Initially, when I checked out the info-graphic I thought, "Wow, this is great information". It really is! Then I realized that I had experience with most of the side-effects and my thoughts changed to, "Wow, this is depressing" "chemo sucks". Unfortunately, these side effects exist. Fortunately, there are ways to help combat (note: help, not eliminate) them. So while it is unfortunate that the current cancer treatment is so incredibly harsh on the body, I feel it is important to be educated so that you can work to reduce those side effects, improve healing, and maintain a high quality of life during cancer treatment and beyond.
Below you will find the very informative info-graphic with links to the Healthline website. Since I have had more than my fair share of experience with chemo, I have added some tips and strategies I have learned to retain health and minimize side effects during treatment and beyond.
Chemotherapy affects most of the body's systems
(taken from: Healthline)
Chemotherapy drugs are powerful enough to kill rapidly growing cancer cells, but they also can harm perfectly healthy cells, causing side effects throughout the body.
The Side Effects of Chemotherapy on the Body
Cancer cells divide more quickly than healthy cells, and chemotherapy drugs effectively target those cells. Unfortunately, fast-growing cells that are healthy can be damaged too. There are many different chemotherapy drugs with the potential for many different side effects. These effects vary from person to person and from treatment to treatment.
Factors that play a role in side effects include other ongoing treatments, previous health issues, age, and lifestyle. Some patients experience few side effects while others feel quite ill. Although most side effects clear up shortly after treatment ends, some may continue well after chemotherapy has ended, and some may never go away.
Chemotherapy drugs are most likely to affect cells in the digestive tract, hair follicles, bone marrow, mouth, and reproductive system. However, cells in any part of the body may be damaged.
Circulatory and Immune Systems
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- lightheadedness, pale skin, difficulty thinking, feeling cold, general weakness
Chemo can lower your white blood cell count, which results in neutropenia. White blood cells play an important role in the immune system: they help fight infection and ward off illness. Symptoms aren’t always obvious, but a low white blood cell count raises the risk of infection and illness. People with an immune system weakened by chemotherapy must take precautions to avoid exposure to viruses, bacteria, and other germs.
Cells called platelets help the blood clot. A low platelet count, called thrombocytopenia, means you’re likely to bruise and bleed easily. Symptoms include nosebleeds, blood in vomit or stools, and heavier-than-normal menstruation.
Some chemo drugs can weaken the heart muscle, resulting in cardiomyopathy, or disturb the heart rhythm, causing arrhythmia. This can affect the heart’s ability to pump blood effectively. Some chemo drugs can increase the risk of heart attack. These problems are less likely to occur if your heart is strong and healthy at the start of chemotherapy.
Jen's tips: I worked closely with my nutritionist to utilize nutrition and supplements to support my circulatory and immune systems as best as possible. Additionally, recommendations were made to help protect my heart from the damaging effects of an anthracycline based chemo regimen. While there is no way to know for certain if this nutritional advice was beneficial, I will say that I did not get a single cold throughout my cancer treatment. Additionally, no immediate heart damage from treatment has been detected.
Jen's tips: I worked closely with my nutritionist to utilize nutrition and supplements to support my circulatory and immune systems as best as possible. Additionally, recommendations were made to help protect my heart from the damaging effects of an anthracycline based chemo regimen. While there is no way to know for certain if this nutritional advice was beneficial, I will say that I did not get a single cold throughout my cancer treatment. Additionally, no immediate heart damage from treatment has been detected.
Nervous and Muscular Systems
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Some chemo drugs can cause pain, weakness, numbness, or tingling in the hands and feet (peripheral neuropathy). Muscles may feel tired, achy, or shaky. Reflexes and small motor skills may be slowed. It’s not unusual to experience problems with balance and coordination.
I continue to experience peripheral neuropathy primarily in my hands causing my hands to get cold easily. I don't let this slow me down; I just purchased some Bar Mits so I can continue to ride my bike in frigid weather.
Digestive System
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These powerful drugs can harm cells along the gastrointestinal tract. Nausea is a common symptom, and may result in bouts of vomiting. However, anti-nausea medications given in conjunction with chemotherapy drugs can help alleviate this symptom.
Other digestive issues include loose stools or diarrhea. In some people, hard stools and constipation can be a problem. This may be accompanied by pressure, bloating, and gas. Take care to avoid dehydration by drinking plenty of water throughout the day.
Side effects involving the digestive system can contribute to loss of appetite and feeling full even though you haven’t eaten much. Weight loss and general weakness are common. Despite all this, it’s important to continue eating healthy foods.
Jen's tips: I found maintaining excellent oral hygiene to be the most effective strategy for combatting mouth sores. While undergoing chemo make sure to brush your teeth after every single meal. Use a soft-bristeled toothbrush and run warm water over it prior to using (to further soften the bristles). Propolis is a good, natural mouth rinse.
As for digestive health, when I finished chemotherapy in 2011 I frequently had digestive issues (diarrhea). After completing chemo once again in 2013, my Nutritionist recommended a high quality Probiotic which I have used with excellent success. This is one of the most expensive supplements that I take, but having a healthy digestive system is worth it!
