Treatment FAQ

how long after a chemo treatment can a side effects start

by Dr. Joelle Johns Published 2 years ago Updated 1 year ago
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After Chemotherapy

Chemotherapy

Chemotherapy is a type of cancer treatment that uses one or more anti-cancer drugs as part of a standardized chemotherapy regimen. Chemotherapy may be given with a curative intent, or it may aim to prolong life or to reduce symptoms. Chemotherapy is one of the major categories of the medical discipline specifically devoted to pharmacotherapy for cancer, which is called medical oncology.

You’ll probably feel fine when you leave the infusion center. Still, you should plan for someone else to drive you home. Side effects don’t typically hit until 4 to 6 hours later—and in some cases, not until a day or two later.

Nausea and vomiting can start within the first few hours after chemotherapy drugs are given and usually last about 24 hours. However, nausea and vomiting may start more than 24 hours after treatment and last several days (called delayed nausea and vomiting).

Full Answer

What are the long term side effects of chemotherapy?

What Are the Long-Term Side Effects of Chemotherapy?

  • Cognitive difficulties. One of the short- and long-term side effects of chemotherapy is mental fogginess, often referred to as “ chemo brain .”
  • Hearing problems. Certain chemotherapy drugs can lead to long-term hearing loss. ...
  • Heart problems. ...
  • Increased risk of additional cancers. ...
  • Lung problems. ...
  • Nerve damage. ...
  • Osteoporosis. ...
  • Reproductive changes. ...
  • Takeaway. ...

How long do you feel sick after chemotherapy?

Not everyone feels sick during or after chemotherapy, but if nausea affects you, it will usually start a few hours after treatment. Nausea may last for many hours and be accompanied by vomiting or retching. Do you feel worse after each chemo treatment?

Do chemo side effects get better or worse?

When you do a chemo cycle, the fatigue usually gets worse in the first few days and then gets better until the next treatment, the ACS says. There are plenty of reasons why people on chemo feel...

What to expect after first round of chemotherapy?

  • Avoid people with colds or other infections. Chemotherapy weakens your body's immune system. Your immune system helps fight infections.
  • Drink lots of fluids for 48 hours after chemotherapy. This helps move the drugs through your body.
  • Whether there are activities to do or avoid doing on future treatment days.

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Do you get side effects from chemo straight away?

Symptoms tend to develop a few days after treatment starts and include: the inside of your mouth feeling sore, as if you've burned it by eating very hot food. mouth ulcers, which can become infected. discomfort when eating, drinking and/or talking.

Do side effects from chemo get worse with each treatment?

Most types of pain related to chemotherapy get better or go away between individual treatments. However, nerve damage often gets worse with each dose. Sometimes the drug causing the nerve damage has to be stopped. It can take months or years for nerve damage from chemotherapy to improve or go away.

How long after chemo is toxic?

It generally takes about 48 to 72 hours for your body to break down and/or get rid of most chemo drugs. But it's important to know that each chemo drug is excreted or passed through the body a bit differently.

Are chemo side effects delayed?

Side effects may appear during therapy and can last long after therapy is over. In some cases, long-term chemotherapy side effects may not occur until months or years after treatment. Some chemotherapy complications may be permanent, while others may subside with time.

Is second round of chemo worse than first?

Overall, my second round of chemo went much better than the first... thanks to an adjustment Dr. Soule made based on my round one experience (she extended my steroid to be taken for three days after chemo, instead of just one, though with smaller doses on each day).

How do you feel after first chemo treatment?

The most commonly reported side effect after receiving chemotherapy is fatigue. 7 Give yourself time for extra rest and sleep in the days after a session. Tell your healthcare provider if your fatigue begins to affect your ability to function or complete basic tasks, like bathing.

What should you not do after chemo?

9 things to avoid during chemotherapy treatmentContact with body fluids after treatment. ... Overextending yourself. ... Infections. ... Large meals. ... Raw or undercooked foods. ... Hard, acidic, or spicy foods. ... Frequent or heavy alcohol consumption. ... Smoking.More items...•

How can I flush chemo out of my system?

Chemotherapy can be dehydrating. Drinking plenty of water before and after treatment helps your body process chemotherapy drugs and flush the excess out of your system.

How long do you have to flush toilet twice after chemo?

For 48 hours after receiving chemotherapy, patients and caregivers should follow these precautions: Flush toilets twice each time they are used. If possible, patients should use a separate toilet from others in the home. Always wash hands with soap and water after using the toilet.

How long do chemo side effects last after each treatment?

Many side effects go away fairly quickly, but some might take months or even years to go away completely. These are called late effects. Sometimes the side effects can last a lifetime, such as when chemo causes long-term damage to the heart, lungs, kidneys, or reproductive organs.

