Hi Everyone,
I have now finished 13 sessions of Radiotherapy 15 to go. All the staff have been very helpful and caring which makes for a pleasant atmosphere. Travelling and appointments mainly going to plan although the last couple of days were not expected weatherwise, snow in March quite a blizzard when travelling there but got through it ok.
So far main problem has been diarrhea which started around the 8 session, not bad enough for medication but intrusive throughout the day with the worse time early morning. Unfortunately quite sore around the anus area, had a meeting with Radiotherapy nurse and Macmillan nurse after my 10th session and they recommended aqueous cream so trying that. Think the diarrhea is also affecting my hydration when I have early appointments (7.30am) as although I am drinking a lot approx a litre and a half a good hour and a half before my appointment plus another half litre on the way there still not going through in time to give a full bladder for the Radiotherapy so hanging around until it's full, not sure what else I can do, took an hour yesterday before ready.
The other problem has been the dilator which I was given by the nurse at the meeting on Wednesday they explained I needed to start using every day for the rest of my treatment and once a week once finished. I started in the afternoon and found it caused a bit of bleeding, the following day a bit more I phoned to speak with my CNS who said to stop using for a week then start again. However, yesterday was awful a lot of bleeding with some small clotting which was rather frightening I spoke with staff at the hospital before my Radiotherapy and they advised me to speak with my CNS again, when I arrived home phoned and left a message but hadn't heard by lunchtime so felt rather unsettled and phoned the Macmillan helpline and spoke with a nurse who was very kind, when I explained my problem she asked when I had finished my Radiotherapy I explained I was only on session 13 and she seemed surprised as she said in her experience the dilator was usually only used once treatment was over but she said they probably had a reason for starting early, but thought the bleeding was due to the dilator irritating the tumor. Anyway my CNS phoned back in the afternoon and confirmed it had irritated and not to use again and would speak again at the next meeting in a couple of weeks. I didn't mention I had spoken with the Macmillan help desk as thought it may look as if I was questioning her expertise, but will see how things go at the next meeting. Have to say I felt rather fed up last night it seemed to have been one of those days yesterday.
I unfortunately couldn't get my Brachytherapy appointments changed to earlier dates, had a meeting with the senior Radiotherapy nurse at the beginning of my treatment but she said the advice they follow is to have a 7 to 10 day gap after the Radiotherapy to allow the bowel to settle before starting Brachytherapy, I mentioned how Marmite had hers slotted in between Radiotherapy sessions but she said the advice they follow would not allow that, so will have to followed their rules, although she said Brachytherapy is a much gentler treatment and not as invasive as just targets the inner area so hopefully should not have the reaction Radiotherapy causes, here's hoping.
Anyway onwards and upwards, if anyone has any tips that may help me on this journey it would be greatly appreciated.
Take care all.
C xx
Hi chlorakas, well done for being very nearly half way through! I’d recommend telling a radiographer again on Monday about the diarrhoea when you go and to ask their advice again. It may be time for Imodium but don’t start taking it till you’ve checked with them. You may also want to look again at your diet to see if anything might be making you more prone to diarrhoea. When I started having some bloating and a bit of urgency I told a radiographer and he then called the duty oncology registrar to come down and have a chat with me - this took place almost immediately during the time between when I’d drunk my water and my treatment that day. Re the dilator, I would advise you to check again both with your CNS and your radiographer because in my experience as a patient the use of a dilator is for after not only your radiotherapy has finished but also after your brachytherapy has been done. I gently used the smallest dilator with lube once a few days before my brachy started, just to make sure I could tolerate something going up there but that was my own choice not an instruction. The normal instruction is to use it after brachy to make internal check up examinations easier. I’d be very surprised if anyone was told to use it every day during radio and I’d strongly recommend that you check again as it seems unusual/irregular to me. You can always ask your CNS or radiographer to check directly with your oncology consultant.
Thanks for that Marmite, will definitely check re the dilator as will certainly not be using it without getting them to check with my Oncologist as nervous after the results I had this week. Will keep checking about the Diarrhoea, they didn't want to give me any medication last week, have cut down on Banana as was eating one a day also veg. but not getting my 5 a day which goes against my healthy eating (It actually seemed better today ) but it's a trade off to help with the discomfort and hopefully will get a proper diet back once this is all over. Happy days !
Hi chlorakas
You could try this daily ....... a small bowl of white boiled rice and a banana. My mum swore by this and it's passed down throughout our family, works for us! If you read up on tolerated foods for diarrhea it does include these. You're halfway through so well done, it'll soon be behind you. Take care x
Hi Chlorakas
I had badly upset stomach from the radiotherapy. It started pretty much straight away and got progressively worse. However there are treatments. In the end I had to take 2 loperamide before every meal. Buscopan 4 times a day. Codeine phosphate twice a day and an anti nausea medicine called ondansetron twice a day. I had to take the anti sickness med 30 mins before treatment. This made the rest of the treatment manageable and I was able to eat a bland diet and drink. I was pretty much off the meds within a month of finishing. I suggest talking to your radiotherapist as there are other things they can do as well. I am now around 5 months from the treatment and managing to control mainly through diet. I seem to have developed lactose intolerance but am keeping a chart for hospital to see if there are any patterns.
Hi Marmite, very sorry to hear of your problems. I too had 25 sessions of radio and 2 brachytherapy treatments between September- October last year. I took loperamide tablets for the diarrhoea I got frequently especially after the chemo session I got during radiotherapy, and after the radio had 4 more chemo treatments which all ended 5 weeks ago.
it should all settle down after a few months and I followed low fibre diet when they were loose. There’s a good leaflet with foods on it. Tinned peaches and peeled apples were good and brocolli florets for loose stools.
As regards the dilator you are doing the right thing by discussing all symptoms with the oncology nurse and hopefully your radiotherapy consultant will give you some advice on best approach for all your issues.
It’s certainly not particularly pleasant but should get easier over time, there is light at the end of the tunnel. I’m nearly back to normal now after Stage 3 diagnosis and surgery last summer. So hope it will all improve for you very soon
I get CT scan results next month which will hopefully have some good news.
Hi Mari, it’s Chlorakas with the issue not me! Just to say though that my leaflet from the hospital re diet during pelvic radiotherapy told me to avoid broccoli totally.
Hi Jane
Although my side effects are not as severe as yours were, mainly diarrhea for me which is only early morning but not all at once over 3 or 4 sessions starting at 3am so I am in and out the loo, very waring. I spoke with the radiotherapist but because it's mainly confined to that period of the day and not all day, did not recommend giving me any meds as they don't want me to go the other way, so I am stuck with it but have 10 days to go now so counting down the days. Still trying different diet ideas but nothing really working so far. Thanks for your reply, good luck with your problem.
Hi Mari
Thanks for your suggestions. Glad to hear your treatment is finished such a relief when all done. I didn't realise they gave Chemo then Radio then more Chemo. I had my Chemo 6 rounds over 5 months started October 2019 then should of had Radio and Brachy 6 weeks later but caught an infection and wasn't well enough to have it. Thought I had got away with it but not to be, anyway 10 days to go. Hope all goes well with your CT scan.
Cxx
Hi chlorakas, what sort of things are you eating at the moment? How many portions of fruit and veg for example and what sort?
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