Hello fellow travellers,
I'm not sure how I got to this point. Week 3 has been a blur in some respects. I thought I was managing until Wednesday. Then the bowel department gave me a good kicking. It all seemed to pile on within 24hours of the treatment. It's been agony ever since. I've not had any constipation, just hovered on the right side of diarrhoea, but it's been the constant toilet activity that has made me so very miserable, as well as extremely sore, with blood quite apparent.
I've had numerous reviews with the team and all are very kind, though some advice has been somewhat conflicted: some want me on codeine and some have thought it wasn't right for me. I've controlled things with the horrible diet up to the weekend, but my Saturday evening pasta didn't hang about, shall we say, and it's been dreadful ever since. This morning I sent in 2 boiled eggs. Don't have a verdict yet, but hope it might have calmed things. Now, is this too much information?
Med-wise I have Flamigel which is OK I find, but not brilliant. I'm using an oatmeal moisturiser all round for general skin support. And they also recommended Preparation H for those old pesky haemorrhoids. Stings like hell on application, but then does calm things somewhat. I also continue to use Strata XRT daily before each treatment in the hope it will offer some protection from the radiation. I'm also trying to keep up with a rolling paracetamol/ibuprofen schedule - every 2 hours! - but that, not surprisingly is rather hit and miss. I started off wanting to avoid opiates at any cost, but feel I'm now at a threshold and will likely accept a low-dose one and then have to take stool softeners to overcome the side effects. Sounds so bonkers and counter-intuitive to my thinking, but I think many of us will probably get to a point where we just cave in. I think I'm there.
On a slightly more positive note, the mouth ulcers at last faded and the irony is that I can now eat, but have little inclination to do so. Great isn't it? But more chemo soon, so maybe they'll be back before I know it?
Finding the prospect of Week 4 filling me with dread. I just can't imagine how I will get through it.
Gritting my teeth,
love to you all,
Rainie
xxx
Hello Rainie
So sorry to hear that week 3 has been so horrible for you.
I don't have any specific advice regarding the heamrroids and pain going to the toilet, but I know we have supportive group members who have gone through similar things.
I hope moving forward you can get some relief with the opioids and stool softners.
Very much hoping the ulcers stay away now and you are able to eat normally again.
Big hugs
Ally xx
Oh Rainieday
First of all, it is absolutely not too much information; there are no holds barred on here and we have all gone into all the detail about what has gone in, how it comes out, how often, what it looks like. I had diarrhoea all during treatment and my childbirth piles came back with a vengeance, I found loo visits excruciating in every respect. Your pain could also be caused by the radiotherapy side effects.
I have just said to another forum member now is not the time to be a hero (if you need help); in the last couple of weeks I took all the meds on offer as I had open sores and had also to see a tissue viability nurse to have these dressed. I started with co codamol, then went on to Oramorph syrup, then also had morphine capsules to prevent breakthrough pain. However, the constipation did kick in once I was no longer having chemo/radiotherapy. I didn't realise then that I should have started Laxido or similar as soon as treatment ended. Constipation when you are feeling so tender is to be avoided at all costs. I ended up being given Flaminal Forte (which is stronger that Flamigel) and Polymem dressings.
Just be very kind to yourself whilst you go through the next couple of weeks, take all the help you can get both physically and mentally and eat what you can. EnsurePlus is a good fall-back, it has all the nutrients you need in a small bottle and one of the benefits is less 'traffic' in your bowel and anal canal.
Thinking of you and sending lots of virtual support.
Gentle hug
Irene xx
Hi Rainieday ,
Firstly there’s no such thing as too much information regarding our diagnosis & the aftermath of the treatment for it, it’s the nature of the beast so to speak!
You may find if you’re offered any opiate pain relief that they might help with both the pain & the diarrhoea although make sure if you go down that route that you’re prescribed some stool softeners just in case things take a turn in the opposite direction. A really bland ’white’ diet may also help with the frequent toilet visits, white bread, white potatoes, white rice etc. Following any serious health event it’s natural to want to eat super healthy & a plain low residue diet seems to go against that but sometimes it’s needed just to get you through then once your bowel begins to settle then you can revise your diet again.
Do whatever it takes to get through the next couple of weeks & if your appetite wains as has already been said ask for some meal replacement drinks as at least you’ll be getting the correct nutrients.
Keeping my fingers crossed for you for the rest of your treatment.
Nicola
Hello Rainieday,
You are certainly having a tough journey. Thank goodness you are past the halfway mark.
It’s never too much information on here. The nature of anal cancer and treatment effects means no holds barred or ‘politeness’ when it comes to speaking about bodily functions sadly.
The treatment does seem to play havoc with the bowels and I remember having a lot of urgency, pain and endless gas. Like Nicki I had to go on a very low fibre bland diet which was the opposite of usual. I also took ducosate throughout. It can be hard to face food at all but if you are taking ibuprofen it’s really important that you don’t take on an empty stomach or will cause more irritation.
It might be worth considering moving on to something stronger just to get you through this. You could always try some oromorph and see how you get on.
Wishing you all the very best for week 4. Xx
Hi Rainie,
I’m really sorry you’re going through this — it’s an incredibly difficult and demanding journey. From my own experience, I’ve learned that this is not a time when anyone needs to be “strong” by enduring pain alone. Pain at this level deserves care, attention, and relief.
During my treatment, I reached extremely high levels of pain and required strong pain management, including fentanyl patches and pills, morphine, and now methadone drops alongside Transtec patches. One of the hardest parts for me was constipation after the treatment finished. Because bowel movements were so painful, I often avoided eating, which led to significant weight loss — about 20 kg — and eventually I needed prescribed high‑calorie nutritional drinks.
What helped from the beginning was being prescribed Moventig (naloxegol), which is specifically intended to address constipation caused by opioids. Even now, three months after completing treatment, although my MRI shows complete tumor regression, I’m still experiencing pain due to radiation proctitis and ongoing mucosal inflammation.
Seeking support, pain control, and symptom management is not a failure, but an important part of getting through this.
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
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