Radiotherapy side effects

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Hi, I'm new to this forum and I'm worried about my partner, who is a fit and active 71 year old but is suffering from severe side effects of his treatment and finding it hard to cope.

He has been diagnosed with MIBC and has undergone 8 sessions of chemotherapy followed by 4 weeks of daily Chemo Radiotherapy.  His last session of CRT was 8 days ago.  He coped well during the initial chemo sessions and had minimal side effects, but the CRT has really taken its toll.  The expected side effects were explained beforehand but since week 3 of CRT he's been suffering from additional symptoms that weren't even on the list. I was wondering if anyone else has experienced these with CRT and if so, how they coped.  

In addition to painful abdominal cramps, which seem to have subsided a little now, which is good news, he has been diagnosed with prolapsed hemorrhoids as well as a rectal fissure, both of which are causing him a great amount of pain (exacerbated by bowel incontinence). We have contacted the clinical team who have prescribed steroidal ointment for the hemorrhoids but it doesn't really have any effect so he is really suffering.  He also has ointment for the fissure to help it to heal but this could take weeks to heal.  He's doing all the things that are supposed to help, like increasing fluid intake, and taking Fybogel which keeps things moving so to speak.  Paracetomol was suggested for the pain but it doesn't really help. 
It would be useful to know if anyone else has had any problems like these after treatment, as he has not had these problems before so we can only assume it has been caused by the treatment.  
  • Hi  and welcome to the group although sorry to hear of the post radio effects your partner is having. We know RT can cause bowel problems but your partner seems to be suffering more than most. I had erratic bowels for several weeks following treatment but it gradually eased and returned to normal. He seems to be doing the right thing with plenty of fluids and fybogel which is what I was advised. It is also advised not to eat big meals and rather have small snacks more often. I was advised to drink peppermint which helped with digestion. Hopefully things will ease up with time, but make sure the medic know how things are going. Best wishes.

    Best wishes to All,   rily.

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  • Thanks so much for replying Rily.  I have read a lot of your posts as you've gone through the same treatment, and I've found your insight invaluable.  I've suggested he eats small meals and drinks peppermint tea, but he doesn't seem to think it would make a difference to his main problems.  I'll keep trying!  One of the main problems is mucus leaking from the bowel constantly, so any ointment gets cleaned off when he cleans himself up (sorry to be graphic).  Can I ask, did you get this mucus, and if so how long did it last for?  Also what type of foods did you eat when you were recovering, as we are not sure if low fibre or high fibre diet is best, as high fibre can cause wind/bloating which he wants to avoid as it makes things worse. Thanks again

  • Hi Ruby100,Welcome to the group,I hope you will find it helpful.Sorry I can’t be of use but I didn’t have chemo or radiotherapy.Best wishes Jane 

  • Hi Ruby100. I was warned of radiation proctitis which could give rise to tenesmus or mucus discharge, in which case I was advised 10ml isogel granules. Thankfully I did not suffer from this. My problem was the sudden urge to go but it was manageable. I was never given any dietary advice and just ate as normal. Macmillan has produced some information on the subject HERE. Best wishes.

    Best wishes to All,   rily.

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  • Hi Ruby welcome to the group

    I did not have chemo before or after operation so sorry I cant help you there 

    I had a full cystectomy only 2 months ago I was offered Chemo before operation which I declined as I thought surgery was the best option for me, I also was offered chemo 6 weeks after the operation the odds was 95 % against chemo and 5% for , I told surgeon I would rather have quality time with what life I have left what ever time that may be 

    I believe Its a lot to do with what age you are what decision you go for I'm also in my 70's 

    I do hope you get all the answers and support you need 

    All the best Anya 

  • Hi Rily, many thanks for the info, I hadn't found this, so I will read up on it all.  We have heard back from the clinical team and they have advised that it is probably radiation proctitis.  We got there in the end, but he has been constantly fobbed off until we had to keep going back to the team to spell out how much pain he is in.  It's something I'd never heard of and it was never mentioned as one of the possible side effects.  It sounds like you got a lot more info than we did, even though we asked lots of questions beforehand.  Anyway a decision had to be made and whichever way you go is a bit of a gamble in the end.  All the best.

  • Thanks for your reply Anya.  It was a really hard decision to make and took my partner weeks to decide.  I'm glad it has worked out well for you.  We'll just take each day at a time and hope he gets some improvement soon.