Treatment FAQ

how sick will i get after first chemo therapy treatment for breast cancer?

by Dr. Sonya Bode Published 2 years ago Updated 2 years ago

You may start feeling sick straight after chemotherapy, a few hours after or up to several days later. For some people it may last for a few hours and for others it can continue for several days. People who are very anxious or prone to travel sickness or morning sickness in pregnancy may be more likely to actually be sick.

Chemotherapy can make you feel sick (nauseated) or cause you to vomit. 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.

Full Answer

Why am I being offered more chemotherapy after breast cancer surgery?

For certain types of breast cancer, if there are tumor cells still found at the time of surgery (also called residual disease), you may be offered more chemotherapy after surgery to reduce the chances of the cancer coming back (recurrence).

What to expect after my chemotherapy treatment for breast cancer?

This information explains what to expect after you finish your chemotherapy treatment for breast cancer. Most people are relieved when they finish chemotherapy, but some people may feel worried. For months, you’ve seen your healthcare providers very often. They could answer your questions and support you at each visit.

Is it normal to feel sick after chemo?

Sickness, nausea and vomiting The likelihood of having nausea (feeling sick) and vomiting (being sick) after chemotherapy depends on the type and dose of drugs you’re having. But nausea and vomiting can usually be controlled.

Do you want to go through chemotherapy?

Chemotherapy. It's not a word people want to hear and certainly not something they want to go through. But, for those of us with cancer, we often don't have a choice. I remember how terrified I was of getting my first chemotherapy treatment.

How long after chemo treatment Do you feel sick?

Acute nausea and vomiting usually happens within minutes to hours after treatment is given, and usually within the first 24 hours. This is more common when treatment is given by IV infusion or when taken by mouth.

What happens after first chemo treatment for breast cancer?

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.

Does chemo for breast cancer make you sick?

You may feel sick or be sick after chemotherapy. This will depend on the type and dose of drugs you're having. But this can usually be controlled. You may start feeling sick straight after chemotherapy, a few hours after or up to several days later.

What are the side effects after first chemotherapy?

Here's a list of many of the common side effects, but it's unlikely you'll have all of these.Tiredness. Tiredness (fatigue) is one of the most common side effects of chemotherapy. ... Feeling and being sick. ... Hair loss. ... Infections. ... Anaemia. ... Bruising and bleeding. ... Sore mouth. ... Loss of appetite.More items...

How will I feel after my first chemo treatment?

Following Your First Treatment “You may not feel side effects right away, but your body is hard at work, battling alongside your new medication.” Patients often ask how much time they will need away from work or how much help they will need at home.

Do you feel worse after each chemo treatment?

The effects of chemo are cumulative. They get worse with each cycle. My doctors warned me: Each infusion will get harder. Each cycle, expect to feel weaker.

When are chemo side effects the worst?

Blood cell counts often reach their lowest level about 7 to 14 days after chemotherapy. Low blood cell counts is the most common and most serious side effect of chemotherapy. When it happens, the dose of chemotherapy is adjusted right away or chemotherapy may have to be stopped temporarily.

What does breast cancer chemo feel like?

You may experience nausea (feeling like you might throw up) and vomiting (throwing up) after your last chemotherapy treatment. It should go away in 2 to 3 weeks. Your appetite may continue to be affected due to taste changes you may have experienced during your treatment.

How painful is chemotherapy for breast cancer?

Does chemotherapy hurt? IV chemotherapy should not cause any pain while being administered. If you experience pain, contact the nurse taking care of you to check your IV line. An exception would be if there is a leak and the drug gets into surrounding tissues.

What should I do the night before chemo?

Stay healthy and strong.Take it easy.Don't compare your body to how it was before chemotherapy.Drink lots of water.Go for a walk every day, if possible.Try to eat something. ... Read the provided handouts regarding chemotherapy and its side effects.Try acupuncture to help alleviate pain and nausea.More items...•

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 do I prepare my home for chemo?

You may want to keep bleach or sanitizing wipes around your house. Use gloves when you clean. You may be more sensitive to smells if you're in chemotherapy....You or someone else should disinfect items like these once a day:Tables and countertops.Refrigerator handles.Phones.Keyboards.Remote controls.Toilets and faucets.

