Treatment FAQ

what to expect after first external radiation treatment

by Charles Russel Published 2 years ago Updated 2 years ago
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Your skin in the radiation treatment area might look red, irritated, swollen, blistered, sunburned, or tanned. After a few weeks, your skin might become dry, flaky, or itchy, or it may peel. This is sometimes called radiation dermatitis. It's important to let your cancer care team know about any skin changes.Dec 10, 2020

How long after radiation do you start to feel better?

Most side effects go away within 1–2 months after you have finished radiation therapy.

How long does it take for a tumor to shrink after radiation?

At the same time, if a cell doesn't divide, it also cannot grow and spread. For tumors that divide slowly, the mass may shrink over a long, extended period after radiation stops. The median time for a prostate cancer to shrink is about 18 months (some quicker, some slower).

How long does it take to recover from radiation therapy?

Most side effects generally go away within a few weeks to 2 months of finishing treatment. But some side effects may continue after treatment is over because it takes time for healthy cells to recover from the effects of radiation therapy. Late side effects can happen months or years after treatment.

Should you rest after radiation treatment?

Many patients are able to go to work, keep house, and enjoy leisure activities while they are receiving radiation therapy.” Others find that they need more rest than usual and therefore cannot do as much. You should try to do the things you enjoy, as long as you don't become too tired.

Do tumors grow back after radiation?

Normal cells close to the cancer can also become damaged by radiation, but most recover and go back to working normally. If radiotherapy doesn't kill all of the cancer cells, they will regrow at some point in the future.

What should I avoid after radiation?

Avoid raw vegetables and fruits, and other hard, dry foods such as chips or pretzels. It's also best to avoid salty, spicy or acidic foods if you are experiencing these symptoms. Your care team can recommend nutrient-based oral care solutions if you are experiencing mucositis or mouth sores caused by cancer treatment.

What are the worst side effects of radiotherapy?

Treatment areas and possible side effectsPart of the body being treatedPossible side effectsBrainFatigue Hair loss Memory or concentration problems Nausea and vomiting Skin changes Headache Blurry visionBreastFatigue Hair loss Skin changes Swelling (edema) Tenderness5 more rows•Jan 11, 2022

What does radiation fatigue feel like?

Feeling very tired and lacking energy (fatigue) for day-to-day activities is the most common side effect of radiation therapy to any area of the body. During treatment, your body uses a lot of energy dealing with the effects of radiation on normal cells.

What are 5 harmful effects of radiation?

Here are a few common health effects or harmful effects of radiation on the human body.Hair. Loss of hair fall occurs when exposure to radiation is higher than 200 rems.Heart and Brain. Intense exposure to radiation from 1000 to 5000 rems will affect the functioning of the heart. ... Thyroid. ... Blood System. ... Reproductive Tract.

Can you drive home after radiation treatment?

Will I be able to drive after my radiotherapy treatment? Almost all patients are able to drive while receiving radiotherapy treatment. However, with some types of cancer, driving may NOT be recommended due to fatigue or strong pain medication. Your physician will be able to address your specific case.

Can you shower after radiation treatment?

Wash, shower or bath daily with lukewarm water during. Avoid the direct stream of the shower on your treated skin. Use a mild unscented, non-deodorant soap over skin, example: Dove or baby soap. Be gentle when cleaning skin in treatment area and areas where there are skin folds.

What foods taste good after radiation?

Try marinating meat, chicken or fish in marinades, soy sauce, sweet fruit juices, wine or Italian-style dressings. Try salty, spicy or smoked meats, such as seasoned beef steaks, pork loins, ham, sausage or cold cuts. Try high-protein foods that may taste better cold or at room temperature.

What to expect when getting radiation therapy?

What to Expect When Having Radiation Therapy. It is normal to feel worried or overwhelmed when you learn that you will need radiation therapy. However, learning more about this type of cancer treatment may help you feel more prepared and comfortable.

How long does radiation therapy last?

It is the most common radiation therapy treatment for cancer. Each session is quick, lasting about 15 minutes. Radiation does not hurt, sting, or burn when it enters the body.

What is the role of a dosimetrist in radiation?

Dosimetrist. The dosimetrist helps your radiation oncologist calculate the right dose of radiation.

What type of doctor is responsible for radiation therapy?

Radiation oncologist. This type of doctor specializes in giving radiation therapy to treat cancer. A radiation oncologist oversees radiation therapy treatments. They work closely with other team members to develop the treatment plan. Radiation oncology nurse.

What is simulation in radiation therapy?

Simulating and planning treatment. Your first radiation therapy session is a simulation. This means it is a practice run without giving radiation therapy. Your team will use imaging scans to identify the tumor location.

