Cancer Detection (cont.)
What are the side effects of cancer treatment?
It is hard to limit the effects of treatment so that only
cancer cells
are removed or destroyed. Because treatment also damages
healthy cells and
tissues, it often causes unpleasant side effects.
The side effects of cancer treatment vary. They depend mainly
on the
type and extent of the treatment. Also, each person reacts
differently.
Attempts are made to plan the patient's therapy to keep side
effects to a
minimum. Patients are monitored during therapy so that any
problems which
occur can be addressed.
Surgery - The side effects of surgery depend on the location
of the
tumor, the type of operation, the patient's general health, and
other
factors. Although patients are often uncomfortable during the
first few
days after surgery, this pain can be controlled with medicine.
Patients
should feel free to discuss pain relief with the doctor or
nurse. It is
also common for patients to feel tired or weak for a while. The
length of
time it takes to recover from an operation varies for each
patient.
Radiation Therapy - With radiation therapy, the side effects
depend on
the treatment dose and the part of the body that is treated.
The most
common side effects are tiredness, skin reactions (such as a
rash or
redness) in the treated area, and loss of appetite. Radiation
therapy can
also cause a decrease in the number of white blood cells, cells
that help
protect the body against infection. Although the side effects
of radiation
therapy can be unpleasant, they can usually be treated or
controlled. It
also helps to know that, in most cases, they are not
permanent.
Chemotherapy - The side effects of chemotherapy depend mainly
on the
drugs and the doses the patient receives. Generally, anticancer
drugs
affect cells that divide rapidly. These include blood cells,
which fight
infection, help the blood to clot, or carry oxygen to all parts
of the
body. When blood cells are affected by anticancer drugs,
patients are more
likely to develop infections, may bruise or bleed easily, and
may have
less energy. Cells that line the digestive tract also divide
rapidly. As a
result of chemotherapy, patients can have side effects, such as
loss of
appetite, nausea and vomiting, hair loss, or mouth sores. For
some
patients, medicines can be prescribed to help with side effects,
especially with nausea and vomiting. Usually these side effects
gradually
go away during the recovery period or after treatment stops.
Hair loss, another side effect of chemotherapy, is a major
concern for
many patients. Some chemotherapy drugs only cause the hair to
thin out,
while others may result in the loss of all body hair. Patients
may feel
better if they decide how to handle hair loss before starting
treatment.
In some men and women, chemotherapy drugs cause changes that
may result
in a loss of fertility (the ability to have children). Loss of
fertility
can be temporary or permanent depending on the drugs used and
the
patient's age. For men, sperm banking before treatment may be a
choice.
Women's menstrual periods may stop, and they may have hot
flashes and
vaginal dryness. Periods are more likely to return in young
women.
In some cases, bone marrow transplantation and peripheral stem
cell
support are used to replace tissue that forms blood cells when
that tissue
has been destroyed by the effects of chemotherapy or radiation
therapy.
Hormone Therapy - Hormone therapy can cause a number of side
effects.
Patients can have nausea and vomiting, swelling or weight gain,
and, in
some cases, hot flashes. In women, hormone therapy can also
cause
interrupted menstrual periods, vaginal dryness, and, sometimes,
loss of
fertility. Hormone therapy in men can cause impotence, loss of
sexual
desire, or loss of fertility. These changes may be temporary,
long-lasting, or permanent.
Biological Therapy - The side effects of biological therapy
depend on
the type of treatment. Often, these treatments cause flu-like
symptoms
such as chills, fever, muscle aches, weakness, loss of
appetite, nausea,
vomiting, and diarrhea. Some patients develop a rash, and some
bleed or
bruise easily. In addition, interleukin therapy can cause
swelling.
Depending on how severe these problems are, patients may need
to stay in
the hospital during treatment. These side effects are usually
short-term
and they gradually go away after treatment stops.
Doctors and nurses can explain the side effects of cancer
treatment and
help with any problems can occur.
Next: How important is nutrition for cancer patients? »
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