How long is chemotherapy for stage 1 breast cancer?

Typically, if you have early-stage breast cancer, you'll undergo chemotherapy treatments for three to six months, but your doctor will adjust the timing to your circumstances. If you have advanced breast cancer, treatment may continue beyond six months.

How many rounds of chemo is normal for breast cancer?

Typically, you receive chemotherapy in cycles. You may receive chemo every week or every two, three or even four weeks. Cycles are usually two to three treatments long. Each cycle includes a rest period to allow your body to recover.

Can breast cancer spread while on chemo?

While chemotherapy is one of the oldest and most successful ways of treating cancer, it doesn't always work. So, yes, cancer can spread during chemotherapy. Spreading could mean the tumor keeps growing, or that the original tumor shrinks, but cancer metastasizes, forming tumors in other areas of the body.

What are the signs that chemo is working?

Complete response - all of the cancer or tumor disappears; there is no evidence of disease. A tumor marker (if applicable) may fall within the normal range. Partial response - the cancer has shrunk by a percentage but disease remains. A tumor marker (if applicable) may have fallen but evidence of disease remains.

When Is Chemotherapy used?

Not all women with breast cancer will need chemo, but there are several situations in which chemo may be recommended: 1. After surgery (adjuvant ch...

Which Chemotherapy Drugs Are Used For Breast Cancer?

In most cases (especially as adjuvant or neoadjuvant treatment), chemo is most effective when combinations of drugs are used. Today, doctors use ma...

How Is Chemotherapy given?

Chemo drugs for breast cancer are typically given into a vein (IV), either as an injection over a few minutes or as an infusion over a longer perio...

Possible Side Effects of Chemo For Breast Cancer

Chemo drugs can cause side effects. These depend on the type and dose of drugs given, and the length of treatment. Some of the most common possible...

How To Recognize A Cancer Emergency

Your doctor and the chemotherapy nurse will let you know what situations would be considered an emergency. But if you have any of the following warning signs, tell your doctor immediately:

My Ac Chemotherapy Side Effects

I havent lost any head hair yet but friends have told me to expect some shedding at least from now on. Well see how that goes. I have lost a little bit of body hair and when I plucked my eyebrows a bit yesterday, I noticed immediately that they come away straight away. It isnt even a pluck to be honest, they just come away.

Psychological And Emotional Toll

Living with cancer and dealing with chemotherapy can take an emotional toll. You may feel fearful, stressed, or anxious about your appearance and health. Depression is a common feeling as well, as people juggle work, family, and financial responsibilities on top of cancer treatment.

Getting Started With Chemotherapy

Once you’re in the infusion suite, the nurse will order your chemotherapy cocktail and any pre-medications that are required from the pharmacy. It usually takes at least 30 minutes for the drugs to arrive. Some of the pre-medications may be steroids, anti- nausea medications and/or anxiety medications.

Nausea Vomiting And Taste Changes

You may experience nausea and vomiting after your last chemotherapy treatment. It should go away in 2 to 3 weeks.

Practical Hints For Fatigue

Plan your activities, such as grocery shopping, for a time when you feel the best.

Longer Term Side Effects

Tiredness is commonly reported during treatment. This may be a direct effect of the drugs or may be due to other factors such as disrupted sleep patterns.

How early can you get blood work done for chemo?

First, you may be told to show up a couple of hours early to get blood work drawn. This is to make sure you're able to get your chemotherapy treatment.#N#It can be a pain, but, believe me, it's in your best interest.#N#Use the extra time to relax before you go to your chemotherapy appointment.#N#When you arrive at the infusion floor and they have your lab results and a room available, you'll be called back to have your vital signs taken.#N#Once you are cleared at the vitals station, you will be taken to your chemotherapy room for your infusion.#N#At MD Anderson, you will have a TV, Internet access, a bed or a recliner and best of all warm blankets.#N#They also have food service at lunch and dinner if you're hungry.#N#At MD Anderson, you're allowed to have one caregiver with you in the infusion room.

