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When Cancer Returns : Fatigue, Nausea and Vomiting, Sleep Problems... Alternative Medicine
by National Cancer Institute

(Page 4 of 7)

Fatigue

Fatigue is more than feeling tired. Fatigue is exhaustion - not being able to do even the small things you used to do. A number of things can cause fatigue. Besides cancer treatment, they include anxiety, stress, and changes in your diet or sleeping patterns.

Nausea and Vomiting

Nausea is feeling sick to your stomach. Vomiting means throwing up. Both can be a problem for cancer patients. Untreated nausea and vomiting can make you feel very tired. They can also make it hard to get treatments or to care for yourself. There are many drugs to help you control nausea and vomiting. Ask your doctor which medicines might work best for you.

Nutrition

For some patients, it's hard to eat the foods they normally enjoy. For others, it's hard to eat anything at all. Are you having trouble eating or digesting food? If so, you may want to talk with your doctor about your diet.

Sleep Problems

Illness, pain, stress, drugs, and being in the hospital can cause sleep problems. These problems may include:

  • Having trouble falling asleep
  • Sleeping only for short amounts of time
  • Waking up in the middle of the night
  • Having trouble getting back to sleep.

To help with your sleep problem, you may want to try:

  • Reducing noise, dimming lights, making the room warmer or cooler, and using pillows to support your body
  • Dressing in loose, soft clothing
  • Going to the bathroom before bed
  • Eating a high-protein snack 2 hours before bedtime (such as peanut butter, cheese, nuts, or some sliced chicken or turkey)
  • Avoiding caffeine (coffee, tea, cola, hot cocoa)
  • Keeping regular sleep hours
  • Avoiding naps longer than 15-30 minutes
  • Talking with your health care team about drugs to help you sleep.

Physical Therapy

Sometimes people with cancer feel pain in different parts of their body. Others feel weak and tired. And some feel stiffer than they used to. So it can become hard to move different body parts. If you are having any of these problems, your health care team may suggest you see a physical therapist. The therapist may use heat, cold, massage, pressure, or exercises to help you. Physical therapy may reduce tiredness and help your body function better. It may help with strength and balance as well. It also may help with stiffness and other side effects of radiation therapy.

Complementary and Alternative Medicine

Complementary and alternative medicine (CAM) treatment can be helpful for some people. And some CAM treatments are safe, such as those listed in Other Ways to Treat Pain. But you may have read about different diets, vitamins, and herbs for treating your cancer or symptoms. Talk with your health care team before you try anything new. Here's why:

Some CAM treatments are not proven to work and could actually harm you.

You may have a dangerous reaction. Or the CAM treatment could interfere with the medicine your doctor has prescribed.

A "natural" product doesn't mean that it's a safe product.

People feel so many emotions when they find out that their cancer has come back. Shock, fear, anger, and denial are just a few. The new diagnosis hits them as hard as it did the first time, or even harder.

Regardless of your first reaction, starting cancer treatment again can place even more demands on your mind and spirit. You'll have good days and bad days. So just remember that it's okay to feel a lot of different emotions.

Some of these emotions may be ones you have had at other times in your life. But you may be feeling them more intensely. If you have dealt with them in the past, you may be able to cope with them now, too. If some of the feelings are new, or are so strong that it is hard to get through everyday activities, you may want to ask for help.

There are many people who may be able to help you. These include health psychologists, oncology social workers, other mental health experts, and leaders in your faith or spiritual community. They know many ways to help you cope with your feelings

Stress

Stress is a normal reaction to cancer. After all, you're dealing with a lot: treatment, family, your job, money, and day-to-day living. Sometimes, you may not even notice that you are stressed. But your family and friends probably see a change.

Anything that makes you feel calm or relaxed may help. So try to think of things that relax you and that you enjoy doing. Some people try deep breathing, listening to tapes that have nature sounds, or listening to music.

Hope

While you may be sad or depressed about your cancer recurrence, you do have reasons to feel hopeful. Science has advanced and cancer treatments have improved. So more people are surviving cancer than ever before. Nearly 10 million people who have a history of cancer are alive today.

Gratitude

Some people see their cancer coming back as a "wake-up call." They may realize the importance of enjoying the little things in life. They go places they've never been. They finish projects they had started but put aside. They spend more time with friends and family. They mend broken relationships.

It may be hard at first, but you can find joy in your life. Take note of what makes you smile. Pay attention to the things you do each day that you enjoy. They can be as simple as drinking your morning coffee, sitting with a pet, or talking to a friend. These small, day-to-day activities can give you comfort and pleasure.

You can also do things that are more meaningful to you. Everyone has special things, both large and small, that bring meaning to their life. For you, it may be visiting a garden in your city or town. It may be praying in a certain chapel. Or it could be playing golf or some other sport that you love. Whatever you choose, embrace the things that bring you joy when you can.

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About the Author

www.nci.nih.gov
The National Cancer Institute's research programs are extensive and contain many innovative initiatives. I invite you to explore our Web site to find out more about the exciting work being conducted here at NCI and by NCI-supported scientists throughout the country.

More by National Cancer Institute
  In this article
» When Cancer Returns
» Treatment Choices
» Legal Papers, Pain Control
» Fatigue, Nausea and Vomiting, Sleep Problems... Alternative Medicine
» Anxiety, Fear, Sadness and Depression, Anger ...
» Ways You Can Cope
» Ways You Can Cope, Part 2
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