Jen's tips: I found maintaining excellent oral hygiene to be the most effective strategy for combatting mouth sores. While undergoing chemo make sure to brush your teeth after every single meal. Use a soft-bristeled toothbrush and run warm water over it prior to using (to further soften the bristles). Propolis is a good, natural mouth rinse.
As for digestive health, when I finished chemotherapy in 2011 I frequently had digestive issues (diarrhea). After completing chemo once again in 2013, my Nutritionist recommended a high quality Probiotic which I have used with excellent success. This is one of the most expensive supplements that I take, but having a healthy digestive system is worth it!
Hair, Skin, and Nails (Integumentary System)
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Some patients experience minor skin irritations like dryness, itchiness, and rash. You may develop sensitivity to the sun, making it easier to burn. Your doctor can recommend topical ointments to soothe irritated skin.
Fingernails and toenails may turn brown or yellow, and become ridged or brittle. Nail growth may slow down, and nails may crack or break easily. In severe cases, they can actually separate from the nail bed. It’s important to take good care of your nails to avoid infection.
Jen's tips: Many of the chemotherapy regimens for breast cancer cause hair loss. There is simply no way around it unless you are able/willing to shell out big bucks for cold caps or something similar. Even if you cut your hair short prior to chemo, it is traumatizing and a bit (in my opinion) disgusting when hair starts to fall out in clumps. A lint roller works great to pick up loose hair. Coconut oil helps soothe the scalp as it becomes tender when hair falls out. In fact, I would lather coconut oil over my entire body, especially my hands and feet, to soothe my dry, itchy, sensitive chemo skin. Tea tree oil is the magic potion for finger/toe nails. I developed toe nail fungus for the first time in my life. Tee tree oil twice daily for a couple of months did the trick. Tea tree oil also has healing properties and I use it on cuts, abrasions, and saddle sores.
Jen's tips: Many of the chemotherapy regimens for breast cancer cause hair loss. There is simply no way around it unless you are able/willing to shell out big bucks for cold caps or something similar. Even if you cut your hair short prior to chemo, it is traumatizing and a bit (in my opinion) disgusting when hair starts to fall out in clumps. A lint roller works great to pick up loose hair. Coconut oil helps soothe the scalp as it becomes tender when hair falls out. In fact, I would lather coconut oil over my entire body, especially my hands and feet, to soothe my dry, itchy, sensitive chemo skin. Tea tree oil is the magic potion for finger/toe nails. I developed toe nail fungus for the first time in my life. Tee tree oil twice daily for a couple of months did the trick. Tea tree oil also has healing properties and I use it on cuts, abrasions, and saddle sores.
Sexual and Reproductive System
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Symptoms like fatigue, anxiety, and hormonal fluctuations may interfere with sex drive in both men and women. So can worrying about loss of hair and other changes in appearance. However, many people on chemotherapy continue to enjoy an intimate relationship and an active sex life.
Jen's tips: Whether you are in a relationship or not, if you are even considering having children in the future, I strongly recommend a consultation with a fertility specialist prior to starting chemo. Also, check out Fertile Hope to see if you qualify for fertility preservation financial assistance. To combat/tolerate hot flashes I recommend first and foremost exercise and healthy nutrition. Other strategies that have worked for me include wearing layers as my body temperature fluctuates throughout the day, carrying a water bottle with me and taking a sip when I feel a hot flash coming on, and keeping the bedroom mildly cool at night when hot flashes are at their worst. To combat the dreaded vaginal dryness, I recommend coconut oil (yes, coconut oil has many, many uses:) and Firefly Organics lubricant. 'nuff said...
Jen's tips: Whether you are in a relationship or not, if you are even considering having children in the future, I strongly recommend a consultation with a fertility specialist prior to starting chemo. Also, check out Fertile Hope to see if you qualify for fertility preservation financial assistance. To combat/tolerate hot flashes I recommend first and foremost exercise and healthy nutrition. Other strategies that have worked for me include wearing layers as my body temperature fluctuates throughout the day, carrying a water bottle with me and taking a sip when I feel a hot flash coming on, and keeping the bedroom mildly cool at night when hot flashes are at their worst. To combat the dreaded vaginal dryness, I recommend coconut oil (yes, coconut oil has many, many uses:) and Firefly Organics lubricant. 'nuff said...
Kidneys and Bladder (Excretory System)
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You’ll be advised to drink plenty of fluids to flush the medication from your system and to keep your system functioning properly. Note: Some medications cause urine to turn red or orange for a few days. This isn’t cause for concern.
Skeletal System
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According to the National Institutes of Health (NIH), women who have been treated for breast cancer are at increased risk for osteoporosis and bone fracture. This is due to the combination of the drugs and the drop in estrogen levels. Osteoporosis increases the risk of bone fractures and breaks. The most common areas of the body to suffer breaks are the spine and pelvis, hips, and wrists.
Psychological and Emotional Toll
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Many cancer patents turn to complementary therapies like massage and meditation for relaxation and relief. If you have trouble coping, mention it to your doctor. They may be able to suggest a local cancer support group where you can speak with others who are undergoing cancer treatment. If feelings of depression persist, professional counseling may be necessary.