Bethlehem Press

Friday, January 24, 2020

Healthy Geezer: Chemotherapy side effects explained

Thursday, November 21, 2019 by FRED CICETTI Special to The Press in Focus

First of two parts

Q. I may have to have chemotherapy. Will I go bald?

Hair loss is not certain with chemotherapy. Whether you lose hair depends upon the medication and dose your doctor prescribes.

Chemotherapy is a systemic treatment that uses drugs to kill malignant cells, bacteria, viruses and fungi. Chemotherapy drugs are used to treat cancer, bone marrow diseases, rheumatoid arthritis and lupus. The drugs can be given by injection or taken orally. There are also topical creams.

Chemotherapy drugs attack rapidly-growing cancer cells. They also attack other rapidly-growing cells in your body such as those in your hair roots. Each patient reacts differently to these drugs. Some newer chemotherapy drugs may cause fewer side effects.

Hair loss from chemotherapy is not confined to your head. It can affect hair all over your body.

In most cases, hair loss from chemotherapy is temporary. Patients usually regrow hair three to 10 months after treatment.

Chemotherapy is usually given in cycles. These cycles may last one day, several days, a week or more. There will usually be a rest period between each cycle. A rest period may last for days, weeks, or months. Different chemotherapy drugs may be given simultaneously or in sequence.

Hair loss is just one possible side effects of chemotherapy.

Others include: Nausea, vomiting, diarrhea, constipation, pain, fatigue, fever, bleeding, bruising, poor appetite, weight loss, mouth sores and reduced immunity.

Many of these side effects can be prevented or treated. Most side effects subside after treatment ends.

There can be persistent side effects such as lung damage, heart problems, infertility, kidney problems, nerve damage and risk of a second cancer.

Chemotherapy is employed in a variety of ways. It can be used to cure the cancer or just to slow its growth. It can be used alone or in conjunction with radiation or other therapies. Chemotherapy treatments can be given in a hospital, outpatient facility, a doctor’s office or at home.

In adjuvant therapy, chemotherapy is used to attack hidden cancer cells after other treatments such as surgery. In neoadjuvant therapy, chemotherapy is used to shrink a tumor so that radiation or surgery are possible. Palliative chemotherapy is employed to ease symptoms of advanced cancer.

Next week: Combat chemotherapy side effects

Have a question? Email: fred@healthygeezer.com. Order “How To Be A Healthy Geezer,” 218-page compilation of columns: healthygeezer.com

All Rights Reserved © 2019 Fred Cicetti

The Times News, Inc., and affiliates (Lehigh Valley Press) do not endorse or recommend any medical products, processes, or services or provide medical advice. The views of the columnist and column do not necessarily state or reflect those of the Lehigh Valley Press. The article content is not intended as a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician, or other qualified health-care provider, with any questions you may have regarding a medical condition.