Treatment FAQ

why do i have a low blood count after radiation treatment for prostate cancer treatment

by Prof. Gennaro Fritsch Published 2 years ago Updated 2 years ago

After chemotherapy or radiation therapy, the bone marrow does not make new red blood cells as fast. With fewer red blood cells, anemia (low hemoglobin) results. If your child's hemoglobin is low, you may see these signs of anemia:

Radiotherapy sometimes slows down the cells in the bone marrow that make your blood cells. This is more likely if you're having treatment to a large area of your body.

Full Answer

What are the long-term side effects of radiation to the prostate?

Jan 09, 2021 · Common cancer-related causes of low blood cell counts include: Chemotherapy. Certain chemotherapy drugs can damage your bone marrow — the spongy material found in your bones. Your bone marrow makes blood cells, which grow rapidly, making them very sensitive to the effects of chemotherapy.

What does it mean when your white blood count is low?

Following PSA Levels During and After Prostate Cancer Treatment A man’s prostate-specific antigen (PSA) blood level is often a good indicator of how effective treatment is or has been. Generally speaking, your PSA level should get very low after treatment. But PSA results aren’t always reliable, and sometimes doctors aren’t sure what they mean.

What happens if your blood count is low during chemo?

Low blood counts. Rarely, radiation therapy can cause changes in your blood count levels. These blood cells help your body fight infection and prevent bleeding. If your blood tests show low blood counts, your treatment might be stopped for a week or so to allow your blood counts to return to normal.

How long does it take for PSA to drop after radiation?

May 21, 2020 · Reduced blood counts, including neutropenia, anemia, or thrombocytopenia (low platelet count). Late Effects. Late effects can happen months to years after cancer treatment has ended. The risk of late effects depends on the areas included in the field of radiation and the radiation techniques that were used.

Does prostate radiation affect blood counts?

Conclusion: Prostate RT has a small but significant and longer effect on the blood count. Lower lymphocyte levels need to be considered when larger volumes are treated.

Does radiation treatment affect blood counts?

Radiation therapy can also cause low white blood cell counts, which increases the risk for infections. Factors in how radiation therapy affects the immune system, include: The total radiation dose.Mar 13, 2020

Does radiation cause low blood count?

If you receive radiation therapy to large areas of your body and especially to the large bones that contain the most bone marrow, such as your pelvis, legs and torso, you might experience low levels of red and white blood cells.

Can radiation therapy cause low hemoglobin?

Cancer treatments, such as chemotherapy and radiation therapy, as well as cancers that affect the bone marrow, can cause anemia.Sep 23, 2021

Is low blood count serious?

When a person has a low red blood count and low hemoglobin levels, their body has to work harder to get enough oxygen to other cells. When a person does not have enough functioning red blood cells (RBCs), they have anemia. A low RBC count can cause a variety of symptoms and health complications.

Why is my blood count low?

Low blood counts can have many causes, including vitamin deficiencies, bleeding, and rare bone marrow failure diseases like aplastic anemia , MDS and PNH. If your blood tests are abnormal, your doctor may do other blood tests or take a sample of your bone marrow to find out why.

How do you fix low blood count?

Things you can do to help manage your low red blood count:Rest between activities.Plan ahead and save your energy for the most important activities.Avoid or stop activities that make you short of breath or make your heart beat faster.Ask others for help.Eat a diet with adequate protein and vitamins.More items...

What are the symptoms of low blood count?

Low Red Blood Cell CountFeel a little tired or very tired.Feel less alert or have trouble concentrating.Have a loss of appetite or lose weight.Have paler-than-normal skin.Have trouble breathing.Have rapid heartbeat.Have reduced ability to exercise or climb stairs.

How long can you live with low blood count?

Without treatment, the median survival time for myelodysplastic syndromes range from less than a year to approximately 12 years , depending on factors such as number of chromosome abnormalities and level of red blood cells. However, treatment is often successful, especially for certain types of this condition.Apr 25, 2019

What is a critically low hemoglobin level?

An Hb value less than 5.0 g/dL (50 g/L) can lead to heart failure and death. A value greater than 20 g/dL (200 g/L) can lead to obstruction of the capillaries as a result of hemoconcentration.

What happens when your red blood cells are low?

