RADIATION FATIGUE - POLL
How much fatigue did you have after your radiation? How long did it take to occur? How long did it take to go away - if it did yet? I am very curious about this issue, since it can vary from person to person.
Please note if you also had chemo before radiation, and how you were feeling before you began radiation, since chemo obviously causes much fatigue. Also note any meds you are taking that could be causing fatigue. Don't forget to mention how much radiation you got. Thanks.
Comments
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Here is my answer: I was schedule for 6 wks of radiation, with the last week including a boost into the scar (cancer) area. When I began, I was about 5-6 wks out of chemo and was feeling much better. In the beginning of my radiation, I was felt until about 3 weeks into treatment and thought this was going to be a cakewalk. Suddenly I began to get extremely fatigued. I had to cut back on my workouts until, by the end of radiation, I stopped working out altogether. The fatigue was NOT as bad as with chemo, but it really made me feel wiped out. It took me about 2 months to feel better, and now I am 3 and 1/2 months past radiation, I am still a bit tired, but it could be from tamoxifen or the herceptin - hard to say.
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I had 37 rad treatments with the last 6 being boosts to the cancer site...I didnt do chemo....I too thought it would be a walk in the park, but at that magical 3 wk mark the fatigue hit me like a ton of bricks!! I take tamoxifen as well as blood pressure meds. I also have an autoimmune disease that causes sever fatigue so I think its the combination of everything mixed together...
Im about 2 yrs, 4 months out of treament now and still have issues with fatigue...I generally feel fine but once in awhile it comes at me from out of the blue and I have to slow down for a few days to catch up.
Best wishes
Jule
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I had 6 infusions of TAC chemo prior to radiation. I breezed through it. I began taking Tamoxifen a week prior to rads. I had 25 rads with 5 boosts over a 6-week period. I didn't start feeling tired until the end of week four. Then I learned what fatigue was all about! I was fatigued for about 5-6 weeks. I was able to take 2 weeks off work at Christmas (fortunately), and during the first week, I slept or rested most of the week. By the second week off, my energy level was returning to normal, and I was up and about, taking long walks and hiking again. I've felt great ever since.
During the 5-6 weeks of radiation fatigue, I also received a Zometa infusion, had a staph infection, and sinus drainage, so I'm sure these caused me to feel even more run down.
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I had 28 rad sessions.
I found by Thurs / Fridays I was fatigued...but ok by the Monday to start the rads again.
After the 5 weeks I was exhausted for about a week...then it got better everyday.
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Finished radiation 1/28 after 33 treatments which were after 8 TAC treatments (finished 11/5/08), started on hormone therapy 2/1. I can't say I'm really exhausted but have no drive to do very much. In the last week or so, find that just picking up around the house or doing dishes seems to wear me out. I'm fine if I don't do anything which makes it too easy to be way to lazy, which probably adds to the problem.
One thing I have noticed is that I'm rarely sleepy, even if I stay up later than usual in the evening. I'll fall asleep pretty quickly though.
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Didn't have chemo but did have 33 radiation treatments, 5 boosts. I didn't notice any tiredness or really anything out of the ordinary. Just got tiring going in each day. I am retired so if I had been working maybe I would have been fatigued..just don't know.
I also continued to walk my dog each day and go to Curves 3 times/week. They said, whoever "they" is that exercise really helps to prevent fatigue.
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I had 33 rads, 28 reg and 5 boosts. I took a 10 break for vacation about mid-way through but still was tired. It wasn't until I was done that I really felt fatigued. Then I figured it out and the tamox was causing the fatigue. Once I stopped the tamox I felt better in two weeks.
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I had the same dx as you bluejay. I had no chemo, 33 rads including 5 boosts at the end. I never had any fatigue. I took a walk after every treatment, and tried to eat very healthy. My radiologist said that I am proof that exercising through treatments minimizes side effects. I had only mild burning too. Even though it was easy for me physically, emotionally, I was a wreck. I had a lot of meltdowns because the whole thing scared me so much. I still wish I had said no to rads. Since my nodes were clear and I had wide margins, I just do not think it was worth the expense and trauma in my case. I also decided against arimidex which, may be another reason I had an easier time physically.
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I just joined minutes ago, and your posting caught my eye. I also have an autoimmune disease, Lupus and Sjogrens. I was diagnosed with invasive ductal carcinoma on 2/13/09 and am in the process of deciding between the lumpectomy (with radiation and possibly chemo) or a mastectomy. I am concerned about the radiation. I am also tired on a normal day, and concerned about the fatigue issues with radiation. What type of breast cancer surgery did you have?
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I had no fatique whatsoever during my 33 TX, which included 5 boosts. I'm usually pretty active & had no loss of energy at all. I had no chemo before, I was lucky. I ate healthy & drank lots of water. Did not start Aromasin until the day after my TX ended, didn't want anything to interfer & that was what my onc said to do anyway.