What are the signs that chemo is not working?

Here are some signs that chemotherapy may not be working as well as expected: tumors aren't shrinking. new tumors keep forming. cancer is spreading to new areas.

Which is harder on the body chemo or radiation?

Since radiation therapy is focused on one area of your body, you may experience fewer side effects than with chemotherapy. However, it may still affect healthy cells in your body.

How long do side effects of chemo last?

These are called late effects. Sometimes the side effects can last a lifetime, such as when chemo causes long-term damage to the heart, lungs, kidneys, or reproductive organs.

What are common side effects of chemo?

Most people worry about whether they’ll have side effects from chemo, and, if so, what they’ll be like. Here are some of the more common side effects caused by chemotherapy:

Why does chemo cause side effects?

Cancer cells tend to grow fast, and chemo drugs kill fast-growing cells. But because these drugs travel throughout the body , they can affect normal, healthy cells that are fast-growing , too. Damage to healthy cells causes side effects. Side effects are not always as bad as you might expect, but it's normal to worry about this part of cancer treatment.

What do I need to know about side effects?

Every person doesn’t get every side effect, and some people get few, if any.

What are the side effects of cancer?

Urine and bladder changes and kidney problems. Weight changes. Chemo brain, which can affect concentration and focus. Mood changes. Changes in libido and sexual function. Fertility problems. Learn more about these and other problems in Managing Cancer-related Side Effects.

Can you take vitamins for chemo?

But some vitamins might make chemo less effective. More research is needed, but until more is known about the effects of vitamins on chemo, keep these points in mind: If your doctor has not told you to take vitamins, it’s best not to take any.

Can chemo kill cancer cells?

Ask your doctor if the chemo drugs you’re getting have long-term effects. While side effects can be unpleasant, they must be weighed against the need to kill the cancer cells. Be sure to talk to your cancer care team about which side effects are most common with your chemo, how long they might last, how bad they might be, ...

What drugs can damage the nervous system?

A number of chemotherapy drugs can damage the nervous system. These include docetaxel, paclitaxel, and vinorelbine, among others.

What is the most common form of cancer treatment?

Chemotherapy is the most common form of treatment for cancer. It uses aggressive drugs to slow the growth of cancer cells.

What are the side effects of chemotherapy?

One of the short- and long-term side effects of chemotherapy is mental fogginess, often referred to as “ chemo brain .” It includes problems with memory, concentration, and multi-tasking. In some cases, these cognitive challenges persist for several years after treatment is complete.

How to take care of lungs after chemo?

It may not be possible to prevent lung damage caused by chemotherapy, but you can take care of your lungs by exercising regularly, avoiding lung irritants, and quitting smoking.

What to ask before receiving chemotherapy?

Before receiving chemotherapy, ask your doctor or oncologist about the likelihood of long-term or permanent side effects.

Can chemotherapy cause bone loss?

Chemotherapy drugs can thin and weaken the bones. This condition is called osteoporosis. It’s more likely to occur in women experiencing menopause, as menopause is also associated with a loss of bone density.

Does chemotherapy increase risk of blood cancer?

Chemotherapy has been linked to a small increase in risk for blood cancers.

How long does it take for chemo side effects to go away?

Most chemo side effects stop once treatment is over. Some might take months or years to go away. If the drugs damage your organs, the effects could be permanent. Talk with your doctor about the risks of side effects and how long you can expect them to last. Your medical team might be able to change your treatment or suggest things ...

How to stop hair loss from chemo?

A tight-fitting cap with a cool gel, called a cooling cap, can reduce hair loss for some people. It makes the blood vessels in your scalp smaller so less of the chemo medicine reaches your hair follicles. Ask your doctor if it might help you.

What to do if you have dry mouth?

Ask your doctor about pain medicines and ointments. If you start having dry mouth, they might recommend treatments to help you make more saliva.

How to handle hair loss?

That means using mild shampoos, soft brushes, and no electric rollers, curling irons, dyes, or perms. Use moisturizing shampoo, conditioner, and cream on your hair before it falls out and later on your scalp.

What to do if you have anemia?

If your anemiais severe, you could need a blood transfusion. In some cases, your doctor might prescribe drugs that trigger your body to make more red blood cells. Foods rich in iron such as spinach, red meat, and beans might also help boost your energy. Infection.

How to fight fatigue from cancer?

Aside from taking medicines, you can practice these habits to fight fatigue: Don't try to do everything at once or by yourself. If your family or friends ask what they can do for you, get their help with shopping, cooking, or other chores.

What to do when you have diarrhea in the bathroom?

