Nutrition. Vitamins. You.
Hepatitis Part 2 Dr. Claire Arcidiacono, ND In our last blog on this topic, we began with some background information such as just what is hepatitis? What causes hepatitis? And what are the symptoms you might experience with hepatitis? If you haven’t read the first …
Hair and Skin Changes Due to Cancer Treatments Dr. Claire Arcidiacono, ND Cancer treatments can have different side effects when it comes to our hair and skin. Let’s start with our skin, shall we? Certain cancer therapies can cause skin to become dry. They …
Cancer Related Fatigue
Dr. Claire Arcidiacono, ND
I wanted to talk about cancer related fatigue because it’s so common in those who have cancer. It can also be difficult to work with because there can be a number of reasons why a person feels fatigue. So let’s get into this interesting topic, shall we?
Well let’s start with the beginning. What exactly do we mean when we say cancer related fatigue? It is a physical, emotional and mental fatigue in someone with cancer that does not improve with sleep or rest. This can occur during treatment and persist after treatment is concluded. When you have cancer related fatigue you may notice that your fatigue isn’t alleviated by rest. Normal activities may make you feel more tired than usual. You may feel too tired to do things you want to do. You may also feel like it’s hard to focus and you have no energy. You may also notice you feel weak, sad, cranky and frustrated. It may be hard to lift your arms and legs. You may even feel that you need more sleep than usual. (1)
Why does cancer lead to increased fatigue? Well as I said there is a number of reasons that increased fatigue can occur. Certain types of cancer can cause the release of proteins such as cytokines which can cause fatigue. Certain cancer treatments also cause fatigue. Another cause for fatigue is anemia. Hormonal changes that can occur during treatment can also trigger fatigue. Chronic pain can also lead to feelings of fatigue. Certain life style factors that can trigger an increase in fatigue include poor nutrition, lack of exercise and a decrease in the amount of sleep you are getting. Anxiety and depression can also increase fatigue. (2) It’s important to rule out certain conditions that can also mimic cancer related fatigue. For example muscle weakness can mimic fatigue. Depression can also mimic fatigue as well. (1)
What are some blood tests you can talk to your doctor about that can help to determine anything that maybe making your fatigue worse? First the doctor should check your iron levels and red blood cell counts to rule out anemia. They can also check for vitamin deficiencies such as B12, folate, or even vitamin D. Please check out my blog on Methyl-B for more information on the B vitamins. The doctor can also check for certain hormones that can trigger fatigue such as your thyroid hormones. You can also ask your doctor to check for inflammation, infections and even certain chronic diseases such as celiac disease and diabetes. (3) You can also fill out the attached questionnaire and bring it to your doctor’s visit! (2)
Questionnaire:
What can you do to help with your fatigue? The following suggestions are fine for both during and after treatment.
The following can be helpful for those who have cancer related fatigue that persists after treatment. Please note that these recommendations are for after treatment, not during.
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Opportunistic Infections Dr. Claire Arcidiacono, ND What do we mean by the phrase opportunistic infections? Well it is exactly what it sounds like, it is an infection that takes the opportunity to grow when your immune system is compromised. Some types of cancer and …
Mucositis
Dr. Claire Arcidiacono, ND
Cancer treatment can affect our digestion. One common side effect is called mucositis. What is mucositis you ask? Basically it is inflammation of your mouth and digestive system. (1) This occurs because cancer therapies are designed to attack any cells that rapidly divide, such as cancer cells. Unfortunately our mucous membranes which lines our entire GI tract is made up of rapidly dividing cells and thus are at risk of being attacked in the same way as cancer cells. In other words the cells of the mouth, throat, esophagus, stomach, small intestine, and large intestine are often attacked by cancer therapies and thus become inflamed and even damaged. (2)
What are the signs of mucositis? Let’s start with oral mucositis. Oral mucositis usually begins between 1-2 weeks after starting treatment. These symptoms can include a dry and sore mouth. You may have bad breath as well as a fungal mouth infection. You may also develop mouth sores. (1) You may also notice that your mouth and gums appear red, shiny and even swollen. Your saliva may become extra thick. It may be difficult to swallow, talk or even eat. As a result of the sores you may be bleeding. Lastly there may be soft white patches of pus and a white mucous coating in your mouth. (2)
What are the signs of mucositis in your gut? Well these symptoms usually begin about 2 weeks after starting cancer treatment. These symptoms can include either diarrhea or constipation. You may have sores around your bottom and even blood in your stool. You may have pain when you swallow as well as stomach cramps and bloating. (1) You may also have nausea, vomiting and even painful bowel movements. (2)
Mucositis is much more common than you may expect. There are some factors that can increase your risk of mucositis. These risk factors can include tobacco intake, alcohol intake and even dehydration. Having a protein deficiency or a low BMI also increase your risk of mucositis. Certain dental concerns such as dental implants, dentures and even gum disease increase mucositis risk. Having kidney disease, diabetes or HIV are also risk factors. (2) If you develop mucositis it is recommended to not use alcohol based mouthwashes. It is also recommended to not eat hot, spicy, acidic, rough/hard food or fizzy drinks. The reason these things are not recommended is that they can worsen the signs of mucositis. (1)
Mucositis can have serious complications. It can cause chronic diarrhea which can trigger dehydration, anemia and even weight loss. Having mucositis also places you an increased risk of developing an infection. Mucositis can make it difficult to eat and thus undernutrition is a common side effect. In fact up to 70% of those who have mucositis may require hospitalization for tube feeding. Lastly if the mucositis becomes severe it can lead to a need to reduce the frequency of the cancer treatment. This poses its own risk to our health. (2)
What can you do about mucositis?
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