Can anyone tell me how bad radiation is??

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was at chemo this morning, and my oncology nurse asked kow i was doing. i told him, pretty good. i am still working. and feel good. he said that radiation would knock me for a loop, that it was worse than chemo. side affects would be that i cant swallow, extremely tired and not want to do anything. I thought radiation would be much easier. Has anyone gone through radiation to tell me what to expect. please?

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  • elmcity69
    elmcity69 Member Posts: 998
    edited January 2011

    first of all, your oncology nurse needs a better bedside manner!

    i did 25 rounds of radiation last summer - daily x25 days, minus weekends. the fatigue does get pretty pronounced by the end, as does the skin irritation. i took naps daily --went for my tx mid-morning and had to nap around 3pm.

     i felt better on radiation than on chemo --i did dose dense AC-- but the fatigue was pretty difficult. 

    i had no problems swallowing or anything else.

     what is your radiation treatment protocol?

    good luck. you can do it!

  • flannelette
    flannelette Member Posts: 984
    edited January 2011
    Compared to chemo? piece of cake, IMHO.Wink
  • shells43
    shells43 Member Posts: 1,022
    edited January 2011

    Problems swallowing? I haven't heard of that problem. I had 28 rads (finished end of October so the memory is still fresh) to my chest wall with IMRT and did not have any reals problems. I did have fatigue as ElmCity has mentioned. I worked the whole time and just took a quick nap when I got home before fixing dinner. I did have a difficult time with my skin the two weeks after the last treatment (very red & hot) but I am fair skinned and did not get the correct instructions about using the silvadene cream. Compared to chemo though it was definitely easier. I did experience a some shooting pains in my mx side now and then during rads and also felt like my muscles were stiff. I did lots of extra stretching to try to keep things loose. Overall, it wasn'yt too bad and worth the 10% reduction in my risk of recurrence! Good luck!

  • elmcity69
    elmcity69 Member Posts: 998
    edited January 2011

    I'm with souad..

    just wanted to drop a little tip: buy Aquaphor by the TUB. seriously. i slathered it on to the point i ruined a few tank tops, but i swear it saved my skin. I slathered it on throughout the day, and overnight.  like shelley, i am extremely fair, so i was worried about skin integrity. i was quite a little lobster by treatment's end, but my skin held up!

    shelley also raises a good tip with stretching - forgot about that.

  • lorrhaw
    lorrhaw Member Posts: 751
    edited January 2011

    First, I agree with Elmcity and that your oncology nurse needs a better bedside manner.  All of us are different but a think the general consensus would be that radiation is easier than chemo.  I had 35 treatments that I finished at the beginning of November and found radiation to be much easier than chemo.  I did have quite a few problems with my skin burning, they said it was not the worst they've seen but worse than most, and even with all of that it wasn't all that bad.  I was a little more tired than usual but I probably wouldn't even have noticed had I not been warned that I would probably have some fatigue.

     There is a forum section just devoted to radiation and you can find a thread with others starting radiation the same month as you and I found the support and information to be very helpful.

    Good-luck.  I won't say radiation was a breeze but compared to  chemo it was much easier for me.

    Lorraine

  • mrsnjband
    mrsnjband Member Posts: 1,409
    edited January 2011

    Radiation can cause severe fatigue but some people sail through it with no problems. 

    So just take it one day at a time. NJ

  • wenweb
    wenweb Member Posts: 1,107
    edited January 2011

    My body breezed through 30 treatments.  My mind was a different thing...

  • YramAL
    YramAL Member Posts: 1,651
    edited January 2011

    Vicki-

    I did not have chemo, so I can't compare radiation to chemo for you, but in my experience, radiation is very doable. I had 33 treatments-one every weekday for about 6 1/2 weeks. I did experience fatigue, but it was not overwhelming. I did my treatments every day after work(I was able to work my regular schedule) and usually came home and took a nap. I also went to bed at about 9 o'clock every night! I'm about 9 months out from the end of rads now, and sometimes I feel like my energy still hasn't totally recovered, but that could also be the Tamoxifen, or the fact that I am now 51!

    I experienced some bad skin reactions under my breast during treatment, probably because I have fairly large breasts and it was hard to keep that under area aired out. The cream that helped me the most was Aquaphor, and I also had some gel burn pads that the rads nurse gave me. The nurses at your rads center will be your best resource and comfort.