Other habits can also keep bathroom troubles at bay. For constipation, try high-fiber foods, exercise, and drinking lots of fluids. For diarrhea, low-fiber foods like white rice, oatmeal, and skinless chicken may help.

What Can You Do to Lower Your Risk of Long-Term Side Effects?

Until we know more about long-term survivorship issues following chemotherapy for adults, there are a few things you can do:

What are the effects of chemotherapy on the bones?

Skeletal Effects. Osteoporosis (thinning of the bones) is the most common late effect of chemotherapy. Most chemotherapy drugs cause bone loss to accelerate and changes in diet that accompany cancer and its treatment can amplify the problem. The greatest concern over the long run are fractures that can result from this bone loss.

How long does it take to get tired after chemo?

Fatigue. During chemotherapy, most people deal with fatigue, yet a third of people continue to experience fatigue for months to years after chemotherapy is completed. It is important to share this symptom with your doctor because many causes of fatigue are reversible.

Why do you keep a record of your chemotherapy?

Keep a record of your chemotherapy regimen with you in case you see a healthcare provider who is unfamiliar with your medical history.

Can chemotherapy have long term side effects?

Before addressing possible long-term side effects, keep in mind that everyone is different. Some people may have several of these side effects, while many will have none. Side effects also vary considerably depending on the particular chemotherapy medications that are used.

Can you have both chemotherapy and radiation on your chest?

If you will be having both chemotherapy and radiation therapy to your chest for cancers such as breast cancer, talk to your radiation oncologist about the option for respiratory gating for left-sided breast cancer, a technique that can reduce the amount of radiation to your heart.

Does chemo cause cardiac problems?

Cardiac Concerns. Chemotherapy can cause cardiac effects early in treatment, but in some cases, the effects may not show up until much later. One notable example is heart damage following treatment with Adriamycin (doxorubicin). With this drug, a possible long-term side effect is weakening of the heart muscle, resulting in a decreased ability ...

When do chemo side effects kick in??

I have breast cancer and am on an 8 cycle course of chemo ('AC' for the first 4 cycles and then 'T' for the final 4) It is now the day after my first dose and apart from feeling tired and a bit nauseous I don't feel so bad. When do the really bad side effects kick in?? Do I really have to take all the steroids and other drugs if I don't feel so bad? Interested to hear other experiences...

What is chemo meant to do?

Chemo is meant to build up as each course is done. You need to take the advice given, not do your own thing! The team will guide you in any problems and contact your nurse if you have effects you are not happy with. Good luck, we are now through it and hubby is 71 years old. Caz.

Can you have the same chemo experience with the same patient?

I'm afraid the old answer "it depends" is valid here. Similar patients on exactly the same chemo can have different chemo experiences. Keep taking the anti side effect drugs - the fact you aren't having side effects probably means they are working!

Is the second lot of chemo the same as the first?

the second lot of chemo is much the same. Today my hair is falling out rapidly....cropping it tonight. Sorry you’re feeling sad and I know exactly what you mean, might be a good idea to speak to nurse about side effects.

Is A&E good for sepsis?

Sad to hear of your experience, I’m not surprised A&E Depts are very good at following the chemo sepsis protocol but don’t seem to know how to treat chemo patients with severe side effects

How long does chemo rash last?

Some side effects of chemotherapy only happen while you're having treatment and disappear quickly after it's over. But others can linger for months or years or may never completely go away. Watch out for signs of chemo's long-term changes, and let your doctor know how you feel.

How long does it take for side effects to go away after chemo?

But others can linger for months or years or may never completely go away.

How to lose weight after chemo?

Work with a dietitian or nutritionist and add strength training exercises to your workout routine to help you shed some pounds. Energy. You probably remember the fatigue that hit you while you were getting chemo. But some people still feel extremely tired after treatment ends.

Can chemo cause fertility issues?

Fertility. Chemotherapy can affect your ability to have children, whether you're a man or woman. For guys, the reason has to do with the way chemo drugs target fast-growing cancer cells. Since healthy sperm cells divide quickly, chemo can also damage them.

Does chemo cause heart problems?

Heart. Certain chemo drugs can damage cells in your heart. Chemotherapy may also increase your odds of having heart problems, such as: Weakening of the heart muscle ( cardiomyopathy) Problems with your heart rhythm ( arrhythmia) Heart attack.

Does hair go back to normal after chemo?

But it's possible that at first it may not look like it used to. Its texture, shape, and color may be different. Over time, as the effects of the chemo on your hair follicles wear off, your hair will probably go back to the way it was before treatment. In rare cases, such as after years of strong chemotherapy, your hair follicles could shut down.