How long does it take for chemo to arrive?

It usually takes at least 30 minutes for the drugs to arrive. Some of the pre-medications may be steroids, anti- nausea medications and/or anxiety medications.

What to do after chemo?

After the chemotherapy is finished, the nurse will "flush" your IV line with saline and then de-access your port or take out your IV.

How old is Rachel Midgett?

Rachel Midgett is a 41-year-old stage IV breast cancer patient. Her journey started with her trying to get pregnant by IVF (in vitro fertilization). She was about to start round 2 of IVF when she found a cyst on her left breast. The cyst ended up being benign, but underneath the cyst was a 4.5 cm malignant tumor.

How long after chemo can you go home?

They may have you wait 30 minutes after the chemotherapy is done to make sure you don't have any reactions to the medications. At that point, you can go home. Again, depending on your pre-medications and chemotherapy, you may have lots of energy or may feel very sleepy later in the day.

How do nurses start chemotherapy?

Your nurse will begin with a saline solution through your IV. As soon as the medications are delivered, your nurse will hang the bags of medication on the IV stand and then start the different IVs. You'll be given pre-medications first, then the chemotherapy.

Can steroids make you sleepy?

The steroids may give you energy; the allergy drugs and anti-anxiety drugs may make you sleepy. It's important that you have a caregiver with you to get you to and from chemotherapy the first time, as you don't know how you'll feel after you're done.

How does chemotherapy affect the body?

Blood cells – white blood cells, red blood cells and platelets – are released by the bone marrow (spongy material in the hollow part of bones) to replace those naturally used up in the body. Chemotherapy reduces the ability of the bone marrow to make these cells.

How does chemotherapy affect the digestive system?

Effects on your digestive system. Chemotherapy can affect your digestive system in different ways. Some people get constipated, other people have diarrhoea. Your hospital will have its own guidelines, but if you have four or more episodes of diarrhoea within 24 hours contact you GP or treatment team.

What are the symptoms of a central line inserted to give chemotherapy?

Pain, redness/discolouration, heat and swelling of the calf or thigh. Swelling, redness or tenderness where a central line is inserted to give chemotherapy, for example in the arm, chest area or up into the neck. Shortness of breath. Pain or tightness in the chest. Unexplained cough or coughing up blood.

How long do side effects last after chemo?

For some people side effects can last longer or may develop months or years after chemotherapy has finished. Some chemotherapy drugs can cause heart or lung problems, and some drugs increase the risk of getting another cancer in the future. These late effects are rare.

How long does it take for chemo to make you sick?

But this can usually be controlled. You may start feeling sick straight after chemotherapy, a few hours after or up to several days later. For some people it may last for a few hours and for others it can continue for several days.

What is it called when you have too few red blood cells?

Having too few red blood cells is called anaemia. If you feel particularly tired, breathless or dizzy, let your specialist team know. A blood transfusion may be necessary during your treatment if the number of red blood cells falls significantly.

Why do people with breast cancer have a higher risk of blood clots?

People with breast cancer have a higher risk of blood clots. Their risk is higher because of the cancer itself and some treatments for breast cancer. If the cancer has spread to other parts of the body (secondary breast cancer), this also increases the risk.

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.

What to do during first chemotherapy infusion?

During Your First Chemotherapy Infusion. Plan to spend the day at the hospital or treatment center. When you arrive, a healthcare provider will check your vital signs, height and weight. You’ll probably have blood drawn as well. This information helps the healthcare team provide the proper dose of chemotherapy drugs.

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 you prepare chemotherapy in advance?

Chemotherapy medication cannot be prepared in advance; it must be mixed to exact specifications and that takes time. 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.)

Can chemo cause hair loss?

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 ...

How often do you see your chemo provider after chemo?

For months, you’ve seen your healthcare providers very often. They could answer your questions and support you at each visit. Now that you’ve finished chemotherapy, you won’t see them as often, but you’ll likely continue to have questions and concerns.

How long does it take for a chemo numbness to go away?