When you don't have enough healthy red blood cells, you have a condition called anemia. This means your blood has lower than normal hemoglobin (Hgb) levels. Hemoglobin is the part of the red blood cell (RBC) that carries oxygen to all the cells in your body. Anemia is a common side effect in patients with cancer.Feb 1, 2020

How do I raise my hemoglobin?

How to increase hemoglobinmeat and fish.soy products, including tofu and edamame.eggs.dried fruits, such as dates and figs.broccoli.green leafy vegetables, such as kale and spinach.green beans.nuts and seeds.More items...

What's Measured in A Blood Cell Count?

If you're undergoing certain cancer treatments that could cause low blood cell counts, your doctor will likely monitor your blood cell counts regul...

What Causes Low Blood Cell Counts?

Cancer-related causes of low blood cell counts include: 1. Chemotherapy. Certain chemotherapy drugs can damage your bone marrow — the spongy materi...

Why Is It Important to Monitor Your Blood Cell Counts?

Low blood cell counts can lead to serious complications that may delay your next round of treatment. Monitoring your blood cell counts allows your...

How Can You Tell If You Have Low Blood Cell Counts?

Unless your blood cell counts are very low, you probably won't experience any signs or symptoms and you won't be able to tell that your blood cell...

How Are Low Blood Cell Counts Treated?

If you have low blood cell counts, your treatment will depend on which counts are low and what's causing the low numbers. Common treatments include...

How Can You Cope With Low Blood Cell Counts?

Take steps to keep your body healthy when you have low blood cell counts. For example: 1. Eat a balanced diet. Your body needs all the vitamins and...

If You’Re Getting Radiation Therapy to The Brain

People with brain tumors often get stereotactic radiosurgery (radiation given in one large dose) if the cancer is in only one or a few sites in the...

If You’Re Getting Radiation Therapy to The Head Or Neck

People who get radiation to the head and neck might have side effects such as: 1. Soreness (or even open sores) in the mouth or throat 2. Dry mouth...

If You’Re Getting Radiation Therapy to The Breast

If you have radiation to the breast, it can affect your heart or lungs as well causing other side effects.

If You’Re Getting Radiation Therapy to The Chest

Radiation treatment to the chest may cause side effects such as: 1. Sore throat 2. Swallowing problems 3. Loss of appetite 4. Cough 5. Shortness of...

If You’Re Getting Radiation Therapy to The Abdomen (Belly)

If you are getting radiation to your stomach or some part of the abdomen (belly), you may have side effects such as: 1. Nausea 2. Vomiting 3. Belly...

If You’Re Having Radiation Therapy to The Pelvis

Radiation therapy to the pelvis (for example, as treatment for bladder, ovarian, or prostate cancer) can cause side effects such as: 1. Bladder pro...

Why is PSA important?

The PSA level is an important tool to monitor the cancer, but not every rise in PSA means that the cancer is growing and requires treatment right away. To help limit unnecessary anxiety, be sure you understand what change in your PSA level might concern your doctor.

How long does it take for a PSA to drop after a prostatectomy?

Your PSA should fall to a very low or even undetectable level within a couple of months after radical prostatectomy. Because some PSA can remain in the blood for several weeks after surgery, even if all of the prostate cells were removed, doctors often advise waiting at least 6 to 8 weeks after surgery before checking the PSA level.

Is a low PSA blood test good?

Generally speaking, your PSA level should get very low after treatment. But PSA results aren’t always reliable, and sometimes doctors aren’ t sure what they mean.

Why is PSA monitored?

If you choose observation or active surveillance, your PSA level will be monitored closely (most likely along with other tests) to help decide if the cancer is growing and if treatment should be considered. Your doctor will watch your PSA level and how quickly it is rising.

Can a doctor check your PSA?

Your doctor will watch your PSA level and how quickly it is rising. Not all doctors agree on exactly what PSA level might require further action (such as a prostate biopsy or treatment). Again, talk to your doctor so you understand what change in your PSA might be considered cause for concern.

Why is PSA important for 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.

Can you detect PSA after surgery?

Some men might worry if their PSA is still detectable even at a very low level after surgery, but this does not always mean cancer is still in the body. Modern PSA blood tests can detect even tiny amounts of PSA, but these amounts might not always be significant, especially if they are not rising over time.

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.

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 ...

Does radiation therapy have side effects?