What is radiation oncology nurse?

Radiation oncology nurse. This nurse specializes in caring for people receiving radiation therapy. A radiation oncology nurse plays many roles, including:

Why is it important to be in the same position for radiation?

It is important for your body to be in the same position for each treatment. Your radiation oncology team cares about your comfort. Talk with the team to find a comfortable position that you can be in every time you come in for radiation therapy.

How long does a radiation therapy visit last?

Each visit will be relatively short, lasting between 15 and 30 minutes. Most of that time will be spent lying on a table while the radiation therapist gets the equipment set up around you.

What do radiation oncologists do after you leave your first appointment?

After you leave your first appointment with your radiation oncologist, they will use your scans to map out the exact location of the cancer within your body as well as noting the location of any surrounding healthy organs that need to be avoided during treatment.

How does radiation therapy work?

During internal radiation therapy, you will be given local anesthetic to numb the area being treated. A catheter or catheters — small tubes sometimes called ports or applicators — will be placed at the site of the tumor. Radioactive material is then delivered directly to the tumor through the catheters. The radiation therapy comes in many forms, including pellets, seeds, ribbons, wires, needles, capsules, balloons, or tubes. Depending on the type of radioactive material used, it will be left in place for only a couple of minutes and then removed or it may be left in permanently. Radioactive material that is left in permanently gradually wears off over the course of a few weeks until it no longer gives off radiation.

What is the difference between a radiation physicist and a dosimetrist?

Radiation physicist: Calibrates radiation equipment and ensures it delivers the proper amount of radiation as prescribed by your radiation oncologist. Dosimetrist: Uses computer imaging to create a radiation delivery plan based on the location of the tumor.

How many sessions of radiation therapy for cancer?

Internal radiation therapy for cancer may be completed in one session or a series of three to five sessions about a week apart .

How long does it take to get a radiation treatment?

This process can take up to two weeks before you return for your first actual radiation therapy treatment. When your treatment plan is developed, it will outline whether you will be receiving radiation therapy before, during, or after other treatments.

What is CT scan for radiation?

Instead, you’ll come in for a CT scan, which is used to help plan your radiation therapy. You will be positioned as you would during treatment — usually lying flat on your back — and scans will be taken of the area of the body that will be treated.

What are the side effects of radiation?

Many patients who receive radiation therapy have side effects such as skin changes and some fatigue. Other common side effects depend on the part of your body being treated.

What is external beam radiation?

External beam radiation therapy is the most common radiation therapy. Radiation therapy using an external beam is a local treatment, meaning that the radiation treats a specific part of your body. Radiation is directed from a machine outside the body onto cancerous cells within the body.

Why do you meet with an oncologist before treatment?

Ultimately, meeting with your oncologist before treatment allows you to ask questions, talk through your treatment plan, and get more comfortable with your process and your oncology team.

How often do oncologists meet?

Typically, your oncologist will meet with you once or twice a week for check-ins. During these meetings, your oncologist will evaluate how your body has been reacting to treatment. These visits would be the time to voice any concerns, symptoms, or questions that you may have.

What is the treatment for cancer?

Radiation therapy is a standard treatment option for cancer patients. More than half of all people with cancer receive radiation therapy as part of their cancer treatment. Radiation therapy uses targeted energy to destroy cancer cells, shrink tumors, and alleviate cancer-related symptoms.

What to do after radiation therapy?

When your radiation therapy is complete, you will meet with your radiation oncologist for follow-up. Your next steps after that may include: Meeting with other care teams for additional treatment, if needed. Meeting with the cancer survivorship team for supportive care.

How long does it take to see a doctor after radiation?

You will meet with your doctor 3 to 6 weeks after you complete your radiation treatment course. Your doctor will ask you how you are doing, assess your progress, and offer additional care and guidance.

How long does it take to see a radiation oncologist?

You will meet with your radiation oncologist about 3 to 6 weeks after you complete your radiation treatments.

Do side effects of radiation go away?

If you experience side effects from your radiation therapy, please tell your care team. Sometimes, the side effects go away when your treatment is finished. If not, we can provide prescription medications or other suggestions to help you manage side effects. Published June 2019.

Can you get radiation for oropharyngeal cancer?

In oropharyngeal cancer care, radiation therapy usually follows primary treatment with surgery or drug therapy. For people who have hormone receptor-positive oropharyngeal cancer, hormone therapy after radiation therapy can reduce the risk of recurrence. If hormone therapy is part of your treatment plan, you will meet with the medical oncology team to discuss the next phase of your treatment. The medical oncology team may take over managing your oropharyngeal cancer care, including follow-up visits.

