Chemotherapy

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Testicular Cancer

Orchidectomy

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Chemotherapy is the use of drugs to kill cancer cells. It is administered directly into the blood stream. It may be recommended if there is a strong chance that cancer may return after orchidectomy, or if cancer has spread to other areas of the body. During and after chemotherapy scans and blood tests will be performed to assess your response to treatment and monitor any side affects that you may experience.

Chemotherapy Effects

Before starting chemotherapy, you may need to have a hearing test (audiogram) because chemotherapy can affect hearing, and a breathing test because some chemotherapy can reduce lung function.

Chemotherapy may cause infertility, so you will be advised to store sperm (sperm banking) before treatment. You will also be advised to avoid fathering a child for a period during and after chemotherapy.

The effects of chemotherapy may last for some time after treatment from a few months to a year or more. You may feel tired or exhausted and this should be taken account when considering going back to work or if you have a busy lifestyle.

Exercise may be difficult but, if possible, you should maintain this as much as possible. Loss of muscle strength can occur quite quickly if you are inactive – exercise helps prevent this.

Managing common side effects of chemotherapy
Infection Chemotherapy reduces your white blood cell count (white blood cells fight infection). Contact your doctor or medical team as soon as possible if you have a fever, chills, or cough or feel as if you have a bad cold. If you get an infection, you might need antibiotics to treat it. You should pay special attention to your personal hygiene.
Tiredness Feeling tired during and after treatment is common and will usually pass after a few days. Staying active can help. Some people find benefit in meditating.

Sleeping tablets can be prescribed if you can’t sleep.
Upset stomach (nausea) Chemotherapy and radiation therapy can upset your stomach or make you lose your appetite. Tell your doctor or nurse if this happens.
  • Anti-nausea medicine can help calm your stomach.
  • If you do not feel like eating, a high-calorie food supplements can provide nutrition.
  • A hospital dietician may be able to help manage your diet.
  • Ginger-ale or tea, or biscuits (eaten regularly throughout the day), may help reduce nausea.
  • Peppermint tea may reduce nausea but always drink slowly taking lots of sips.
  • A small meal a few hours before chemotherapy may help reduce nausea.

Avoid

  • Hot and spicy foods (curry, Cajun cooking etc.).
  • Foods with high sugar content.
  • Fatty and greasy foods (chips, burgers etc.).
  • Large meals
  • Eating and drinking too fast and drinking with meals.
  • Alcohol
  • Caffeine which is found in tea/coffee, chocolate bars and energy drinks.
  • Baby food-this is designed for babies and has very little nutrition for adults.
Taste Chemotherapy can cause a metallic taste. The following may help.
  • Fresh pineapple or other sharp-tasting fruit.
  • Seasoned or marinated food for meals to add flavour.
  • Use herbs in cooking to add a stronger taste.

 
Mouth Sores
  • Fresh pineapple can help prevent and heal mouth ulcers by stimulating saliva which protects the mouth.
  • Bonjela, or gels that soothe mouth ulcers.
  • Soft child’s/baby bristle toothbrush and baby/ soothing (for instance) aloe vera toothpaste.
  • Soft puréed or liquid diet to prevent chewing.
  • Rinse the mouth with salt water on a regular basis if it can be tolerated; up to 4-5 times a day.
  • Sucking crushed ice during treatment.
  • Artificial saliva which can be prescribed by a doctor.
  • Vaseline for lips.
Diarrhoea Treatment can affect your bowel function. Diarrhoea can be managed with anti-diarrhoea medicine. A low-fibre diet (reduce fruit, vegetables, wholewheat products) can also help.
Skin changes Chemotherapy can cause changes in your skin and nails. Symptoms will usually go away after treatment is finished. Chemotherapy can make your skin temporarily mores sensitive to sunlight and you will need to use a high factor sunscreen (30+) if you are at risk of being exposed to strong sunlight.
Hair Loss

 
  • You may experience hair loss after 1 or 2 weeks of treatment. It should start to regrow around 3-6 months after chemotherapy has finished.
  • Wearing a baseball cap or shaving all your hair off when it starts to fall out may make you feel more confident.
Tinnitus
(Ringing in the ears)
  • Listening to gentle background music may help.
  • Ask people to speak clearly and slowly
Tingling in arms (peripheral neuropathy)
  • Keep hands and feet warm and avoid extremes of temperature.
  • Take care when preparing food (use gloves) or when running hot water (test with an elbow) to prevent the risk of burning.
  • Gentle exercise.

Patient voices

“Chemo was more of an annoyance than anything as it used to make me feel tired. I am an active person and sitting around doing nothing is something I hate so this part of the cancer journey was the worse. I knew I was going to lose my hair so that was no shock but if anything, my confidence was knocked because I had lost weight as well, so I used to refer to myself as an alien.”

“Although treatment makes you ill and weak, and you have physical changes to deal with such as hair falling out and being sick and tired. I made it my aim not to give in. I still went to work when I wasn’t having treatment, still continued doing light exercise and I would say the biggest benefit to me mentally was that I was even during Chemo treatment planning what I was going to do once I was at the other end of the treatment. 

“My girlfriend was amazing throughout the whole experience. Even though she found it hard to see me go through the chemo and the operations, she too remained positive and planned things as normal. We never shied away from doing things just because I had cancer. We went out for meals, cinema etc. and tried to do the things any normal couple would do. We are no longer together now but she was the best girlfriend I could of asked for because she never made a drama out of the situation.