What To Look For
The good news is that you can tell if you’re beginning to retain fluid merely by getting on the scale. “Weight change is the earliest sign of a problem with fluid balance. Most people will retain 8 to 15 pounds of excess fluid before they see leg and belly swelling. However, symptoms such as coughing and shortness of breath, loose stools, nausea and feeling full when without eating much may develop at the 5-to-7 pound mark” says Dr. Lewis. He instructs his patients to take action as soon as they notice their weight going up. “Don’t wait until you don’t feel well, you may have gained 5 or more pounds by then and could be well on your way to a serious problem.”
Preparing For Lasting Side Effects
As chemotherapy destroys cancer cells, it also harms healthy cells. This includes cells in your digestive system and hair, along with cells that produce blood.
In turn, chemo can cause various side effects. Some side effects go away quickly, while other side effects can last longer than the actual treatment. These effects can last months or years.
This means that chemotherapy can technically take much longer beyond the treatment itself. Heres what you can do to prepare for these side effects in the long term:
Can Cardiotoxicity Be Reversed
Cardiotoxicity may be reversible. Research has shown that cardiotoxicity that arises after using trastuzumab may be reversible. Cardiotoxicity that arises from anthracycline use is often not reversible and requires long-term treatment. Cardiotoxicity related to chest radiation is also very difficult to reverse and may require long-term treatment, possibly even surgery.
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What Happens After Chemo Is Finished
May 23, 2019
What happens after chemo is finished?
A question that many survivors no doubt have running through their mind at the conclusion of their treatment. Overcoming cancer is one of lifes greatest triumphs, but many survivors find themselves wondering what to expect after last chemo treatment. We at CamWell feel an immense sense of pride in helping survivors begin to adjust to life after cancer, aided by the use of our natural, oncologist created healingproducts.
How Do You Get Rid Of Water Retention In Heart Failure
Sodium causes your body to hold on to water. Most nutrition plans for CHF patients limit sodium to 1500 to 2,000 milligrams or less per day. Take diuretics as directed Diuretics, also known as water pills, help your kidneys remove extra water and salt from your body. They can also relieve swelling in your legs.
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How Long Can Water Retention Last
The length of time that it takes to lose water weight depends on how much water youre retaining, the cause of the water weight gain, and the action taken to lose it. If you have one high-sodium meal and then return to normal, healthy dietary habits, youll likely return to your normal weight in 1-2 days.
Sex Contraception And Pregnancy
Youre advised not to become pregnant while having treatment because docetaxel can harm a developing baby. If you havent been through the menopause, talk to your team about the most suitable method of contraception for you. Its still possible to become pregnant even if your periods become irregular or stop.
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Oedema Clinics Provides Specialised Physiotherapy For Individuals Undergoing Or Recovering From Cancer Treatment To Regain Normal Activity Quickly And To Improve Quality Of Life
What is Oedema and why is it important in cancer treatment?
Oedema is swelling caused by the abnormal buildup of fluid in the body or a part of the body. The fluid collects under the skin within the soft tissues and can remain causing other symptoms such as pain, numbness and skin changes. Normally the lymphatic system carries the fluid away from the tissues, back to the blood. Oedema can occur at many stages in the treatment of cancer for a variety of reasons, depending on the treatment and individual patient differences.
Relieving side effects is an important part of cancer care and treatment, and is especially important with oedema. It is important to talk with your health care team about any swelling you experience, including any new swelling or a change in the amount of swelling experienced.
Patients undergoing chemotherapy may experience swelling as some chemotherapy drugs can cause fluid retention in the body. This form of cancer swelling is most noticeable in the feet, ankles, hands, and face.
Sometimes oedema resulting from cancer treatment, in particular surgery and/or radiation oncology, can be a indication that the lymphatic system has been damaged and could lead to potential long-term continued swelling. This condition is known as Lymphoedema and requires specialised, individual therapy such as the Oedema Clinics therapists provide.
What are some symptoms of swelling to look for?
Things you can do to manage swelling:
Average Length Of Chemotherapy
One course of chemo treatment may last between 3 to 6 months. Typically, one course consists of several on-and-off cycles. One cycle usually lasts 2 to 6 weeks.
Within each cycle, there are multiple treatment sessions. The sessions might take place once a day, week, or month. The duration of each session depends on its form.
Heres how long different types of intravenous chemo take:
- Injection. A syringe is used to deliver the drug in a few minutes.
- IV infusion. The drug flows into your body over a period lasting several minutes to several hours.
- Continuous infusion. A continuous infusion takes a day to several days.
Oral and topical chemotherapy are less time-consuming. Thats because they can be done at home on your own.
In oral chemo, you take the drug by mouth. The drug might be in the form of a:
Chemotherapy infusions can last several hours or days. Your healthcare provider can let you know how long each session will likely take.
