Life after first chemo

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Hi everyone. I was given a diagnosis of "thyroid lymphoma" since my symptoms began with the sudden appearance of lumps around my thyroid and a corresponding impact on my breathing and eating. NHL was also mentioned. It took a while before the term DLBCL started to appear on my hospital letters etc, but I'm now learning to look out for this term as well as the earlier ones! Anyway my treatment is R-CHOP and I had my first session 11 days ago. My lumps started to shrink quite noticeably, although I have somehow felt more physically aware of what remains of the larger one, and my voice has become more hoarse. My side effects seem to have been minor so far. My sense of taste seemed to disappear almost immediately; I was still on the Rituximab when they brought me a sandwich which I was unable to taste at all; when I got home even a glass of water seemed heavy and somehow stagnant. After a week or so some taste sensation has started to come back, especially for sweet and dairy items, but there is some way to go! I feel my appetite is reduced, and that I soon feel full, but since I needed to lose a little weight anyway I don't see that as a bad thing! Over the last few days I have become breathless more easily even though my throat doesn't feel obstructed; this feels a concern although not a severe/red just yet; I hope to keep going until my next consultation in two days' time. I get some random stiffness in joints, especially along my back, which doesn't match any of the effects they warned me of. But considering all the possible side effects and levels of seriousness associated with them, I feel I've been quite fortunate so far, and that being on chemo has been manageable. I hope this sounds reassuring to anyone about to undergo the same treatment. 

  • Hi again  and good that you have a clear diagnosis now and treatment has started.

    Although DLBCL is a High Grade NHL it is very treatable and indeed curable. R-CHOP is one of the main treatments used, it's been used for years with great results and good to hear you are felling the difference  I had a big brother of R-CHOP (R-EPOCH) so had all these drugs + another.

    DLBCL Is one of the most common types of NHL so this brings the advantage that there are more proven treatments available.

    The taste thing is normal and for some people they see it as a good chance to try foods that they had never tried before. But it will pass as the treatment works it's way through and out of your body. Aiming to drink a good 2 Litres of water every day can help toward the taste thing but more importantly protecting your kidneys as your body processes the chemo. 

    It’s like sucking on an old penny - it's not great. Eating fresh pineapple helped me, others say freezing small chunks of pineapple and sucking on them helped and I always had a pack of boiled sweets like Werther's Werther's at hand. Strong flavoured foods help - some share by having curry....... I could not face them.

    As for eating I stuck to a grazing diet and never sat down to a normal sized portion of food, just little and often.

    Do report the breathlessness, this can be down to the chemo reducing your Haemoglobin and Red Blood Count so get this checked out.

    Stiff joints are also a normal thing as the chemo does effect your muscle tissue resulting in muscle wastage and the less you do the more aches and pains you will get so some simple activity will help this.

    You are doing great.

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

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  • Hi Mike. Thank you for the great info and advice. I will report the breathlessness.

  • Hi

    I found things that contained ginger helped. I also munched my way through lots of ice lolly's . As Mike says lots of fluids. My sense of taste was not to bad but I could taste my fillings at times which is a bit horrible. 

    There is a lot about eating healthily but if you find something you like I would go with it. 

    While I had things side effects  that occurred each cycle some just happened once, 

  • FormerMember
    FormerMember

    Hi, I found your description of your first chemo and reaction very interesting especially as I am starting R-CHOP on Tuesday which I’m dreading to put it mildly. I’m glad you taste is coming back slowly after 11 days but hope you make contact to find out about the breathlessness and the other concerns. I’m sure they will put your mind at rest. I’m sure I’m going to worry about every little thing once I start and generally just overthinking things. We will no doubt get into a pattern and of course have kind people on here who have been on this road to recovery to advise us.  Good luck with your treatment and hope to hear that you’re doing well on it (as much as anyone can).  Take care Carol x

  • An update: when I contacted the haematology team to report the breathlessness and to ask if I needed any further tests, it transpired that I was supposed to have a full set of blood tests before tomorrow's consultation, but they had not arranged them! The nurse promptly left a form at the hospital's test reception and I went and gave the bloods. Hopefully this will enable a proper review tomorrow before my next treatment. Meanwhile I've read about which foods can improve my levels and enjoyed some runny poached eggs for breakfast! 

  • I've been enjoying crystallised ginger, and also some good quality ice cream! 

  • Hi Carol. I was worried about my breathing a few days ago but it has mostly stabilised and I've been able to count down the days to my next consultation. As I've written in reply to Mike, when I contacted the hospital today to query the haemoglobin aspect I learned that I was supposed to have blood tests before my next consultation and they had not requested them, so my query helped to put things back on track. It is certainly normal to worry about every aspect, and there are so many lists of possible side effects of varying severity, so there is plenty to think about! It won't all necessarily happen, although there will be lots of strange new fluids filling your system for a while and it is normal to think about what is going on and what might happen. My first chemo day was quite a relaxed one with friendly staff constantly checking on me and following the process for each new item. I wish you well for tomorrow! 

  • Good morning , good to hear that your breathing improved and that you have been able to get things in place for a full review tomorrow. This along with many aspects of the journey are things that you will learn to look out for in the future. If in any doubt you always call stuff in.

    My Heamatology department just did the bloods on arrival at the clinic and all Heamatology bloods were prioritised in the lab with results often on my main records within the hours, or even quicker then straight into see my consultant.

    All the best for tomorrow.

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • FormerMember
    FormerMember in reply to bendorain

    Hi bendorain, thank you,  I did my first day which was similar to yours apart from a reaction to the Rituximab which delayed the process while they had to treat the reaction of intense itching and turning bright red. It was a very long day from 8:15am to 7:20pm but all done and luckily I got to keep my taste up to now anyway. I’ve had a couple of good days but today very feel teary for no apparent reason and completely lifeless. Hoping tomorrow will be a better one and guess we are all going to have up and down days. Please keep posting as I will be thinking of you and how you’re managing on this journey, especially being a step ahead of me. Take good care and hope you haven’t experienced any other side effects. Carol x

  • Hi Carol. The effects do seem to vary enormously from one person to the next! Anything seems to be possible... That was a very long day for you. My second treatment (on Wednesday, all being well) is meant to be shorter, from 11 until 4; hopefully you will find the same and that things go more smoothly next time. My taste buds began to come back after two weeks or so, and now I've shopped for a few tasty items to enjoy before Wednesday! I've had a few random bodily pains, which sound fairly normal, and once the steroids wore off I've had some breathlessness and a high resting heart rate, rising at first and now levelling off but much higher than what I consider normal. I highlighted this to the medical team and they sent me for extra blood tests, which came back as normal, eliminating the possibility of red blood cell issues. The doctor quizzed me about my heart history and then decided I should put up with it for now and see how I am after the next treatment! Not totally happy about that but I seem to be out of options to explore for now. I wish you well as you pass the days between treatments; I've just taken each one as it comes, and tried to rest more than I was previously accustomed to.