    I wish you the best of luck with your rads treatment. Before you know it, it will be over.

    Mary 

  • ebann
    ebann Member Posts: 3,026
    edited January 2011

    I found radiation to be doable. I have had to go through it twice now. I had IBC in 2008 and now Bone Mets 2010. I did radiation on my spine and it was so hard to swallow. I just did not want anything put in my mouth no even water. When I had my breast done I did not experience that. I would rather do radiation than chemo any day. Wish you the best!

  • GG27
    GG27 Member Posts: 2,128
    edited January 2011

    I had 6 rounds of chemo & the last three were fairly severe to the point that the last 2 were given at 75% only.  I waited 2 weeks before having to travel for 6 weeks of rads.  I had no fatigue, I walked everyday, alot as I was away from home with not much to fill in the time.  I think this helped me a lot to battle the fatigue.  I did have pretty severe burning especially in the 2 weeks post rads, but my Onc told me everyone is different & they have no way of knowing who will or won't burn.  Good luck!!

  • rayofsun
    rayofsun Member Posts: 204
    edited January 2011

    For me rads was no big deal. I did 28 treatments july-august 10 and did have the skin irritation towards the end but was controllable. I was tired but not ridculously. It is not as prehistoric as it seems, no big loud metal doors slam behind you. Yes you chest is exposed but I thought my place did it discretely. One person on here suggested buying lottery tickets for the number of your treatments and sctaching one each day, gave me something to look forward to and count down. Only won a few bucks, but hey it was fun.

    Ray

  • BarbaraA
    BarbaraA Member Posts: 7,378
    edited January 2011

    I did the Canadian protocol which is higher dose but 16 tx. My appointment was at 7:45 and I worked the whole time. Near the end of week two I needed a nap almost every day but 15 minutes would do it and I made sure to get at least 9 hours a night. I, too, am very fair and I used emu oil 3-4 x day and had no burning at all. My nipple was tan and the breast had red dots on it but that was it. My radonc is now telling his patients to use it.

  • dlb823
    dlb823 Member Posts: 9,430
    edited January 2011

    Vicki, I had also heard that radiation would leave me extremely fatigued, but that just wasn't the case.  Around the 3rd week of it, I noticed I was yawning in the afternoon, but that was the extent of my "fatigue."  And even then, I questioned if it was maybe just the full force of what I'd been through (2 surgeries, chemo & RT) finally hitting me, as much as the RT tx itself. 

    As far as the not being able to swallow, I wonder if his reference for that was a patient with another type of cancer -- maybe thyroid or esophagus or something in that area, in which case, swallowing would be impacted.  Otherwise, I'd be sure to question your radiation oncologist about that SE, and if it's acknowledged, I'd maybe seek another facility, because it just doesn't seem like it should be a factor with breast RT.     Deanna

  • Marple
    Marple Member Posts: 19,143
    edited January 2011

    Vlady, I have not read all the posts to your question so I may be repeating here.  The rads I received hit a portion of one lung, a bit of my heart and my esophagus.  I did not experience difficulty in swallowing.  Fatigue can certainly be an issue that can last for years to come.  And also the risk of lymphedema increases with rads.  Many experience neither.

    If you have questions you might direct them towards your rad. onc. and ask why the nurse said that.  My nurse during rads gave me a wee bit of bad advice.  But that's nothing to do with your question. 

    Good luck with your treatment.  Gentle hugs.

  • AlaskaAngel
    AlaskaAngel Member Posts: 1,836
    edited January 2011

    The reference to swallowing can apply for those with breast cancer whose rads are being applied slightly differently by location, depending upon the location of the cancer or any suspicious areas seen that are closer to the neck, such as supraclavicular nodes. (Breast cancer isn't simple or generic, darn it!) I don't know if the nurse who spoke was referring to that kind of circumstance or not, depending on your personal diagnosis. The rads doctor should go over that with you as well, IF that is the case, prior to treatment.

    I had IMRT rads in 2002 after completion CAF x 6. I wouldn't have been able to paint the house or wax the car every week and I took naps a lot. I do have radiation necrosis (a hard lump of burned fat tissue) at the base of the breast that is painful with any pressure. My tough luck. I also have the lifetime increased risk for other cancers that comes with extensive radiation. I'm 9 years out with no recurrence and no other cancers as yet.

