Ask the Expert: Feeling Your Best

How to feel your best during Radiation Therapy

Radiation therapy involves the use of high energy x-rays to kill tumour cells. Although patients generally feel quite well on treatment, here are some typical side effects with advice on how to deal with each one.

Headache and nausea

As tumour cells are killed, brain swelling may occur, resulting in headache and nausea. Your doctor may prescribe a steroid medication to reduce the swelling. This medication is very effective but can cause a number of side effects, especially if used for long periods. It should not be stopped abruptly, so speak to your health care team about how and when to discontinue it. You may also benefit from medications used specifically to treat nausea.
 

Hair loss, hearing and skin changes

Hair loss will occur where radiation beams are directed and may be temporary or permanent, depending on the dose delivered. If you are interested in wearing a wig and would like to match your natural colour and style, shop for one before the hair begins to fall out, usually in the second or third week of treatment.

The scalp may become tender and red, like a sunburn. Use a mild shampoo with lukewarm water and avoid dyes, hair dryers and curling irons. If you develop itching or flaking skin, your radiation therapists will advise you about the use of appropriate creams. Oozing skin or pain should be promptly reported. Cover your head and ears to protect your skin from sun, wind and extreme temperatures.

Hearing may be reduced by a buildup of wax in the ear. A few drops of mineral oil in the ear canal will help soften the wax and allow it to be dislodged. Avoid putting anything else into the ear.

Fatigue

Fatigue is a common side effect, and usually occurs midway through treatment. Activity and exercise may help to prevent or decrease fatigue, but you should also allow for rest periods in the day. Plan your day so that your most demanding activities occur when your energy is likely to be best. If possible, delegate some responsibilities to family and friends. Rarely, extreme sleepiness and fatigue may occur, accompanied by loss of appetite and nausea. This should be reported to your health care team.

Bleeding and infections

If you are taking chemotherapy with radiation, remember to have your blood drawn regularly, and monitor for signs suggesting that your blood cells have been affected by the treatment. Of greatest concern is the effect on white blood cells (that fight infection), and platelets (that prevent excessive bleeding). Report signs of infection, especially a fever greater than 38.5º C (101º F), or go to your local emergency room. Also report the appearance of bruises, red spots or unusual bleeding.
It is important to let your health care team know how you’re doing so that they can offer you guidance and support throughout your treatment.

You can download this information as a Brain Tumour Foundation of Canada Information Sheet (pdf).
Thank you to Rosemary Cashman, Nurse Practitioner at the BC Cancer Agency. Rosemary volunteers for Brain Tumour Foundation of Canada as a member of our Professional Advisory Group and is the recipient of the 2007 Canadian Association of Nurses of Oncology.

Return to Information Sheets here.

Share This

Featured Story

Grey Matters - Blogger Tuesdays

Have you seen our blog lately? Read about people who are making a difference in the brain tumour community from our staff and volunteers to our donors, funded researchers, and medical experts. You will find advice, news, information, and interesting stories about people affected by a brain tumour. Who doesn't love a good story? You won't want to miss the inside scoop Grey Matters has in store for you!

Learn more

Spotlight

Roy and the Gamma Knife – A Happy Tale

I had headaches, almost daily, for 10 years or more. It was a rare day if I did not have a headache. I used to joke that I should own...

Learn more

Courtney’s Story of Stability

Stability. It’s a strange concept when you have what it known to be a progressive, life long illness. You hear the words, “Your tumour...

Learn more

Upcoming Events

  • 25/Apr/2018: Toronto Support Group: Meets at Wellspring Westerkirk House at Sunnybrook, Toronto, ON... Learn more >
  • 25/Apr/2018: Ottawa Support Group: Meets at the Maplesoft Centre at 1500 Alta Vista Drive, Ottawa, ON.... Learn more >
  • 26/Apr/2018: Brain Fair: BMO Centre, 295 Rectory St, London, ON... Learn more >
  • 26/Apr/2018: Sarnia Support Group: Meets at St. Giles Presbyterian Church,770 Lakeshore Road Sarnia, ON... Learn more >
View All Events >
Thank you to the donors whose contributions make this website and all programs, services and research possible.

Copyright © 2018 Brain Tumour Foundation of Canada. Charitable Registration #BN118816339RR0001