It's very important to remember that every person reacts differently to treatment. Any side effect you might have depends on the type and location of cancer, the dose of radiation being given, and your general health. Some people have few or no side effects, while others have quite a few.

What are the side effects of brachytherapy?

If your treatment includes brachytherapy (internal radiation implants), you might notice breast tenderness, tightness, redness, and bruising. You may also have some of the same side effects that happen with external radiation treatment.

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.

Can radiation therapy cause low blood count?

Rarely, radiation therapy can cause changes in your blood count levels. These blood cells help your body fight infection and prevent bleeding. If your blood tests show low blood counts, your treatment might be stopped for a week or so to allow your blood counts to return to normal. This side effect is more likely if you’re also getting chemotherapy.

How long does it take for brain tumors to show up?

Side effects depend on where the radiation is aimed. Some side effects might show up quickly, but others might not show up until 1 to 2 years after treatment.

What are the side effects of radiation?

Short Term Side Effects 1 Skin irritation in the treatment area is common. It may become red, irritated, dry, or sensitive. This may start to look like a sunburn. Treat the skin gently to avoid further irritation, and bathe carefully, using only warm water and mild soap. Do not use scented lotions or soaps, as these may cause more irritation. 2 Fatigue is very common with radiation treatment and tends to begin a few weeks into therapy. Fatigue often goes away slowly over the weeks and months after treatment. 3 Irritation to the rectal and urinary tract tissue can cause changes to your bowel and urine habits. It can cause urinary urgency, diarrhea, incontinence, or pain with bowel movements or urination. These symptoms tend to resolve within a few weeks of finishing treatment. Drink plenty of fluids. Talk to your provider about ways to manage these symptoms. In some patients, these problems can last after treatment. 4 Loss of hair in the pelvic area. Hair typically starts to regrow a month or so after treatment. However, your hair might not grow back exactly as it was before treatment and for some, the hair may not ever grow back. 5 Reduced blood counts, including neutropenia, anemia, or thrombocytopenia (low platelet count).

What causes blood in the urine?

Bladder problems, like incontinence (not being able to hold your urine in), hemorrhagic cystitis (causes blood in the urine), urinary tract infections, and bladder cancer may happen. If you notice any changes in your bathroom habits or urine, contact your provider.

Does radiation kill prostate cancer?

Possible Side Effects of Radiation Treatment for Prostate Cancer. The radiation used to destroy cancer cells can also hurt normal cells in the nearby area. Side effects from radiation treatment are related to the area of the body being treated. Patients start to have side effects a few weeks into their treatment.

What are the problems caused by radiation?

Gastrointestinal (stomach and bowel) problems can include strictures, blood in the stool, chronic diarrhea, and colon cancer. There is a low risk of developing a second cancer in or near the radiation field. These are called secondary cancers, and they happen because of the exposure of healthy tissue to radiation.

Can radiation therapy cause prostate cancer?

Patients who receive any type of radiation therapy (external beam or brachytherapy) to treat their prostate cancer can have side effects . “Short term” side effects are ones that start during or shortly after your radiation treatment. Below is a list of possible short term side effects. Treatments can affect each patient differently, and you may not have these particular side effects. Talk with your care team about what you can expect from your treatment

What to talk about after cancer treatment?

After treatment, talk with your oncology team about receiving a survivorship care plan , which can help you manage the transition to survivorship and learn about life after cancer.

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

Side effects from radiation treatment are related to the area of the body being treated. Patients start to have side effects a few weeks into their treatment. While side effects may be unpleasant, there are treatments to help deal with them. Most side effects are temporary and slowly start to go away once treatment is done.

Standard Care, Post Treatment

After radiation treatment, doctors typically measure the PSA level every three months in a patient for the first year, and every six months thereafter. During the first year or two, patients normally experience a decline in their PSA blood test score.

The PSA Bounce

One exception is the phenomenon of the widely-seen PSA “bounce,” where the PSA level rises shortly after treatment. But this bounce does not indicate the cancer is returning. Nor does it suggest that the patient will die of prostate cancer any sooner than patients without a bounce, according to Eric M.

Higher Dose Radiation Raises Cure Rate

In the 2006 study — conducted on nearly 5,000 radiation patients treated in nine academic U.S. radiation oncology departments — standard doses for external beam radiation of the prostate were at or below 60 Gy.

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