Heres what you can do to feel more comfortable during each session:
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What Are Second Cancers
Advances in early detection and treatment mean that more and more people are surviving cancer today. Cancer survivors can be affected by a number of health problems, but often their greatest concern is facing cancer again. If cancer comes back after treatment, it is called a “recurrence”. Some cancer survivors may develop a new, unrelated cancer later, known as a “second cancer”. No matter what type of cancer you have had, it is still possible to get another cancer, even after surviving the first. Some types of chemotherapy may cause a second cancer years later. Ask your doctor or nurse about your chances of developing second cancer.
How Do You Get Rid Of Swollen Legs After Knee Surgery
To reduce swelling, use ice packs or other cold therapy. To help reduce swelling, you should elevate your leg during a knee replacement. You must raise your leg up to the ankle as a result of elevating it. When raising your feet, it is critical that your feet are at or near the top of your heart.
How To Prevent Blood Clots After Surgery
Your doctors instructions for treating and preventing blood clots must be followed following surgery. Standing or sitting for a long period of time is the most dangerous thing you can do to stunt your fitness. Pushing your leg above your heart may also lower the risk of DVT. As a last resort, take the following medications as directed. The solution is made up of aspirin . Ascertain that your heparin enoxaparin is an oxaparin derivative. **br** Can you use warfarin? If you experience chest pain, shortness of breath, or swelling in your arm or leg, you should consult with your doctor as soon as possible.
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Talk To Your Doctor About Pre
In some cases, doctors may prescribe medication to ease symptoms before they start. Before beginning your chemotherapy treatment, ask your doctor about possibly pre-treating symptoms you may be concerned about, such as nausea.
Keep in mind that every treatment center is different. To prepare, ask your healthcare professional what amenities and services will be available.
How To Treat Water Retention
Depending upon the amount of swelling, the doctor may prescribe medication treatment to help your body get rid of the extra fluid.
Also known as water pills, diuretics allow your kidney to release fluid that it would otherwise reabsorb. Examples of diuretics incliude:
If prescribe furosemide to help eliminate extra fluid, consider using the ChemoExperts Treatment Tracker to track what dose to take and for the duration prescribed by your doctor:
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Is Fluid In The Knee Normal After Surgery
As you heal from surgery, you may occasionally feel water in your knee and hear a gurgling sound when you bend it. Because of leftover irrigation solution from surgery, your body absorbs it over time.
Total knee replacement is regarded as one of the most successful surgeries in medicine. The most common type of knee joint replacement surgery is arthritis of the knee joint. To recreate the motion and alignment of a natural joint, the prosthetic joint serves as a kind of simulate joint. Excess fluid accumulates in the tissues, swelling occurs as a result. It is possible that swelling after knee replacement surgery is the result of a serious pathology such as infection or deep vein thrombosis. Icing has an impact on blood vessel narrowing and fluid outflow in the region. It is advised to raise your leg slightly above your heart rate for this treatment.
As a result of elevation, the fluid from the legs is more easily able to flow back to the body. It is caused by inflammation and fluid formation as a result of bacteria, which causes infection. In addition to blood and radiological tests, the prosthetic joint is required to undergo revision surgery. If you are experiencing swelling after knee replacement surgery, consult your surgeon.
When Should I See My Healthcare Provider
- Persistent or ongoing heart palpitations or feeling like your heart is racing.
- Dizziness, lightheadedness, or passing out.
- Rapidly worsening shortness of breath or chest pain.
- Swelling of your throat or lips.
- Unusual swelling in your legs or feet.
- Weight gain of more than 3 pounds in one week.
A note from Cleveland Clinic
Cardiotoxicity is a term for any heart damage arising from cancer treatments. Its more common in people who have used specific chemotherapy or targeted therapy drugs. It may also develop in people who have had radiation therapy to the chest. Some types of cardiotoxicity are reversible, while others require long-term treatment. Its important to talk with your healthcare provider about any cancer treatments benefits and potential risks.
Last reviewed by a Cleveland Clinic medical professional on 06/20/2022.
- Awadalla M, Hassam MZO, Alvi RM, Neilan TG. Advanced imaging modalities to detect cardiotoxicity. _Curr Probl Cancer. _2018 Jul 42: 386-396. Accessed 6/20/2022.
- Cancer Research UK. Doxorubicin. Accessed 6/20/2022.
- Cancer Research UK. Trastuzumab. Accessed 6/20/2022.
- Chatterjee K, Zhang J, Honbo N, Karliner JS. Doxorubicin Cardiomyopathy. Cardiology. 2010 Jan 115: 155162. Accessed 6/20/2022.
- Montisci A, Palmieri V, Liu JE, et al. Severe Cardiac Toxicity Induced by Cancer Therapies Requiring Intensive Care Unit Admission. _Front Cardiovasc Med. _2021 Sept. Accessed 6/20/2022.
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How To Take Docetaxel
Docetaxel is given by intravenous infusion, usually over an hour. The dosage and schedule are determined by the person’s size and type of cancer. It can be given alone or with other drugs. You will be given a corticosteroid prior to the infusion to prevent severe fluid retention and allergic reactions. The steroid is given in pill form or by IV, which will be determined by your healthcare provider.
