12 Tips & Tricks to Get You Through Chemotherapy

 

chemo 5th try

Chemotherapy is one of the biggest unknowns for patients during the cancer treatment process. It is so foreign and un-relatable for many people. The majority of the questions I receive are about chemotherapy, what to should expect, and the impending hair loss. For some reason, I have been putting off writing this post for months. I think my avoidance stemmed from not wanting to relive the experience, but I now know that my gained perspective is of value to others. I hope that these tips & tricks I learned during my chemotherapy experience will be beneficial for other people who are preparing for or currently going through chemo. For reference, my chemotherapy was TCH (Docetaxel, Carboplatin, Herceptin). Just remember that everyone is different. The side effects I experienced and describe, may not happen to you.  Try to keep an open mind and try some of the tips and tricks listed below.

1. Hair Loss

  • Preventing Hair Loss: Having chemo doesn’t always mean losing all your hair. If you’re willing to sit for hours with an freezing “cold cap” on your head you might be able to minimize your hair loss, so ask your doctor if it’s an option. I didn’t go with this route myself, but I have met many women who had great results with cold-cap treatment.  When using a cold-cap, any thinning you do experience will grow back faster because the hair doesn’t have to grow back from below the root.
  • Cut or Shave Your Hair: If you decide against cold-cap therapy, don’t shave your head as soon as you find out you’re going to have chemo. Consider doing it in stages. I chose to cut my hair to a short pixie cut before my treatment began and then I shaved it all off when my hair began to fall out (usually two-three weeks after the first chemo session). This really helped me minimize the shock and trauma associated with hair loss.
  • Wig Shopping: Don’t buy all your wigs before you start chemo – they’ll look completely different once you lose your hair and they can be very expensive. Once you lose your hair you may decide you want to try an entirely different style. I’d suggest starting with one before your chemotherapy starts and then you can build on that collection as the process goes on. You can read more of my wig buying tips, tricks and advice here.

2. Dental Care: Go to your dentist and have your teeth cleaned prior to chemo. Chemo can wreck havoc on your mouth and you will not be cleared to return to the dentist until 3-4 after your last chemotherapy session. This is a precaution to avoid a bacterial bloodstream infection. Biotene mouthwash and toothpaste are wonderful during chemotherapy for maintaining dental care and they won’t irritate sensitive gums or mouth sores (another common side effect).

3. Research Side Effects: Ask your doctor about common and uncommon side effect that may occur during chemotherapy. Knowing what to expect will make it less scary if you experience those side effects. There is so much that is unknown during the cancer process. Anything you can do to educate yourself and prepare can help relieve anxiety.

4. Eat, Eat, Eat: Many people warned me about losing my appetite, developing distastes for certain foods, and a persistent metallic taste in my mouth. Luckily I didn’t have any awful experiences in these areas, but everyone is different. My advice is simply to eat whenever you are hungry. There will be times when you are nauseous and can’t eat, so I really came to appreciate my appetite.

I actually ended up gaining about 10 lbs during chemotherapy and for someone who is normally very weight conscious and fit, this initially upset me. My husband and doctors were actually quite pleased though. Gaining this minimal amount of weight kept me from vomiting frequently and allowed my body to process the toxins from the chemotherapy with fewer negative impacts. Another important thing to remember is that smells and tastes can easily become associated with your negative memories of nausea and vomiting, so stay away from your favorite foods on chemo weeks.

Some awesome cookbooks for during chemo are Oh She Glows and Cancer Fighting Kitchen

5. Push fluids: Chemotherapy can be very dehydrating  Drinking lots of water, green tea (unsweetened) or bone broth* can really help. Drinking lots of liquid before, during and after chemotherapy sessions can also alleviate feelings of nausea and help flush the toxins out of your body more quickly.

Hydrating before blood tests also make it easier for nurses to access your veins. *Bone broth is made by boiling chicken or beef bones in water for 24-48 hours. The nutrients from the bone marrow are released into the water and you can then consume the broth as you would normal chicken or beef stock. Bone broth is wonderful for your immune system, which will be very depleted during chemotherapy. I would make huge batches and freeze the bone broth in mason jars. Then, I could easily defrost and drink 1 cup every morning on my way to work. You can read more about bone broth and how to make it here.  You can also purchase bone broth powder to add to smothies, soups, etc.

6. Try a variety of anti-nausea items: I tried almost every anti-nausea idea out there. Unfortunately, there was no one magic solution, but by the final few treatments I had figured out what worked well through trial and error. Keep in mind that what worked for me may not work for you so if at first you don’t get relief, try something else. I have listed some of the things that worked well for me below.