It may get worse after you have your last chemotherapy treatment. Most people notice that their neuropathy gets better 2 to 4 months after chemotherapy, but it can take up to 1 year to fully go away.

How long does it take to feel like you're back after chemo?

Try to avoid having goals for yourself that are too high. This can add to your stress level and frustration. Most people say it takes 6 to 12 months after they finish chemotherapy before they truly feel like themselves again.

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

You may experience nausea (feeling like you might throw up) and vomiting (throwing up) after your last chemotherapy treatment. It should go away in 2 to 3 weeks. Your appetite may continue to be affected due to taste changes you may have experienced during your treatment.

What happens to the brain after chemo?

This is sometimes called “chemo brain.”. You may have problems such as poor memory, trouble finding words, difficulty focusing. This can affect parts of your life, including caring for your family and managing your job.

How long does it take for a chemo patient's white blood cell count to go down?

After your last dose of chemotherapy, your white blood cell count will go down. It should start to go back to normal about a month after your last treatment . Your red blood cell count may also go down, but it should go back to normal around the same time.

How long do side effects last after chemo?

After you finish chemotherapy, you may have some remaining side effects. While most will go away soon after your last dose, others can last for weeks or months. Some of these side effects are listed below. For more information on each side effect, talk with your healthcare provider.

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 chemo side effects kick in??

Hubby was fine for first few doses then it kicked in the more he had. 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

When do chemo side effects kick in??

Hi, I've not long finished my cycle of chemotherapy for lung cancer. I had various side effects but class myself very lucky they were only slight ones.

When do chemo side effects kick in??

Hi, I'm in same situation but I'm 2 weeks into first cycle of chemotherapy, I feel like I'm kind of stuck just waiting for these side effects to hit me like a brick.. part from a bit sickness & tiredness I have been ok. Had occasional meal & nights out even a few drinks, waiting for the unknown to happen I found harder.

When do chemo side effects kick in??

Hi , this is my first post though all of this ☺️ Am only 7 wk into diagnose already had mastectomy n had my first chemo yesterday like u I thought no point n worrying what it’s going to b like till it happens but god last nite n today the sick feeling is killing me plus the headache is bad is this normal should I call the ward feeling sad

When do chemo side effects kick in??

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!

When do chemo side effects kick in??

I'm about to have cycle 5 of my chemo tomorrow. I must say, I was pretty nervous going into it all, especially as I'm emetophobic. However, I had great anti-sickness pills from my consultant (after a little experiementation) and other than hair loss (day 17 after first chemo), the side effects haven't got much worse since cycle 2.

Why do you need a pelvic exam after breast cancer surgery?

Pelvic exams: If you are taking either of the hormone drugs tamoxifen or toremifene and still have your uterus, you should have pelvic exams every year because these drugs can increase your risk of uterine cancer.

Why aren't breast cancer tests included in follow up?

Other tests: Other tests such as blood tests and imaging tests (like bone scans and chest x-rays) are not a standard part of follow-up because they haven’t been shown to help a woman who's been treated for breast cancer live longer.

How long does breast cancer treatment last?

Almost any cancer treatment can have side effects. Some might only last for a few days or weeks, but others might last a long time.

What hormones are used to test bone density?

Bone density tests: If you are taking a hormone drug called an aromatase inhibitor (anastrozole, letrozole, or exemestane) for early stage breast cancer, or if you go through menopause as a result of treatment, your doctor will want to monitor your bone health and may consider testing your bone density.

What happens if cancer comes back?

If cancer does return, your treatment options will depend on where it comes back, what treatments you've had before, and your current health and preferences. For more information on how recurrent cancer is treated, see Treatment of Recurrent Breast Cancer .

What is a survivorship plan?

This plan might include: A schedule for other tests you might need in the future, such as early detection (screening) tests for other types of cancer, or tests to look for long-term health effects from your cancer or its treatment.

How long after cancer treatment do side effects show?

Some side effects might not even show up until years after you have finished treatment. Visits with your doctor are a good time for you to ask questions and talk about any changes or problems you notice or concerns you have. However, if you have additional concerns about your cancer, you do not have to wait until your next scheduled visit.

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