein" in the "Preparing yourself for cancer treatment" section.)

Be sure you get enough vitamins and minerals. A multivitamin supplement that contains no more than 100% of the RDA of each nutrient can help you meet this goal. Check with your doctor or nurse to make sure it is ok for you to take a multivitamin.

Do not take large amounts of vitamins or minerals without first talk with your doctor or nurse. Some dietary supplements can interfere with your cancer treatment and large doses of some can have harmful effects.

Stress can made fatigue worse. Take active steps to combat stress.

Revised: 02/04/2008

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