    A.A.

  • Fearless_One
    Fearless_One Member Posts: 3,300
    edited January 2011

    Rads was the easiest part of my journey.   I wasn't even that tired (worked full time during).

  • 3monstmama
    3monstmama Member Posts: 1,447
    edited January 2011

    humph to the bedside manner of the nurse!  I was scared to death of rads but it wasn't as bad as I thought.

    I have come to believe how you deal with rads will depend alot on your body and your attitude.  One of these you can control and one you can't.

    For some people its not so bad, for others worse.  I went through rads with a considerable amount of tiredness and fuzzy headedness but otherwise, not too much burning until the bitter end and my skin looks pretty well.  I did deal with a round of radiation pneumonitis but still, not nearly as bad as I anticipated.   My boss was diagnoised with an oral cancer in September.  He was  also told how bad rads would be and given where he was getting zapped, they even installed a feeding tube.  Yet until the very end, other than being tired, he did pretty darned well.  Someone on this board  [notself! you know who you are!] told me to tell him to try manuka honey for the inside of his mouth and it worked marvolously!  I believe he said he never even had to do the feeding tube and kept coming to work for a few hours each day all the way to the end.

    If you can handle chemo, you can handle rads.

  • alex56
    alex56 Member Posts: 136
    edited January 2011

    Radiation really wasn't bad at all.  Ditto on the Aquaphor cream, but ask for samples of Xclair too (really helps if the burn gets bad).  I lived in my husband's white cotton undershirts.  Use gentle soap and pat gently after showering; it's very important to keep the skin dry.  Fatigue will settle in, but give yourself permission to rest and recover.  If I ever have to have chemo, I'm sure I'll look back fondly on my rads!

  • ruthbru
    ruthbru Member Posts: 57,235
    edited January 2011

    For me it was nothing compared to chemo. (I'd complain about that nurse, what a thing to say!). I did not feel fatigued at all, just tired of going there everyday. Put on the oinment religiously right from the start. Never before treatment, but I'd bring a tube & smear it on as soon as I was done. I think if you can force yourself to get some exercise, that will actually make you feel better and less fatigued. No matter what, it is just for a short period out of the whole rest of your life. Best of luck! Ruth

  • Iamstronger
    Iamstronger Member Posts: 378
    edited January 2011

    Radiation was a piece of cake.  It was more of a time suck and a huge inconvenience on a daily basis, but other than that, it really was pretty easy. 

    I worked out throughout chemo and radiation and I honestly think that is what made the fatigue doable for me.   I am with 3montsmama and attitude plays a big role.  GL

    V

  • diamondmahala
    diamondmahala Member Posts: 4
    edited January 2011

    I agree with the rest of the ladies, during rads - piece of cake.  I never had any change in skin (thank goodness for Indian heritage)  I had the APBI (high dose 2x day - 5 days) in May 2008. However if this is the protocol you are given - watch out. Since 3 mos. after completing rads I have had several side effects rear their ugly heads. 1st was bone inflammation (however no tests were ran for diagnosis and after 18 mos. doesn't appear that was the case) Next was sharp stabbing pains throughout rad area. Hurt like the dickens to breathe, sneeze or cough. This went clear up in shoulder and around to spine. Was given Neurotin for pain - eased it somewhat. Have had weakness and loss of mobility tho I did stretching, weights and resumed normal activities immediately after finishing rads. Most recently had difficulty breathing - wheezing, coughing and will need tests to see how severe the fibrosis is. Not at all happy w/ rad. doc. - he refused to see me when difficulty breathing started. New doc. is afraid their is bone cancer along w/ fibrosis. He says I never should have received APBI. If I had had the facts then I would not have agreed to radx.

    I wish you the best of luck and pray you have excellent team of doctors that will oversee your treatment.

  • CTMOM1234
    CTMOM1234 Member Posts: 633
    edited January 2011

    For me, the mental anxiety leading up to the rads was absolutely the worst part. Throughout my rad course (30 treatments) I never experienced tiredness and only got burned toward the end. I spent more time driving to/from the treatments than actually getting zapped. Once I got into a routine, oddly enough, it wasn't a big deal. Am very happy I did them, and my skin really looks and feels back to normal now

     I did not have chemo but assume that it is more difficult.  Wishing you the very best.