This medication contains alcohol and may cause intoxication. You should not drive after the infusion until you know how it will affect you.
Grapefruit can change how your body absorbs this medication. Do not eat grapefruit or drink grapefruit juice during the 2 days before, the day of, and two days after each dose.
This medication can cause severe side effects if given to a patient whose liver function is abnormal. Your labs will be closely monitored prior to each dose of docetaxel and the dose may be decreased or held if your liver function is not normal.
Even when carefully and correctly administered by trained personnel, this drug may cause a feeling of burning and pain. There is a risk that this medication may leak out of the vein at the injection site, resulting in tissue damage that can be severe. If the area of injection becomes red, swollen, or painful at any time during or after the injection, notify your care team immediately. Do not apply anything to the site unless instructed by your care team.
Less Common Side Effects
Changes in heart rate and blood pressure
Docetaxel can alter your heart rate and affect blood pressure so you will be carefully monitored for this during your treatment. Changes to your heart rate and blood pressure can usually be treated easily and you will not have to stop your treatment. This is not the same as having an allergic reaction to docetaxel .
Effects on the lungs
This may include scarring or inflammation of the lung tissue. This is a rare side effect, but if you become breathless or develop a dry cough during or in the few weeks after your treatment, let your treatment team know.
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How Long After Chemo Does Your Body Get Back To Normal
There is no one-size-fits-all answer when it comes to a timeframe. Everyone is different and the amount of time you spend recovering depends on multiple factors.
Even though theres not set amount of time to fixate on, theres a lot you can do to help yourself move forward:
Self-Nourishment Much like food feeds your body, experiences feed your soul. Its important to give yourself exactly what you need at any given time. Want to take that nap you used to feel guilty about? Go for it! Read new books, listen to new music, pay attention to your needs, and most of all enjoy yourself.
Socialize You might be feeling a bit low after treatment has been completed, which is common. Surround yourself with a solid support system this can come in the form of family, friends, or an actual support group. Joining a group with other survivors will help forge a connection with others who have had similar experiences.
Set Goals Your survival gives you a second chance at life a chance to focus on what truly matters most to you. This could be as small as writing in a journal every day or walking every morning, or as large as starting your own business out of your home. Whatever the case may be, setting goals for yourself will feel you with an overwhelming sense of positivity and accomplishment.
Symptoms Of Alcohol Intoxication
In June 2014, the U.S. Food and Drug Administration warned that docetaxel contains alcohol, which can cause patients to feel drunk after treatment. The agency revised the drugs label to include warnings about the risk.
Docetaxel manufacturers use alcohol, also known as ethanol, to dissolve the active ingredients so the drug can be given intravenously. Different brand-name products contain varying amounts of alcohol.
Patients should not drive or operate machinery for one to two hours after their infusions. Pain relievers, sleep aids and other medications may interact with the alcohol in the infusion and make the intoxicating effects worse.
Tell your doctor about all the medicines you are currently taking and if you have problems with alcohol or other conditions that may be affected by ethanol in docetaxel.
The FDA advises doctors and nurses to monitor patients for signs of being drunk during and after treatment. Let your doctor know if you experience symptoms of being drunk, confusion, stumbling or becoming very sleepy during or after an infusion. Lowering the infusion rate may help resolve the symptoms.
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What Are The Symptoms Of Water Retention
Notify your doctor if you have any of the following symptoms:
- Feelings of tightness in the arm or leg
- Difficulty fitting into clothing
- Ring, wristwatch, bracelet, shoe that fits tighter than usual
- Pain, aching, heaviness, or weakness in the arm or leg
- Redness, swelling or signs of infection
- Skin that feels stiff or taut
Fluid Retention: What It Can Mean For Your Heart
Fluid buildup indicates worsening heart failure. Learn how to spot it and treat it early.
The buildup of excess fluid in your body can take a variety of forms from belly bloating and swollen ankles to nausea, persistent coughing and fatigue. You may be tempted initially to dismiss this hodgepodge of problems as having little to do with your heart. However, they all signal water retention, which can mean trouble for people with a history of heart failure.
“Fluid buildup can quickly escalate into a life-threatening situation,” says Dr. Eldrin Lewis, a heart failure specialist at Harvard-affiliated Brigham and Women’s Hospital.
Heart failure may start with injury from a heart attack or develop as a result of damaged valves, infection or disease of the heart muscle cells. Many times, it is the product of years of toil against high blood pressure and clogged arteries. Regardless of what triggers the decline, heart failure culminates in a progressive weakening of your heart’s power to pump.
Consequently, blood circulates through your heart and body more slowly your cells thirst for fresh oxygen and nutrients. To compensate for its weakened state, the heart undergoes a series of structural transformations. Other physical processes also come into play. When the kidneys detect the diminished blood flow, they activate hormones that prompt the body to retain fluid and sodium in an effort to boost the volume of blood in circulation.
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