  • High dose anti-nausea meds during chemotherapy IV (depending on your chemotherapy drugs this may be added automatically. It was not added for me, so I had to request it when the initial cocktail they were using wasn’t working for me and I was still experiencing delayed nausea)
  • Peppermint essential oil
  • Ativan under your tongue (this helps with anxiety and the mental causes of nausea)
  • Ginger tea, ginger chews or queasy drops
  • Anti-nausea wristbands  (These really helped me make it through my nauseous morning drives to work)
  • Crackers, toast, bone broth/chicken noodle soup
  • Lots of water (this cute water bottle helps you remember)

7. Stress/Anxiety Relief: A cancer diagnosis and the treatments that follow can cause major anxiety and stress. The anxiety and stress may then present as physical symptoms. Recognizing the impact your stress and anxiety have on your well being can be very important. There are many tools for stress/anxiety relief that can be beneficial. These are a few of the things that worked well for me. The more I worked on my anxiety and mental state, the more easily I was able to recover through my sessions.

8. Skincare: Chemotherapy can make your skin dry, and irritated, so be sure to moisturize everyday. I also experiences odd acne rashes on my chest, which is a another quite common side effect of the chemo. Coconut oil was my go-to for all my skin concerns along with topic steroid creams from the Onc when things got bad. Look for a fragrance free cream or moisturizer, because the chemotherapy can make your skin extremely sensitive.

9. Paint your nails:

Chemotherapy damages all rapidly-dividing cells, not just the cancerous ones. Thus, your nails, skin, and hair cells will likely be damaged in the process. One trick is to paint your nails before treatment sessions to help preserve them. I kept my nails painted throughout treatment and was able to avoid any of them turning black and falling off. Make sure to stay away from gel polish or fake nails during treatment and be extremely careful that your nail salon is using sanitary tools, because you will be more susceptible to infections. Also be sure to consult with your doctor, as these suggestions may not apply to all types of cancer treatment.

10. Listen to Your Body & Rest: The more you sleep and rest, the quicker you will bounce back from each treatment. Once I learned this and began listening to my body, my recovery times improved drastically. My mantra became “Accept and move on — this too shall pass, “. After my last few treatments, I slept off and on for 48 hours and after that I was good to go. Just remember each person is different and the most important part is to listen to your body. Sleep and rest will allow your body to heal.

10. Take Advantage of Available Resources: T here are tons of resources available for cancer patients. Check with your local hospitals and non-profits to find out what they offer. I was able to receive complimentary massage, acupuncture, makeup application, scalp massage and home cleaning during treatment. Check out Cleaning for a Reason to see if they have providers in your area.

11. Bring Entertainment & a Companion: Most chemo days will be extremely long and exhausting. Bring something to entertain you: a book, music or a deck of cards. Sleep also helps pass the time. I loved the relaxation that the chemo sessions afforded me. With no where to go, there wasn’t much else I could do but rest. There were a few times I brought my computer and worked, but I would not suggest doing that. The drugs are taxing  enough on your body. There is no reason to add mental stress to the mix. My husband came with me to every single session and this was a wonderful blessing. He made me laugh, helped pass the time and drove my tired ass home each time. He made sure I never felt alone in the process. If your spouse can’t come with you, bring a friend. It’s comforting to have someone by your side during the process.

Chemo Bag Essentials

CardsColoring Book | JournalFun Pens or Colored Pencils | Cozy Blanket/Scarf | Headphones | Warm Socks | Peppermints | WaterbottleHat or Headwrap

 


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32 comments

  1. Joe says:

    My chemo treatment was relatively mild to most and especially your experience. My hair didn’t fall out, but my nails would shatter and my skin would peel like I had been out in the sun all day. If I could go back in time I would have researched the side effects of the chemo better ( #3 on your list). The doctors and I were surprised by my uncontrollable shivering no matter how many warm blankets they threw on top of me. Hopefully I don’t ever have to go through that again, but if I do I will be coming back to print this list! Thanks again for sharing.

    Take Care, Joe

    • Anna says:

      Thanks so much for sharing Joe! It’s amazing how each person’s body responds so differently to similar treatment. I am glad to hear this list is helpful. I could have gone on forever, but I tried to narrow it down to 12.

  2. Edie Schelle says:

    I would like to voice my love for your kindness in support of people that absolutely need guidance on that matter. Your personal dedication to getting the solution along has been especially interesting and has truly allowed individuals much like me to achieve their aims. This important tutorial signifies this much to me and even further to my office workers. Warm regards; from each one of us.

  3. Paul Hennig says:

    of course like your web-site however you need to take a look at the spelling on quite a few of your posts. A number of them are rife with spelling problems and I in finding it very bothersome to tell the truth on the other hand I’ll definitely come again again.

  4. Shanna says:

    Your post was extremely helpful. I start chemotherapy next week. I’m 32 and a mother of three. I’m searching the internet for any tips. Thank you for your post!

    • Anna says:

      I am so glad you found the post helpful. I was in your same position searching the web just about 10 months ago. Best of luck with chemo!