     ----------------------------------------------------------------------------------------

    When I grow up I want to be an old woman. Jan.'10 lumpectomy:3+cm grade 2 DCIS+1.75mm grade 2 IDC found in final path (surprise),stage 1a,0/3 nodes,25 full+5 boost rad zaps.
    Diagnosis: 11/1/2009, ER+/PR+

  • sespebadger
    sespebadger Member Posts: 249
    edited January 2011

    I think the worst part of radiation was that you didn't know how bad it would get.....you might have an easy time or you might get painful burns. Well I got the burns, but was told that was because I had a BMX with no recon, so no breast tissue to help absorb rads. BUT, even though my skin got burned, I attended a family wedding weekend and spoke at a funeral of a best friend at the worst time, and I did it just fine. They have treatments for burns if you get them, and they have pain medications which work if you need them. No piece of cake for me, but now that I've done both chemo and rads, if asked to choose which was easier I'd have to say rads. Rads didn't make me sick to my stomach, just a bit tired. And I was happy to do anything to reduce my risk of recurrence. Read some of the radiation threads and you will get lots of good tips. Good luck!

  • Annabella58
    Annabella58 Member Posts: 2,466
    edited January 2011

    I agree with the ladies that said "no biggie"...now, some ladies who are very fair, have issues with burns, but I am fair and I didn't.

    It was part of my AM routine.  5 days week for 7 weeks.  Drive my kid to school, continue on to hospital, get zapped (10 minutes start to finish) chat with the receptionist who became a buddy, and back home.

    If I can add: I stuck a treat of dunkin donuts coffee in there on the way home after. It made it nicer and something to look foward to.

    It's really more a dental xray, very fast, just that you are wearing a gown and lying down.  Truly not an issue.  I was tired at the end, but again, agree with Ruth.  Moderate exercise helps, as does good nutrition and hydration.  Sleep when you need it.  Mine was cumulative, but I just kept going as when you have kids, you have to.

    Good luck, no worries

  • Annabella58
    Annabella58 Member Posts: 2,466
    edited January 2011

    ...p.s.: you should speak to your onc re: that nurse.  What a Jacka**.

  • Ellie1959
    Ellie1959 Member Posts: 316
    edited January 2011

    I think it is individual - I was fatigued - and it burnt my skin but the side effects stuck around. It literally fried the nerves in my back and under my arm on the affected side. I'm not going to sugarcoat it. I can't stand anything touching my mid back or armpit -like a tight sleeve or bra strap. I had multiple reconstruction surgeries so I'm sure that affected my armpit. I hope you come out of it well - they had to radiate a large area and told me upfront I would have issues- personally I was glad to be warned - Good Luck!

  • maltomlin
    maltomlin Member Posts: 343
    edited January 2011

    A piece of cake after chemo. I did get extremely tired as it went on but went to work every morning, finished at 3pm and then went straight to rads. The journey there and back was the most exhausting thing.

    Take care

    Mal

  • Karen09
    Karen09 Member Posts: 320
    edited January 2011

    I had 21 rads and it wasn't a big deal at all really, especially compared to chemo.  My breast got red and a bit sore and also my ribs on that side were sore for awhile.   The only real pain was having it everyday and also laying on that hard table everyday.  It made my back ache a bit but that was it. 

  • Karen09
    Karen09 Member Posts: 320
    edited January 2011

    And I was tired and needed to nap everyday but part of that could have been from finishing chemo a month before rads. Good luck!  I'm sure you'll do fine!

  • 3monstmama
    3monstmama Member Posts: 1,447
    edited January 2011

    on the fair skin issue,  as a child, i was always getting sunburned--the mega burns where the child is totally red etc---because I had very very fair skin.  So I was anticipating the worst with my zaps.  Instead, I went all the way through with only 2 tiny burns at the very end.  I was very careful to follow instructions---nothing on the boobie in the morning before treatment, lots of calendula creme after.  I got pretty red and at the end there was a week of much soreness but it was sunburn feeling, not what some have described.  Nearly a year out, there's hardly even any color difference between the two sides.

    I did get the pneumonitis but can't say taht surprised me much as I have life long allergies, bouts of seasonal asthma and had to use the underwater gear because my zaps were close to my heart.  At this point, I am still a bit tired but not devestatingly.  I am glad I did the zaps for the peace of mind.

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