How long does radiation therapy last?

Each session is quick and painless, usually lasting no more than 15 minutes. Treatments usually occur five times a week (Monday through Friday) and continue for three to nine weeks.

Why should you let radiation oncology know if you are uncomfortable during the simulation?

Your comfort during treatment is important to the radiation oncology team, therefore, you should let them know if you feel uncomfortable or anxious during the simulation so they can help find a solution — especially if you are receiving external radiation therapy, which is given multiple times.

What is a simulation session for radiation therapy?

Your first radiation therapy session is actually a simulation that will prepare you for a true therapy session. Imaging scans such as computed tomography (CT) scan, a magnetic resonance image (MRI), or an x-ray will be used to help identify the specific location of the tumor, or where the tumor used to be.

What is radiation therapy?

Radiation therapy is a common treatment for cancer. In this section, we’ll address what to expect before, during, and after radiation treatment.

How often should you check for radiation oncology?

Typically, this will happen at least once a week. In some cases, image guidance may be used to ensure the radiation beam is always aimed correctly. Side effects might be experienced.

Why do you have to be admitted to the hospital for radiation?

Because there is radiation being delivered from the seeds to the area of your body that needs treatment, you will be given specific instructions for precautions that may need to be taken to protect others from radiation exposure. In some cases you may be admitted to the hospital while the treatment is being given over the course of a few days.

Does radiation oncology cause nausea?

Your radiation oncologist will do everything possible to minimize side effects by making sure the dose is as carefully directed towards the cancerous cells as possible. Fatigue is the most common acute side effect. Nausea and vomiting may also be experienced. Most acute side effects go away after treatment is done.

How long do side effects last after radiation treatment?

Early side effects happen during or shortly after treatment. These side effects tend to be short-term, mild, and treatable. They’re usually gone within a few weeks after treatment ends. The most common early side effects are fatigue (feeling tired) and skin changes. Other early side effects usually are related to the area being treated, such as hair loss and mouth problems when radiation treatment is given to this area.

How long does it take for side effects to show up after radiation?

Some side effects might show up quickly, but others might not show up until 1 to 2 years after treatment. Talk with your radiation oncologist about what to watch for and when to call your doctor. If the cancer is in many areas, sometimes the whole brain is treated with radiation.

How long does it take for radiation to show up in the brain?

Radiation to the brain can also have side effects that show up later – usually from 6 months to many years after treatment ends. These delayed effects can include serious problems such as memory loss, stroke-like symptoms, and poor brain function.

How long does it take for radiation to cause side effects?

Late side effects can take months or even years to develop. They can occur in any normal tissue in the body that has received radiation. The risk of late side effects depends on the area treated as well as the radiation dose that was used. Careful treatment planning can help avoid serious long-term side effects.

What is the most common drug used for radiation therapy?

The one most commonly used today is amifostine. This drug may be used in people with head and neck cancer to reduce the mouth problems caused by radiation therapy. Not all doctors agree on how these drugs should be used in radiation therapy. These drugs have their own side effects, too, so be sure you understand what to look for.

How long does radiation side effects last?

Remember that the type of radiation side effects you might have depends on the prescribed dose and schedule. Most side effects go away within a few months of ending treatment. Some side effects may continue after treatment ends because it takes time for the healthy cells to recover from radiation. Side effects might limit your ability ...

What is the best treatment for radiation?

One way to reduce side effects is by using radioprotective drugs, but these are only used for certain types of radiation given to certain parts of the body. These drugs are given before radiation treatment to protect certain normal tissues in the treatment area. The one most commonly used today is amifostine. This drug may be used in people with head and neck cancer to reduce the mouth problems caused by radiation therapy.

During Treatment For Advanced Prostate Cancer

When treatments such as hormone therapy, chemotherapy, or immunotherapy are used for more advanced prostate cancer, the PSA level can help show how well the treatment is working or when it might be time to try a different treatment.

What Is Intermittent Adt

Researchers have investigated whether a technique called intermittent androgen deprivation can delay the development of hormone resistance. With intermittent androgen deprivation, hormone therapy is given in cycles with breaks between drug administrations, rather than continuously.

What Are The Side Effects Of External Beam Radiation Therapy

As with most prostate cancer treatments, external beam radiation therapy can also cause side effects. The severity can depend on the type of radiation, dose size, length of treatment and area of treatments. These frequently include:

What Are The Different Types Of Internal Radiation Therapy

Brachytherapy and radiopharmaceuticals are both considered internal radiation therapies because they both work after being inserted inside the body, rather than being directed from outside. However, the similarities mostly end there. Brachytherapy works by implanting radioactive material into the prostate and is used for localized prostate cancer.