  5. Jackie Oliver says:

    I didn’t know that chemo had such an effect on your teeth. My husband is starting chemo next week, and I want to be prepared for everything. I’m going to have him go to the dentist before he starts like you suggested, and then again a few weeks after he is done. We don’t need him to get an infection in there too.

  6. Annika Larson says:

    My mother is currently living with me as she undergoes cancer treatment. It has been emotionally taxing as well as physical. These tips will help us both to find ways to make this experience a better journey. I hadn’t thought about having my mother go to the dentist before chemo, but that is a great recommendation. Thanks for sharing!

  7. Antoinette Troutman says:

    Hello Anna! I just want you know how much you inspire me. I just started reading your blog 2wks ago and already feel like I’ve known you forever. I am 23 yr old getting ready to start chemo next week and was looking for some tips. Thanks to you I am confident and ready to knock this thing out!

    • Anna says:

      Thank you so much for following and stopping by to comment. I am so sorry you have to go through chemo, but I hope you know you are not alone. I hope you connect with me on social media and share your experience. I love to hear from other fighters and I will be sending you lots of love. I hope you found the chemo post helpful.

  8. Violet Vallnce says:

    Thanks for this. I have been hit with breast cancer again after 29 years clear. The other breast this time and this time I will be having chemo first. I had already started to prepare myself physically and mentally for what I am soon going to face. I have piled on a few kilos to get me through the first batch and have decided to stock up on easily digested food that would be easy for my hubby to sort out. I know that you can be put off by the taste but I have decided to be like a small kid and eat everything thrown at me ( on threat of never being fed again- I had a cruel Mummy)i. My view is that if you do not eat then the bowel function can get sluggish and in that matter will stop getting rid of the toxins. So basically eat, keep everything working and the toxins will be eliminated faster. I am determined to get through this and I already have a pixie haircut anyway and have already arranged with my hairdresser to shave my head the minute my hair starts to part company.

    • Anna says:

      I hate that you have to go through this again, but I love your attitude. I hope that your insight and courage take you through this difficult time! Sending you love.

  9. Diane Racine says:

    Just had round two of chemo yesterday, felt so much more prepared this round, house cleaned, refrigerator stocked up for me and those not going thru chemo ha. Planning on lots of sleep this time around. Cancelled all nonessential appointments for the week. I knew about the impending hair, but still was quite a shock, to be shaved today. I found your blog informative and inspirational ♡♡♡♡♡

    • Anna says:

      My heart goes out to you! I know hard it is at the beginning. I love your spirit and I know you will push through this difficult time. I am so glad I could help in some way.

  10. Paul Meiners says:

    Nice write up. There is very little pre chemo training, from chemo centers.

    Glad you brought up the advice to see your dentist which is critical. If your mouth is severely affected by chemo, the mouth sore can be agonizing, especially if your gums are inflamed due to plaque build up. Personally I think the Oncologists should firmly advice patients to get a deep cleaning before chemo. My mouth is in great shape, had a deep cleaning just before chemo and still had uncomfortable mouth sores; can only imagine what chemo would do to someone with inflamed gums. There is a wonderful mouthwash which numbs your mouth so brushing or even eating is manageable, called First mouthwash BLM,,…

    https://www.drugs.com/pro/first-mouthwash-blm.html

    Cost about $30, any druggist should have it, well worth it. If used as direct a bottle does not last long. I found a 1/3 of a teaspoon, will numb the mouth if you hold in your mouth for 3 minutes.

    As to fatigue and feeling cold….
    Especially during the first few days of a chemo cycle DO NOT EXERT YOURSELF. If tired or cold, surrender and crawl into bed for at least a couple hours. Had a couple times I ignored this and felt 10 times worse afterwards for a long period. I know this is not easy to do with all the demands of life, but do it.

    Try not to stress over all the doctors appointments you will have. Seen a few patients moaning about wait times, doctors being late etc, Chemo patients need to loose this attitude. The initial chemo/radiation treatment I had required 104 doctors appointment in 10 months, I did not have a negative thought about one of them, made chemo so much easier. One couple, 85 years old at least, while in the waiting room moaned and moaned about the wait. I kept wondering, are they performing emergency surgery at a nearby hospital in the next 30 minutes or is their day chock full of appointments else wear…..at 85 I think not.

    Nausea . acid reflux….
    Yes they gave me a prescription for nausea, did not work. Purchased the cheapest antacid tablets I could find, 1000 tabs for $7,00, they worked. What ever works for you, keep plenty on hand.

    On positive notes about chemo…..
    I can skip every other hair cut, saves me $20 each time
    I only need to shave every 2 weeks
    You need not worry about Plaque build up, chemo kills it,
    Black and blue marks (hematoma) are not boring, had one which was Turquoise blue, cool.
    Veins are easier to see for blood suckers at Quest lab, but they jamb through veins anyway
    On chemo, who needs acne medicine?

    I am single, bless all, especially those with children.

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