Radiotherapy for breast cancer - tiredness?

Hi I had my oncology appointment today to discuss plan. Tubular cancer Grade 1 with Grade 2 DCIS Apparently my HER2 result is still pending and still waiting on blood test to see if I am pre or post menopausal (just turned 52 but had hysterectomy when I was 39 so no periods as a clue!) so not sure yet re what endocrine therapy is needed.

Anyway...question is about tiredness after the five day regime for radiotherapy. Now that it is done over five days for early stage cancer  instead of spread over several weeks I was curious to know how tired it made people feel? I guess it is pretty individual and I am fit and healthy. Did you feel tired during the week or did you feel it after that. Did you work that week or take the week off? My work has a generous sick leave policy. In six years of working there I've only had two days off for illness until recently with all the appointments and surgery, I've blown that out of the water! My job is office based (home working due to Covid) but really full on and I wonder if better to take that time off? My wide local excision was two weeks ago today and I'm back to work tomorrow. I Rads won't start until around Easter.

Appreciate any insights from others xx

Parents
  • Kiwirunner

    Hi just read your post asking about Radiotherapy  tiredness, I think it.depends on how your body copes with it. I'm due to start 4 weeks of Radiotherapy  Monday/Friday  on the 10th March and ive recently had the CT scan and tattoo dots  done,well one tattoo dot as I really didn't want any,they were going to.do two,but I said " I could cope with one  so.i was given one at the side ,so it doesn't show,plus a pen mark ( which is covered by tape) in the middle of my chest.  I did ask the question about tiredness, and was told it wouldn't make you feel.that tired on the first week,but tiredness if your going to get it, will start on the second week,as would any of the other side effects if you was to get any. So that's all i know for now .Was also told that if my.skin gets sore, to use a unperfumed body lotion or cream ,so ive orderd some E45 body lotion, which im hoping will help if I.do get sore from.the Radiotherapy. .Hope all goes well.for.us and anyone who is also having Radiotherapy.  X

  • Hi [@Jassoscared]‍ thanks for your message. Good tip re the E45 cream - thanks for that. Interesting to hear you managed with just one tattoo dot. Was it painful? I have never wanted to have a tattoo so needing those tattoo dots for radiotherapy was news to me until yesterday when they explained it to me. I'm going to go with it as I hope that means everything is lined up well. Just another thing to deal with eh?! New developments on this cancer roller coaster every time. Sending lots of good wishes to you too as you go forward with your radiotherapy xx

    Thanks [@Jeet123]‍ for letting me know about your experience. So hard to predict isn't it but glad to hear it has been OK for you. I'm surprised at how tired I have been after the surgery and my breast has started aching today on my first day back at work - I spend so much of the day typing emails and I wonder it it is just having the low level sensation of pulling as a result. Feels weird being back at work particuarly as I only had the cancer confirmed on Friday after two long months of tests - the surgery was treated as the definitive biopsy in the end. So much to catch up on and I'm not in the mood. A colleague emailed and said they hope I had a nice time off. If only they knew! Hope you are doing OK with your whole situation. Take care xx

     

  • Hi kiwirunner 

    I think it would be good to have at least one week of if not too to recover properly i think rest helps to recover quicker !!

    Jeet

  • @Jeet123 thanks. That sounds like a good suggestion xx

  • Kiwirunner 

    Hi ,sorry for late reply  only just seen your  mention of me, so replying now as cant sleep so wrote a poem on here  Radiotherapy poem and your reply.. 

    I was only ment to have 2 tattoo dots  anyway, so as one of them would of been right in middle between both breasts, it would of been noticible, so was pleased when they said " I didn't have to have that one done if I didn't want to",So I just had one at the side of my right breast, and I was marked with pen and a clear sticker put over the pen mark ( which was a x mark).

    And yes it did Hurt,not going to lie,but only for a bit whilst it was done, stopped hurting straight away though so very doable, compared to what we've allready been through. I start Radiotherapy  today, can't sleep its now 3.30 am . I wish you so much luck too,please let me know how things go for you . We've got this, we are nearly there, good luck xxxx

  • Hi [@Jassoscared]‍ thanks so much for replying, especially at 3.30am! I hope your first session goes well today. What side is yours on? Mine is left hand side so I had to all the deep breath practice during my CT plannng session yesterday. So glad you only had to have the one tattoo dot. I was given my three yesterday - one of each side of my torso and one right in the middle of my two boobs. One on the side of my body is so tiny you can hardly see it, the other on the other side is round but a few mm wide. The one in my cleavage though ended up being even bigger and is splodgy looking - about half a cm big. Bit disappointing but I'm trying to just think in the big scheme of things it is OK.

