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Managing radiation therapy side effects
This section covers the potential side effects of radiation therapy and provide tips for managing them.
Learn more about:
- Overview
- Preparing for side effects
- Looking after yourself
- Trying complementary therapies
- How long side effects may last
- Fatigue
- Skin changes
- Hair loss
- Appetite loss and nausea
- Mouth and throat problems
- Bowel changes
- Bladder changes
- Lymphoedema
- Sexuality, intimacy and fertility issues
- Effects on sexual function and fertility
Overview
Radiation therapy can treat many cancers, but it can also injure healthy cells at or near the treatment area. This can lead to side effects. Before recommending radiation therapy, the radiation oncologist will consider whether the likely benefits outweigh the possible side effects. To minimise side effects, a range of new techniques have made radiation therapy highly precise.
We provide information and tips to help people manage some common side effects of radiation therapy. You are unlikely to have all of these side effects. You may have other side effects not discussed here or you may have symptoms unrelated to your treatment.
Preparing for side effects
Some people have many side effects, while others have very few or none. Side effects can vary even among people having the same type of radiation therapy to the same part of the body. Your treatment team can give you an idea of what to expect.
Many things can affect the type and severity of side effects, including:
- the part of the body treated
- the type of radiation therapy
- the dose of radiation needed and the number of treatment sessions
- any other treatments you might be having and your general health.
Most side effects that occur during treatment are manageable. Before treatment begins, your radiation therapy team will discuss how to look after the treatment area, the side effects to watch out for or report, ways to manage them, and who to contact after hours if you need help.
While you are having treatment, let the radiation therapy team know at each treatment session about any side effects you have. To help manage side effects, the radiation oncologist may alter the treatment or arrange a break. They may not recommend these options if it would affect how well the treatment works.
Looking after yourself
It is important to maintain your general health. People who have diabetes need to manage their blood sugar levels during treatment and recovery – see your GP before treatment starts. Your treatment team will encourage you to be as active as possible during treatment. Research shows that exercise can help people manage the ongoing effects of radiation therapy, including fatigue.
For more on this, see Exercise and cancer.
Trying complementary therapies
Complementary therapies are used with conventional medical treatments. Therapies such as relaxation and mindful meditation can reduce anxiety and improve your mood.
Let your radiation oncologist know about any complementary therapies you are using or thinking about trying, as some may not be safe or may make side effects worse. This includes over-the-counter and herbal medicines, vitamins and creams. You may also need to avoid massaging the treatment area.
For more on this, see Complementary therapies.
If you have ongoing side effects after radiation therapy, talk to your GP about developing a GP management plan to help you manage the condition. This means you may be eligible for a Medicare rebate for up to 5 visits each calendar year to allied health professionals such as physiotherapists and dietitians.
→ READ MORE: How long will side effects last?
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More resources
A/Prof Susan Carroll, Senior Staff Specialist, Radiation Oncology, Royal North Shore Hospital, and The University of Sydney, NSW; Katie Benton, Advanced Dietitian Oncology, Sunshine Coast Hospital and Health Service, QLD; Adrian Gibbs, Director of Physics, Radiation Oncology, Princess Alexandra Hospital Raymond Terrace, QLD; Sinead Hanley, Consumer; Dr Annie Ho, Radiation Oncologist, GenesisCare, Macquarie University Hospital and St Vincent’s Hospital, NSW; Angelo Katsilis, Clinical Manager Radiation Therapist, Department of Radiation Oncology, Royal Adelaide Hospital, SA; Candice Kwet-On, 13 11 20 Consultant, Cancer Council Victoria; Jasmine Nguyen, Radiation Therapist, GenesisCare Hollywood, WA; Graham Rees, Consumer; Nicole Shackleton, Radiation Therapist, GenesisCare Murdoch, WA; Dr Tom Shakespeare, Director, Cancer Services, Mid North Coast Local Health District, NSW; Gabrielle Vigar, Nurse Lead, Cancer Program, Royal Adelaide Hospital and Queen Elizabeth Hospital, SA.
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