Nearly everyone who has chemotherapy has some tiredness. It can be due to the direct effect of chemotherapy on the body. But anaemia may also cause tiredness. This is because chemotherapy can stop your bone marrow from making red blood cells for a while.
Tiredness (fatigue) is one of the most common side effects of chemotherapy. Many people having treatment feel tired a lot of the time or get tired very easily doing everyday tasks.
There are multiple causes of sleep disruption in cancer patients. As outlined by Hu & Silberfarb (1991), patients may suffer from insomnia or from excessive daytime sleepiness (hypersomnia) or both. Possible causes include pain and affective or other psychiatric disorders (e.g. depression and anxiety).
Fatigue caused by chemotherapy may last for some weeks or months after a treatment cycle ends. Many people find that their energy levels return to normal within 6–12 months of treatment ending. While fatigue is a common side effect of chemotherapy, it can also be a symptom of depression.
A full night's sleep is vital for anyone who has had chemotherapy. Patients should get at least eight hours of sleep if possible. To help sleep throughout the night, recovering patients should not consume beverages or food high in caffeine at least eight hours before retiring for the night.
Around the third day following a chemotherapy treatment, some people may experience flu-like symptoms such as muscle aches and pains. If you experience these aches, you can take over-the-counter medications such as Tylenol or Advil. If necessary, contact your doctor for stronger medication.
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.
The recommendations for cancer survivors are no different from those for anyone who wants improved health: Exercise, eat a balanced diet, maintain a healthy weight, get good sleep, reduce stress, avoid tobacco and limit the amount of alcohol you drink.
The dying person will feel weak and sleep a lot. When death is very near, you might notice some physical changes such as changes in breathing, loss of bladder and bowel control and unconsciousness. It can be emotionally very difficult to watch someone go through these physical changes.
Not getting enough sleep can lead to serious problems for people with cancer, including lower quality of life, depression, and the inability to carry out regular day-to-day activities.
A cancer that affects your hormone levels could cause fatigue. Certain cancers such as breast and prostate cancer can change the levels of hormones in your body. This can cause a number of side effects including fatigue. People with advanced cancer are more likely to have fatigue than those with earlier staged cancer.
Chemotherapy can cause fatigue, loss of appetite, nausea, bowel issues such as constipation or diarrhoea, hair loss, mouth sores, skin and nail problems. You may have trouble concentrating or remembering things. There can also be nerve and muscle effects and hearing changes. You will be at increased risk of infections.
Sickness caused by chemotherapy can start within a couple of hours of starting your treatment and only last a day or so. Or it can come on more than 24 hours after the start of treatment. This is called delayed onset nausea and vomiting and usually lasts about a week.
You might notice an improvement in cancer symptoms, such as less pain, reduced lymph node swelling, and improved energy levels. If you use topical chemotherapy on skin lesions, the area might feel irritated and look red and swollen for the first few weeks. These are all signs that chemotherapy is working.
Dietary patterns that reduce inflammation, such as the Mediterranean diet and other plant-based diets, appear tolerable to cancer survivors and may reduce fatigue. Supplementation with ginseng, ginger or probiotics may improve cancer survivors' energy levels.
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.
Treatment can last for anywhere from 3 to 6 months. During that time, you would be considered to be immunocompromised — not as able to fight infection. After finishing chemotherapy treatment, it can take anywhere from about 21 to 28 days for your immune system to recover.
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 most common causes of excessive sleepiness are sleep deprivation and disorders like sleep apnea and insomnia. Depression and other mental health conditions, certain medications, and medical conditions affecting the brain and body can cause daytime drowsiness as well.
Many cases of tiredness are due to stress, not enough sleep, poor diet and other lifestyle factors. Try these self-help tips to restore your energy levels. If you feel you're suffering from fatigue, which is an overwhelming tiredness that isn't relieved by rest and sleep, you may have an underlying medical condition.
Cancer-related fatigue (CRF) is different from the fatigue of daily life. It is more severe and is often described as an overwhelming exhaustion that cannot be overcome with a good night's rest.
During cancer treatment, the need for sleep may increase some, as the body repairs itself. Most people need from 7-9 hours of sleep. The need for sleep does not decrease as we age, as popular myths proclaim. It is important for you to talk with your doctor about your sleep concerns.