    Will be thinking of you today - you are so nearly there and you are right, we have got this! Take care and good luck! xx

     

Reply
  • Hi [@Jassoscared]‍ thanks so much for replying, especially at 3.30am! I hope your first session goes well today. What side is yours on? Mine is left hand side so I had to all the deep breath practice during my CT plannng session yesterday. So glad you only had to have the one tattoo dot. I was given my three yesterday - one of each side of my torso and one right in the middle of my two boobs. One on the side of my body is so tiny you can hardly see it, the other on the other side is round but a few mm wide. The one in my cleavage though ended up being even bigger and is splodgy looking - about half a cm big. Bit disappointing but I'm trying to just think in the big scheme of things it is OK.

    Will be thinking of you today - you are so nearly there and you are right, we have got this! Take care and good luck! xx

     

Children
  • Hi kiwirunner.

    Sorry your tattoo in the middle of your breast is bigger than you expected, thats where was due to have my second one,but opted for a pen mark x instead with a sticker over it. Hopefully in time it might fade a bit.  My first Radiotherapy was ok,but I know each one will get harder, but good news is im only having to have 3 weeks of it  instead of 4.So 15 in all. 

    They give you lots of information and lots on skincare. I brought E45 lotion, but i dont think it will be any good ,I should of got the cream not the lotion ,I had shower and then read the information and it said do not use moisturiser that has (SLS) Sodium lauryl sulphate, E45 lotion has got in it Sodium Cetearyl Sulfate, so I googled and asked if there was any difference in the two, and it said they have the same ingredients, so I went and washed it off.im now confused as to what I can actually use,I bought 2 bottles if it lol.i have some Palmers  cocoa butter formula  lotion with added vitamin E ,it's hypoallergenic  for sensitive skin,I bought 2 bottles of that to use on my Lymphedema which I have in my right hand wrist and arm. So.i checked the ingredients and think that ones ok. But ill check tomorrow with Radiotherapy staff. I wish they would just give you a list of what you can use and what you cant, would make it so much easier lol. Anyway hope your OK, and your treatments go well. Let me know how you are .xxx

  • Hi [@Jassoscared]‍ thanks so much for the message. That is quite a milestone to get your first session out of the way and now you can keep ticking them off and counting them down. 1 down, 14 to go. Before you know it, it will be 14 down and 1 to go :happy:

    Thanks too for the really useful info re the creams. That sort of detail is so helpful. I asked about cream to use at my planning session and they said "any  body lotion you normally use is fine - you don't want to use one you are not familiar with". That seemed very loose guidance, particularly as you were told not to use anything with SLS in it and you had bought two bottles already - boo. Weird how the guidance seems to differ so much?! Will be keen to hear what they tell you when you ask today.

    I'm fine at moment - quite good to have a mental break from all the regular appts as nothing now until radiotherapy starts on 29 March. Apart from having a root canal on Monday - dreading that more than all the breast cancer treatment to be honest haha.

    Hope it goes well today xx

     

     

  • Hi 

    They said to me Diprobase moisturize is quite good but have been using the Dermol lotion and that is good too !!

    Jeet 123

  • Kiwirunner 

    Hi ,hope your trip to the dreaded dentist went well ,and your tratment was as painless as it could be, I to always dread the dentist, I can't stand the feeling of having fingers and thing's in my mouth, as I can never seem to open wide enough lol,and i end up gagging. 