Val
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I had 15 rads - I'd had mastectomy but due to vascular invasion rads were recommended to reduce risk of local recurrence. I'd had 4 chemo - 3 FEC and 1 Taxotere and once I had finally recovered from Tax I felt wonderful. Full of energy. I began Arimidex just before starting rads. It is now 2 months since I finished rads and I am struggling with terrible fatigue. I don't know if the fatigue has been caused by the rads or the Arimidex or both - but it is absolutely crippling and doesn't seem to be improving.
I drank lots of water during rads, always ate well (lifelong veggy) and exercised. It doesn't seem to have made any difference. I am a shadow of my former self at the moment and am longing to get some energy back. Onc says that it takes a year from diagnosis and I still have a few months to go to reach that anniversary. I was told to just keep doing what I am doing - eating well, resting as much as possible and getting exercise - and that eventually my energy levels would return.
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Pattilou,
I think there's a relative contraindication to radiation when you have lupus, as your skin may react. There's a link on this website to it
http://www.breastcancer.org/treatment/radiation/question/lupus.jsp
I seems like you should speak to the radiation oncologist before you make your decision.
Good luck, it sounds like you're in the early days of this process.
Kira
Who finished radiation 8/08, and still doesn't think my energy level is back to "normal"--I'm on tamoxifen. It is getting better.
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No fatigue at all with radiation.
1-2 days of extreme sleepiness on dose dense AC (days 3-4), but no "fatigue" per se.
Augmenting fatigue with 12 weeks of Taxol. If was more of a muscle fatigue in my lower extremities. I was also pretty anemic, and that made me feel winded easily.
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I had 6months chemo before surgery then 5 wks rads after mx. I am 1month since rads ended. I am still falling asleep every evening by 9:30. Thats not normal for me. I have added exercise now in hopes to get more energy back I am feeling better but still wiped out so early every day.I also am on Tamox daily for over 1 month now.I am only 49.
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I had forty rads and felt fine..no fatigue at all.
I do not feel fine on the femara, I wish I had those days of radiation back!
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Finished 25 rads txs about 3 weeks ago. No fatigue at all. Found myself yawning a bit in the afternoon towards the end of my txs, which is odd for me, but not tired enough to rest. I did chemo (TC x 4), but had the "luxury" of a few extra weeks between chemo & rads due to indecisiveness on whether or not to do rads (I've had a mast), and then by the time I decided, it was early December, and my rad onc wanted me to wait until Jan, so as not to miss any days due to our separate vacation plans, as well as the holidays. So, I had a few extra weeks to get stronger after chemo, which I think was a huge help in sailing through rads. Deanna
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I bypassed chemo due to low risk oncotype score, and breezed through three weeks of rads with no problem. In the middle of the fourth week I started feeling like I was dragging something heavy behind me, and spent most of Thursday sleeping in various locations and positions (mostly sitting up). Since then I've picked up energy again, and with only one week of regular treatments and one week of boosts to go, I'm hopeful of getting through this just by just getting enough sleep when I need it.
I'm on another medication that can cause somnolence, so the stress of the rads probably adds to this tendency to nod off. In either case, sleep seems to be beneficial.
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i was about three weeks out of fec+ taxotere chemo, had 28 rads and finished this past Friday. Am on BP meds, and so far no big fatigue issues. I am a little tired today BUT have been outside more in the beautiful weather, I had more fatigue on the taxotere than anything. I guess after feeling that bad any fatigue would be easier than that. I do notice that bedtime comes a little eariler for me than it used to. I still get tired around 4-5 but that's been going on for years. I will start tamoxifen Monday as onco wanted me to wait until rads were over. We'll see what that does.
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I finished 25 rad treatments on Feb. 11. I had 3 Fec and 3 Taxotere chemos, last one on Dec. 6. I really didn't have any fatigue during or after radiation. I had 1 month between my last chemo and radiation. Started taking Tamoxifen about 2 weeks ago, no issues from that either so far.
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No chemo before rads,but thought I was feeling fatigue within the first week or so. Turns out I had low potassium, causing me not only fatigue but dizziness and nausea. I think that happened mostly due to a miserably hot and muggy July, drying medications, and eating less than my normal diet following the stress of diagnosis and surgery. Potassium-rich foods and keeping hydrated helped solved the symptoms. I had 33 treatments, including eight boosts. The boosts made my breast and surrounding area very sore and swollen. Like some others above,I didn't really feel tired until after the treatments ended. Part of that fatigue was the emotional letdown that follows treatment. The last treatment was Aug. 25,2008. Six months later,my energy level is back to normal. My effected breast is a "new normal", but thanks goodness,cancer-free. You're in my thoughts and prayers. There really is an end to this. Plan something special to celebrate the end. In the meantime,pamper yourself and eat healthy and drink plenty of liquids!