Tips To Get The Most From Your Follow

It’s easy to forget what you want to say once youre at your appointment.

What The Results Showed

After five years, there were no significant differences in survival associated with any of the selected treatments. Just one man in the favorable risk category died from prostate cancer during the study, and there were eight deaths from the disease in the unfavorable risk group.

Q: What Are The Different Types Of Radiation Therapy For Prostate Cancer

There are several forms of radiation therapy, but they can be broken down into two main categories:

Who Can I Contact If I Have Personal Concerns About My Treatment

Many hospitals and clinics have a staff social worker who can help you during your treatment. Check with your doctor to see if this is available to you.

Stereotactic Body Radiation Therapy Or Stereotactic Ablative Radiotherapy

This type of therapy is used to deliver high doses of radiation to a precise area in the prostate using specialized techniques not achievable by standard conventional radiation therapy.

Note The Time Of Your Procedure

A staff member from the Admitting Office will call you after 2:00 pm the day before your procedure. If your procedure is scheduled for a Monday, theyll call you on the Friday before.

Focal Therapy For Prostate Cancer

With recent advances in MRI and targeted biopsy, we are better able to locate the exact area of prostate cancer. Men who do not have an enlarged prostate, who have prostate cancer that is detected only in a single region of the prostate and have intermediate grade cancer can be a candidate for focal therapy.

What Are The Side Effects Of External Beam Radiation Therapy

As with most prostate cancer treatments, external beam radiation therapy can also cause side effects. The severity can depend on the type of radiation, dose size, length of treatment and area of treatments. These frequently include:

Will My Diet Affect My Treatment

Yes. Good nutrition is an important part of recovering from the side effects of radiation therapy. When you are eating well, you have the energy to do the activities you want to do, and your body is able to heal and fight infection. Most important, good nutrition can give you a sense of well-being.

Cancer That Clearly Has Spread

If the cancer has spread outside the prostate, it will most likely go to nearby lymph nodes first, and then to bones. Much less often the cancer will spread to the liver or other organs.

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Finding Premiere Experts and Care

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I visited many specialists and consulted numerous reputable cancer centers around the country. Through a referral, I contacted neuro-oncologist Mark Gilbert, M.D., of NCI’s Center for Cancer Research Neuro-Oncology Branch and a specialist in rare neurological cancers, in November 2018 to schedule an appointment at NI…
See more on cancer.gov

What Happens During Radiation

  • The treatment is normally Monday through Friday and lasts about 45 minutes. A lot of time is spent getting your body in the right position, so the radiation hits its desired locations. You lay down on a custom-molded table. A technician positions your body using lasers and measurements. When you are aligned, a mouthguard and wired head case are placed on your bo…
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Advice For Others

  • After four surgeries and multiple radiation treatments, I live with neuropathy in my feet, nerve damage to my legs, and drop foot on my right foot. I also have radiation retinopathy in my eyes. I go to rehab regularly and receive shots in my eyes to help my vision and reduce swelling. Going through cancer for so long, you have to live through every single hard day to put things into pers…
See more on cancer.gov

Your Final Treatment

  • After your last radiation treatment, you will meet with a nurse to review your after-visit summary: 1. Speak with your nurse about how to care for yourself after your radiation treatment. 2. Schedule a follow-up appointment with your radiation oncologist, usually 4 to 6 weeks after your first visit. 3. Make note of our contact information in case y...
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Come in For Your Follow-Up Appointment

  • You will meet with your radiation oncologist about 3 to 6 weeks after you complete your radiation treatments. 1. Your radiation oncologist may ask you to have another scan (CT, PET, or MRI) before the follow-up appointment. 2. You will meet with your doctor 3 to 6 weeks after you complete your radiation treatment course. 3. Your doctor will ask you how you are doing, assess …
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Begin Additional Treatment

  • In oropharyngeal cancer care, radiation therapy usually follows primary treatment with surgery or drug therapy. For people who have hormone receptor-positive oropharyngeal cancer, hormone therapy after radiation therapy can reduce the risk of recurrence. If hormone therapy is part of your treatment plan, you will meet with the medical oncology team to discuss the next phase of …
See more on stanfordhealthcare.org

Managing Side Effects

  • If you experience side effects from your radiation therapy, please tell your care team. Sometimes, the side effects go away when your treatment is finished. If not, we can provide prescription medications or other suggestions to help you manage side effects. Published June 2019 Stanford Health Care © 2019
See more on stanfordhealthcare.org

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