Chemo Choices

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Hi,

My wife has had bowel problems (e.g. severe IBS) for years and was recently diagnosed with Stage 3 bowel cancer. She had 2/3s of her bowel removed at the end of March and is going to have chemo in three weeks. The choice she has is between tablets straight into her stomach (for 3 months) or an IV for 6 months. Her biggest concern is that the side effects to the bowel are supposedly worse with the capsules when compared to the IV. The main ones are Constipation and diarrhoea, all though all the research I have read seems only to point to the latter.

One choice is to start on the tablets and switch to IV if the side effects are too severe. However she is so worried about her bowel, she is edging towards the IV choice.

Does anyone have any experiences of these two options that they would be prepared to share, particularly if they have had IBS previously?

Many thanks.

  • Can I just ask why you didn't go down the 3 month tablet route?

  • Because it wasn't an option! It is a lowish dose over a long time, and hopefully has limited side effects. With care I managed to work throughout. 

  • Can't edit, but forgot to say mine was rectal, in case that makes a difference 

  • Wow - that's amazing! It is the likely reduced side effects that is making my wife lean towards IV. I suspect her consultant is going to push her towards starting on tablets with the option to switch to IV if the side effects are too much. I think they are worried she will not able to take 6 months of chemo. Congratulations on working through it. That sounds amazing!

  • It is a long time. I alternated hands each week. It actually took 34 weeks, stopped a few times and a planned holiday for one. By the time I got to about 17 I'd had enough, they did say I could stop, so I said 'just one more' ... and then there were none!!!

  • Can't wait until we get to the end of the tunnel.

    Congratulations!

  • I have not long finished 3 months CAPOX treatment. I tolerated the capecitabine without too many issues. During the first round I had to take loperamide for a few days but that was it. The infusion on day 1 caused me a few reactions during the third and 4th rounds but oxaliplatin is part of but treatments. I personally would choose the tablets again. 

  • Hello,

    I had Folfox in March 202, following LAR surgery with loop ileostomy in January 2021 for rectal cancer (T3n1m0).

    I was prescribed 6 x 2 weekly cycles (3 months) by Picc line, however I only had 5 due to severe proctitis, and there were other delays due to low neutrophils, so it ended up being 5 cycles over 14 weeks. . My dose was reduced after the first infusion.

    I did lose my appitite but didn’t feel particularly nauseous. I found I could eat if food was put in front of me and I didn’t have to think about what I wanted to eat, although most things tasted of cardboard. I didn’t suffer too much with the cold effect apart from the first mouthful in the morning of food or drink for the couple of days after the infusion

    I was very concerned about neuropathy (as I do a lot of intricate work with my hands) but I did feel the cold more and used to wrap up well all the time, often with a hot water bottle. I still feel the cold more than I used to and even now wear sheepskin boot type slippers in the house even when the weather is warm. I found massaging my hands and feet regularly whilst rubbing cream in (about 12 times a day I think), helped tremendously and I haven’t had any long term issues with neuropathy.

    There was a day or two per cycle where my mouth was a little more tender but nothing too bad and I used to sneeze a lot the evening after the infusion.

    The worst part was the brain fog and increasing fatigue; climbing stairs became exhausting. However, I was lucky in that my husband looked after me and I didn’t have to do anything so could rest as much as I needed to and I used to nap most afternoons.

    6 weeks after finishing the chemo I felt my energy levels were back.

    I do believe your mindset can help, focus on the end result and take one day at a time. I kept a record and I found a pattern emerged, so could plan ‘nice’ things for the good days.

    I'm sure together you'll make the right choice.

    Wishing you all the best,

    Net77x

  • That's great - many thanks. Some new things here and some excellent ideas. Many thanks for taking the time to respond to my post!

    Best wishes for the future.

  • That's great. I will share this with my wife now. Congratulations on getting through it and thanks for sharing with us!