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<p>Chemotherapy… a treatment method for malignant cancer that not only destroys cancer cells but can also affect normal cells. This causes side effects from the treatment, with the severity of side effects varying among patients depending on the type of drugs and treatment each time. Some patients may experience severe side effects, while others may have none. Most side effects that occur during the first week of treatment are usually temporary and manageable. However, if side effects worsen, patients should promptly see a doctor to plan further treatment.</p>
<h2 style="color: #008080;"><span style="color: #00826a;">Symptoms as Side Effects from Chemotherapy</span></h2>
<ul>
<li><span style="color: #00826a;"><strong>Feeling tired and weak</strong></span></li>
</ul>
<p>Fatigue, feeling tired and weak, is the most common side effect of chemotherapy. Fatigue includes feelings of weakness, tiredness, drowsiness, sluggishness, confusion, and irritability. Fatigue may occur immediately and rest may not relieve it. You may still feel tired for weeks or months after finishing a treatment cycle.</p>
<h2 style="color: #008080;"><span style="color: #00826a;">Managing Side Effects</span></h2>
<ul>
<li>Rest and avoid activities</li>
<li>Have others help you with some activities such as shopping, childcare, driving, and housework</li>
<li>Take two to three weeks off work during or after chemotherapy, or reduce working hours</li>
<li>Do light exercise such as walking and your usual exercise</li>
<li>Try to get more sleep at night</li>
<li>Try to eat healthy and nutritious food</li>
</ul>
<h2><span style="color: #00826a;">Mouth Sores</span></h2>
<p>Some chemotherapy drugs may cause mouth sores such as ulcers or infections. The chance of mouth sores increases in patients who have received or are receiving radiation therapy to the head, neck, or chest, or in cases with dental or gum problems.</p>
<h2 style="color: #008080;"><span style="color: #00826a;">Managing Side Effects</span></h2>
<ul>
<li>Use a soft-bristled toothbrush to clean your teeth twice a day. Use mouthwash to help prevent infections in the mouth</li>
<li>Do not use regular mouthwash containing alcohol as it may cause dry mouth or irritation</li>
<li>Try to eat healthy and nutritious food</li>
<li>Sometimes sucking on ice during drug administration can help reduce mouth sores</li>
<li>Drink water and eat soft foods</li>
<li>Avoid spicy or acidic foods as they can worsen mouth sore pain</li>
</ul>
<h2><span style="color: #00826a;">Loss of Appetite, Nausea, or Vomiting</span></h2>
<p>Appetite changes during chemotherapy. Sometimes you may not feel like eating or may not like foods you used to enjoy.</p>
<h2 style="color: #008080;"><span style="color: #00826a;">Managing Side Effects</span></h2>
<ul>
<li>Eat small frequent snacks instead of large meals</li>
<li>Drink small amounts of fluids frequently after treatment and eat ice or jelly</li>
<li>Adjust meal times. If you feel hungrier in the morning, eat a main meal then and eat light foods such as rice porridge or cereals when appetite decreases</li>
<li>Avoid fatty and fried foods. Eat slowly and chew thoroughly to aid digestion</li>
<li>Avoid smells that increase nausea such as food odors or smoke</li>
<li>Inform your doctor to prescribe anti-nausea medication to take at home regularly</li>
</ul>
<h2><span style="color: #00826a;">Constipation or Diarrhea</span></h2>
<p>Chemotherapy drugs, painkillers, and some anti-nausea medications may cause constipation or diarrhea. If constipation lasts more than two to three days, inform your treating doctor.</p>
<h2 style="color: #008080;"><span style="color: #00826a;">Managing Side Effects</span></h2>
<ul>
<li>If constipated, eat more high-fiber foods such as bread and pasta, whole grains, vegetables, and fruits</li>
<li>Drink enough water to help relieve constipation and replace fluids lost in diarrhea</li>
<li>If you have diarrhea, avoid spicy foods, grain products, thick sauces, fruits, or raw vegetables with skins or seeds</li>
</ul>
<h2><span style="color: #00826a;">Hair Loss and Scalp Problems</span></h2>
<p>Many patients receiving chemotherapy worry about hair loss. Some lose all their hair quickly, some lose hair after several treatments, and some may have slight or no hair loss at all.</p>
<h2 style="color: #008080;"><span style="color: #00826a;">Managing Side Effects</span></h2>
<ul>
<li>Keep hair and scalp clean using mild shampoo such as baby shampoo</li>
<li>Wear a headscarf or a thin cotton head covering</li>
<li>Avoid perming, dyeing, blow-drying, curling, and harsh hair products</li>
<li>Wear wigs, hairpieces, hats, headscarves, or head wraps that make you feel comfortable and confident</li>
<li>If eyelashes fall out, wear glasses or sunglasses to protect your eyes from sunlight and dust when outside</li>
<li>Comb or brush hair gently using a wide-tooth comb or soft-bristled brush</li>
<li>If planning to buy a wig, do so early in treatment to match your hair color and style</li>
</ul>
<h2><span style="color: #00826a;">Itchy Skin and Other Skin Problems</span></h2>
<p>Skin may darken, peel, or become dry and itchy during chemotherapy. It is also more sensitive to sunlight, so sunscreen with high protection (SPF 30+) should be applied along with wearing hats and sun-protective clothing.</p>
<h2 style="color: #008080;"><span style="color: #00826a;">Managing Side Effects</span></h2>
<ul>
<li>Use gentle soap for bathing</li>
<li>Use lotion or cream to moisturize and prevent dry skin</li>
<li>Wear loose-fitting clothes that are not too tight</li>
</ul>


In patients receiving chemotherapy, side effects from the chemotherapy drugs may occur, while some patients may not experience any side effects. The side effects that may occur in each patient vary depending on the type of drug and treatment.

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Tired, weak, loss of appetite, hair loss – side effects from chemotherapy.. that you can manage!

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