Side effects from immunotherapy

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My husband has terminal liver cancer (HCC).  He’s was diagnosed just after Christmas and is currently undergoing immunotherapy.  He has had two treatments so far and his third is next week.  We do not know how long he has left as we have asked not to be told until it becomes absolutely necessary.

He has had the following side effects: tiredness, worsened arthritic pain, brain fog/lack of concentration, low moods including feelings of uselessness, and lack of appetite which has resulted in quite a bit of weight loss (5.1/2 pounds in the last week).  He normally has too good an appetite so this is a huge change for him.

in addition, he beat prostate cancer last year but it has left him with what he describes as urethral pain which is mostly bad when he is sat.  

He takes co-codamol or paracetemol for his other pain but it doesn’t do much for the urethral pain.

So really I need to know

1.  How on Earth do I support him through his low moods, other than breaking down and crying with him.

2. How do I make sure he eats properly

3. Who do I speak to about the  above two questions and the urethral pain as it’s really getting him down and I don’t know what to do.

He has a consultant and a MacMillan nurse but I’m not sure where to turn as it’s all so new, and I’m struggling too.

Many thanks

  • Hi PanPilot

    Thanks for getting in touch and welcome to the Online Community I’m Kate one of the Cancer Information Nurses here on the Macmillan Support Line.

    I am sorry to hear what you and your husband are going through it must be a very difficult time for you both.

    You have mentioned quite a few side effects with the immunotherapy.

    If your husband has new or worsening symptoms it is important to contact the 24/7 Chemotherapy helpline that may have been given to you when he started treatment or contact NHS 111.

    The consultant may be able to reduce his dose of treatment not making it less effective but balancing control with the cancer and having a quality of life.

    You mentioned that your husband has a low mood. We have a partnership with BUPA. Macmillan are offering up to 6 sessions of counselling for people living with cancer. Your husband can contact us on  0808 808 00 00 to ask us  about the service. I would also advise a visit to the GP to see how they could support him.

    For yourself we have some useful information on supporting someone with cancer. It can be an emotional time for yourself as a wife and a carer and it is important to look after yourself too. I would advise you seek advice from a GP so they can support you too.

    Some people find our online forums invaluable at difficult times such as these. Our forum ‘supporting someone with incurable cancer’ can be accessed via this link.

    For general information you may also find this Marie Curie information about caring for someone with a terminal illness helpful.

    You mentioned that your husband has lost weight. During treatment people with cancer find they cannot eat as much as they used to. This can lead to weight loss. There is some information about a building up diet that may help your husband to maintain his weight or put weight on. Eating little and often may help with his appetite. His hospital team can refer him to the dietician for some advice about diet.

    The urethra pain can be discussed with the GP or his previous specialist nurse may be able to give advice about this.

    I hope this information is useful. Please don’t hesitate to get back in contact by email, webchat or phone, if you need further information or support.

     

    Take care

    Kate,

    Cancer Information Nurse Specialist 

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or email us. 

    Ref PN/KE