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I just finished 33 radiation treatments 25 reg treatments and 8 boost on Feb 27, 09 and I am so fatigued. I took off the last week of the treatments and last week I worked 4 hours a day. I am not a lazy person at all but this has really rob my energy level to zero. My doctor said that I should be about 95% in 6 weeks after treatments. I have never ever been this fatigued in my life.
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so you are not taking tamox?
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I felt tired about the 3rd day. After tx 15 of 30 I can feel a little tired. Not real tired. By the end of the week I do feel tired, though.
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I had a Lumpectomy, resulting in a diagnosis of DCIS (grade 3), followed by a re-excision for clean margins. I ended up with an infection a week after my surgery, treated with oral antibiotics and then started radiation less than 2 weeks after the infection. I had 30 treatments and my fatigue started after 3 weeks. My biggest challenge was not being able to sleep at night, thus increasing my fatigue symptoms. I was working full-time as a Director and had my treatments every morning at 7:30 before work. By week 4 I was exhausted. I was forgetting things and had a hard time staying focused. It also affected my emotions. I tell you this, because it took me too long to give in to the fact that I was going through a major physical challenge in my life and I did not adjust it accordingly and put myself first. Once my doctor ordered me to cut down on my hours and start napping during the day, I was able to sleep at night after about 7 days. My fatigue persisted for about 2 weeks after my treatment, however, it progressively improved during that time. I am 3 1/2 weeks post-treatment and I feel great. I still have a lot of breast soreness, however, my energy is back!
If you are going to be going through treatment, start by taking care of yourself and putting yourself first.
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I ended Chemo on Nov 24th 2008. Surgery Dec 29th 2008. Rads started Feb 26. 2009. Ihave had 10 treatments. My skin is the same. I have pain in the bone.. and the fatigue is bad. It just started being hard yesterday.. day 9.
I would rather do taxol/herceptin again over rads...
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I am four weeks post chemotherapy and three days into rad therapy and the fatigue is already hitting me. I am convinced that some of this fatigue is left over from chemotherapy and is now not being helped by the radiation.
I'm supposed to start some light exercise tonight with a personal trainer. I just hope I can get through the next 6 weeks of radiation without falling asleep at my desk!
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I had 4 DD of AC and 4 DD of Taxol, followed by bilateral mast. began rads 4 weeks later.
38 with 6 boosts. By the third week was extremely fatigued, I could still work a few hours each day but had no steam left at home. It took me several months to get over the hump.
I am almost two years out from treatment and am now taking tamoxifen. I still get fatigued if I push myself too much.
I know it's been said but you must make yourself a priority and get your proper rest and nutrition.
Good luck!
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Chemo finished Oct 24th 2008, 4 weeks of rads finished Dec 19th 2008. Terrible fatigue after the first week of rads. I had fatigue with chemo too, but it was different and not so constant. With rads I felt so tired, I wished I could lie on the floor in the middle of the day and sleep. Maybe it was in part because I had the treatment very early in the morning and was going directly to work afterwards.
The fatigue got better about 2-3 weeks after finishing rads. Now I am on Herceptin since January and still get suddenly tired in the afternoon. Probably some remaining SE of chemo and rads.
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I am glad you began this thread. If is important for people to know that rads are NOT a piece of cake. Everyone had prepared me for an easy go of it and i thought i was nuts and imagining my symptoms. I had rt side mx on 2/14/07. Began chemo 3/30/07 6 Taxotere/Carbolaitin along with Herceptin. this was interrupted end of April due to massive infection that nearly killed me. Finished chemo on 8/16/07 , began arimidex and returned to work on 8/23/07. Wound was still open so rads were postponed. Began rads on 10/31/07 was able to work three weeks. The fatigue was incredible, much worse than that of chemo. Also my emotions were really screwed. I was crying all the time.Left work at thanksgiving. Rads completed on 12/16/07. Was able to return to work on Jan 2 ,2008/ Generally I have been okay. but occasionally am hit with a fatigue so powerful that i want to collapse. I find it hard to focus from time to time and have decided to retire in June. Hope to catch up on sleep and regain some health at that time.
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I also was under the impression that rads would be relatively easy. I go to rad oncologist next week to discuss my treatment plan. Oncotype is low so no chemo. I was thinking I would do the rad tx mornings and then go put in a full days work but now I'm not sure. Maybe it would be better to do the treatment at the end of the day instead? That way I can just go straight home and crash. How to know what to do. You seem to not even be able to plan ahead. Guess have to take it one day at a time.
Thanks everybody for posting your experiences. It does help.
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