Does chemo make you gain weight?

Weight. Some types of chemo can make you put on extra pounds. You may find that the weight stays on even when your treatment ends. For instance, some drugs that treat breast cancer can cause you to lose muscle and gain fat, which makes it much more difficult to get the weight off.

What to do before starting chemo?

Before Starting Chemotherapy. If possible, ask your healthcare provider for a tour of your infusion center. Some cancer treatment centers have private rooms for chemotherapy; at others, patients are in a common area. Seeing the space in advance will help you prepare mentally—and decide what to bring along during chemo sessions.

How long after chemotherapy do you feel better?

Still, you should plan for someone else to drive you home. Side effects don’t typically hit until 4 to 6 hours later—and in some cases, not until a day or two later. A member of your healthcare team will probably call you the next day.

How is chemo administered?

Types of Chemotherapy. Chemotherapy can be administered via pills, capsules or medicated liquid. It can also be infused into the bloodstream via an IV or injected directly into the body. You and your doctor will discuss which chemotherapy drugs and administration process is most likely to successfully attack your cancer.

Where is the catheter implanted?

Some have a thin catheter implanted in their chest or forearm. Others have a port implanted under the skin of the chest; this port connects directly to a large vein and can be easily accessed with a needle. When needed, healthcare providers can draw blood samples from ports and implanted catheters.

Can chemotherapy cause hair loss?

If chemotherapy is part of your cancer treatment plan, you’re probably (understandably) nervous. Nearly everyone knows chemo can cause nausea, vomiting, hair loss and other unpleasant side effects. But your doctors and treatment team will guide you through the process and help you manage these symptoms. Learning more about chemotherapy drugs, how they’re administered, and chemo side effects may help put your mind at ease as you prepare for your first infusion.

Can you sit up in an infusion area?

When the healthcare team is ready, you’ll be settled in an infusion area. (Most places have comfortable recliners available for patients, so you can sit up or lie down as desired.) A nurse will access your catheter or port or insert an IV and may administer some IV fluids and medication. (Some of these meds may make you feel sleepy or energized.) If you have any questions about what’s happening, ask. Staff members want you to feel comfortable and informed.

Can you take anti nausea before chemo?

Ask your doctor to describe the chemotherapy side effects you may experience, as well as what healthcare providers do to manage those side effects. For instance, it’s now common for patients to receive anti-nausea medication before undergoing chemo.

Why Does It Take That Long After Diagnosis For Chemo To Start?

After Chemotherapy, the body becomes more prone to infections due to the lack of white blood cells. Hence, the immune system of the body is affected. All kinds of Chemotherapy would affect the body’s working; the severity of the action depends upon some factors like the kind of medication being taken, how often chemotherapy is taking place, how long the treatment lasts, etc. There are two ways of the medicines being taken into the body, the first is in the shape of pills, and the second is intravenous treatments where the medicine is injected into veins in the arm, chest, or hands.

How long does it take for a patient to get back to normal after chemo?

The compromising of the white blood cells in the body makes the body prone to infection. Chemotherapy messes with the patient’s immune system, and whereas some people get back to normal after two or three months, it might take others up to even nine months to get their immune system back to normal. Condition Of Patient.

How does chemo work?

Standard Chemotherapy works by killing the growing cells which are harmful to the body, like cancer cells. Cytotoxic Chemotherapy is a treatment that kills the rapid growth of harmful cells but does relatively minor damage to the normal cell, unlike Standard Chemotherapy, which kills both the cells. Traditional Chemotherapy, on the other hand, uses drugs that mainly help to kill the tumor cells.

How long does it take for chemo to start?

On average, chemo is started after two months of diagnosis, but it can also be started in a month, depending on the patient’s condition.

What is the primary treatment for cancer?

Chemotherapy is the primary treatment to treat cancer, as cancer cells proliferate than other cells. A different mixture of compounds is used for therapy which often relies on Cancer type. Duration of treatment varies from person to person, from weeks to months. Chemotherapy may also be used for curing system disorders.

How to take care of your body during chemo?

However, the person can take some measures to take care of their health even during the chemotherapy by following some rules. The first could be getting enough rest so that the body does not feel the fatigue of the Chemotherapy medicines and can relax. Further, a healthy diet plan should be discussed with the doctor to give the body energy, which can be otherwise drained during the procedure.

Does cytotoxic chemotherapy kill tumors?

Cytotoxic Chemotherapy is a treatment that kills the rapid growth of harmful cells but does relatively minor damage to the normal cell, unlike Standard Chemotherapy, which kills both the cells. Traditional Chemotherapy, on the other hand, uses drugs that mainly help to kill the tumor cells.

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