Blase Polite offers patients one piece of cautionary advice: Avoid alcohol the day of and a few days following chemotherapy treatments, as that is typically when people experience the most nausea, which alcohol can exacerbate. Dr. Polite gives the green light to enjoy a glass five days after treatment.
Studies show that alcohol is a risk factor for certain cancers. However, the link between alcohol and cancer recurrence is not known, especially for those who have completed cancer treatment. However, it's best to avoid drinking after a cancer diagnosis, since it increases cancer risk.
Alcohol consumption
There are one or two anti-cancer drugs which may interact with alcohol but you will be told about these. Some people find that alcohol tastes unpleasant during chemotherapy treatment. Avoid drinking alcohol if you feel nauseous as it may make you feel worse.
In general, it's best to avoid alcohol while undergoing any cancer treatment, including radiation. This is because it can decrease your immune system, cause liver inflammation, and worsen the side effects of treatment.
You may also want to avoid cold drinks and frozen treats like smoothies and sorbet with certain types of chemotherapy, as they can cause discomfort if you have chemo-related cold sensitivity. It's fine to take a nutritional supplement if your doctor prescribes it.
For most people the side effects were worst in the first few days after treatment, then they gradually felt better until the next treatment. Some said the effects were worse with each successive treatment. Most side effects don't persist and disappear within a few weeks after the end of treatment.
The day after your chemotherapy
Drink 8 to 12 (8-ounce) glasses of liquids every day for 1 week after your treatment. Take your anti-nausea medications as recommended by your doctor.
Most chemotherapy drugs are cleared from body waste in about two days. A few drugs may take as long as seven or more days to be cleared.
Short, planned delays in chemotherapy for good-risk GCT patients (less than or equal to 7 days per cycle) appear to be acceptable since they may prevent serious toxicity in this curable patient population. Delays of longer than 7 days are strongly discouraged except in extraordinary life-threatening circumstances.
Safety concerns for partners
Be assured that it is not possible for your partner to transmit cancer through intimate activities such as kissing or intercourse. Sexual activity will not make cancer spread, nor will it make the cancer come back.
“I advise my patients to drink coffee in moderation during treatment,” says Dr. Kukreja. “Chemotherapy can cause a lot of nausea and heartburn. Excessive caffeine can increase reflux and GERD and can also cause nausea.
Chemotherapy can be dehydrating. Drinking plenty of water before and after treatment helps your body process chemotherapy drugs and flush the excess out of your system.
Take care not to get infections for up to one year or more after your chemotherapy. Practice safe eating and drinking during cancer treatment. Do not eat or drink anything that may be undercooked or spoiled. Make sure your water is safe.
A return to normalcy is typical, but it takes a while – usually six months or so. “All who have done chemo do finally get back to normal,” Patricia said. “Treatment for breast cancer can take a whole year, but six months after it ends, life comes back – incisions heal, hair grows back, chemo brain fog lifts.”
Plan on about two months of recovery time for every one month of treatment, says oncologist. It is your last chemotherapy infusion or radiation treatment. Your family and friends are celebrating with you, you ring the bell, and then you move on with your life.
Nausea and vomiting can start within the first few hours after chemotherapy drugs are given and usually last about 24 hours. However, nausea and vomiting may start more than 24 hours after treatment and last several days (called delayed nausea and vomiting).
You may experience nausea (feeling like you might throw up) and vomiting (throwing up) after your last chemotherapy treatment. It should go away in 2 to 3 weeks. Your appetite may continue to be affected due to taste changes you may have experienced during your treatment.
The effects of chemo are cumulative. They get worse with each cycle. My doctors warned me: Each infusion will get harder. Each cycle, expect to feel weaker.
If cancer survivors choose to drink alcohol, consumption should be limited to no more than one drink per day for women and two drinks per day for men (ACS, 2012; Runowicz, 2015). One drink is defined as: 12 ounces of beer. 5 ounces of wine.