Recovery Summary
Avoid traction, heavy load or resistance, and NSAIDs the first four weeks of recovery. Ultrasound/STIM/TENS units are not suggested for therapy during this time.
It is important that fresh produce is washed well (rinsed under clean, running water before use, including produce that is to be cooked or peeled i.e., bananas, oranges, melon). Avoid raw or rare-cooked meat, fish, and eggs. Meat should be cooked to the “well done” stage.
You will feel very tired and run down after your transplant. This will be at its worst during the second and third weeks when your blood cell counts are at their lowest.
It's common to feel sick and be sick after your transplant because of your treatment, medication, a possible infection or GvHD. Nausea normally only lasts a week or two for most people. If you struggle with nausea for longer, talk to your transplant team because they might need to change your medication.
Fatigue is an expected side effect of a stem cell transplant.
It usually takes about 2 to 6 weeks to start seeing a steady return to normal blood cell counts. You will be in the hospital for some of this time. During this time, you may feel tired and generally unwell. You are at risk of fever, infection, bleeding, anemia, damage to the organs and dietary problems.
Problems from a stem cell transplant may include nausea and vomiting, diarrhea, mouth sores, hair loss, and bleeding. It can also cause an infection such as pneumonia. A severe, often life-threatening infection can occur after a stem cell transplant.
Most transplant centers recommend that transplant recipients avoid all forms of grapefruit if they are taking cyclosporine or tacrolimus (Prograf®). Grapefruit is the only type of fruit that interacts with these medications. Other citrus fruits and juices do not affect cyclosporine or tacrolimus.
Foods to avoid after transplant include: Raw seafood like clams, oysters, sushi and ceviche. Raw, rare or undercooked meat, poultry and fish. Raw or undercooked eggs.
soft foods such as mashed potatoes, cooked eggs, chicken or tuna salad, puddings, soft canned fruit and cooked cereals. cold foods such as milk shakes, cottage cheese, yogurt, and watermelon. soft, frozen foods such as popsicles, frozen yogurt, ice cream and slushes.
Mesenchymal stem cells treated with caffeine increased the phagocytosis of neutrophils and simultaneously diminished the production of potentially harmful reactive oxygen substances, more profound than MSCs without treatment.
Day 100 is a milestone that many stem cell transplant recipients circle boldly on their calendars as the turning point in their recovery. That's when the greatest risk for critical side effects is past and when the stem cells have engrafted and begun making new blood cells.
Maintenance therapy is usually given after a stem cell transplant. Maintenance therapy may also be used after induction therapy in people who don't have a stem cell transplant. A maintenance therapy drug is usually given in a low dose over a long period of time.
Another important part of your daily exercise program is aerobic exercise. Aerobic exercise helps you increase your muscle strength and endurance by increasing the amount of oxygen to your body. Walking and riding a stationary bicycle provide good aerobic workouts.
The stem cell transplant process can be challenging both physically and mentally. Treatment effects can include hair loss, skin rash, swelling, weight loss or weight gain, and decrease in sexual desire.
When the new stem cells multiply, they make more blood cells. Then your blood counts will go back up. This is one way to know if a transplant was a success. Your cancer is controlled.
In their worst cases, transplant-related side effects (such as infection and GvHD) can be fatal. Sepsis (overwhelming infection) or chronic infections that prevent the immune system from recovering will leave the patient vulnerable and unable to fight infection.
You won't feel pain during infusion of the stem cells. You may have some nausea. We have medicine to help. However, recovering from stem cell transplant can be difficult.
Conclusion. Patients who have survived for at least 5 years after hematopoietic cell transplantation without recurrence of the original disease have a high probability of surviving for an additional 15 years, but life expectancy is not fully restored.
Leukemia or myelodysplastic syndrome (MDS) occasionally occurs in patients who were transplanted with their own stem cells (autologous transplant). The risk is highest among patients who: received certain types of chemotherapy before or during transplant, such as cytoxan or etoposide.
You may be able to exercise as normal or stick with gentle activity such as light walking or cycling, and there are times when it's safest to avoid exercise.