    Well as for the E45 lotion  and another lotion I got Palmers coco butter,  so I took them both in ,and was told both were good to use. But I told them I'd googled the ingredients in the E45 lotion and it said one ingredient in the lotion was the same as the SLS, they disagreed and said it was fine to use. But I'd already seen a post on this Cancer chat forum where someone had posted the E45 lotion was not good to use as it aggregated the skin after radiotherapy, but the E45 cream not the lotion was better to use.  So I don't want to take any chances and have ordered a tub of E45 Cream . I've done 3 Radiotherapy sessions  now and have been using the Palmers cocoa butter, and its been fine .I was told not to use to much ,and dont rub your skin to hard, try to pat the creams or. lotions in,and dont put it on near the time you have Radiotherapy, use it once early in the morning  and once before bedtime..when showering  or having baths you can use soaps, shower gell but make sure you rinse your skin thoughrly, and never use very hot water ,just like warm water   The first Radiotherapy session took a while as they have to set it all up and get everything so precise.  I didnt feel a thing.  The second one was quicker 20mins.  Felt tired but i dont sleep well ,so could of been that. The 3rd  one was a bit tricky, as they got me onto  the bit where you lay, and got me into the  correct position , you lay with the arm up and into a clip  that holds your arm and wrist in place  ,obviously the side your bresst cancer was on ,mine was on my right side, so my right arm has to be held back above my head.  Well they go behind the screen and it took ages just lying there ,you have to be so still  you can't move at all. And then they cone into the room and they said I was not in the correct position I was half a millimetre out.  So they push my body this way and that only slightly, and move my arm a tiny bit ,move the board im lying on ( its movable) and take all the measurements again.  Then go behind the screen ,again taking ages, I'm getting very uncomfortable by this time but dare not move, then they come into the room again as I'm still half a millimetre out.  And it all had to be repeated again. ,i had an itch on my hip ,and they itched it for me  lol, as your not allowed to move an inch lol, it felt very strange someone else scratching my itch, I had to keep saying up a bit, down a bit  over a bit, yes you've got it, and they scratched my itch away lol.They go behind the screen for what seems like ages, checking evetything is lined up, and bingo, the machine starts up and starts to rotatate and do its thing. I must admit my arm and shoulder and hand was uncomfortable as i have lymphedema in my right wrist, hand and arm ,so that didn't help, but I guess ut diesnt always happen, just sometimes,and ud rather ut take a while to get it right.

    But each time you don't feel anything as its going into your breast.  I think next week will be the one where I will start to feel any soreness to the skin ,as it will be 5 days worth of radiotherapy on the trot, where as last week it was wed/ Thurs/ Friday   as I started in the middle of the week. But yes I am counting them down 12 more to go now . Your time will come round quickly  29th March, I will be nearly finished by then as my last one is on the 30th March. Xxx

  • Hi [@Jassoscared]‍ oh wow thanks for such a fantastically helpful post! That is full of such good info - I really appreciate it.

    Love that they had to scratch your itch for you. When I had my planning session in the scanner they were saying how important it is to stay super still and it sounds like you had to do it for quite a while during the set up. Well done you!
     

    Mine is my left breast so I have the added complication of having to do the deep breath hold for 20 seconds each time. This is to lift my heart out of the way of the radiation beam so it doesn't cause long term damage to the heart. They practiced it lots of times with me and it was fine but on the actual days I worry about not doing it right. Eek. The machine cuts out though apparently so should be ok. Just the thought of it though.

    Great advice re the creams and how to use them. Thanks so much for that.  Hope the tiredness isn't too bad for you.

    Thanks for the good wishes re the root canal - it is actually tomorrow. I'm with you on the dentist. Four biopsies and the lumpectomy were fine to deal with for me but the noise of the drills and the feeling of all that stuff going on in my mouth at the dentist. Urghhhh. I have a small mouth too and it's hard keeping it open that long!

    Fingers crossed that you sail through the sessions. Take care xx

  • Kiwirunner 

    Hi  I'm glad my last post was helpful to you. Hope all is well with you. I had my fourth Radiotherapy today, it went well and seemed quicker than usual, but I was lined up correctly first time.  I close my eyes when I'm having treatment, I was counting the beebs, as the machine was making them .I counted thirteen in all. The beebs are when the radiation is going into your body .The radiographer told me  that even though the amount of beebs may differ  on each session, the same amount is radiation will always go in to you. 

    I am feeling very tired now, so will try to have an early night. Oh and another tip  ,I was told to drink a lot of water, something I'm not good at,but will try my hardest to drink more  x.

  • Hi [@Jassoscared]‍ so sorry only realised now you messaged me some time ago. How are you doing now? Have you finished your radiotherapy? I do hope you are doing ok. *Edit* just remembered you have 15 sessions to get through. How many do you have left?

     

    I had my first radiotherapy session today. Took a while to get me lined up and I just went to a happy place in my mind each time I had to do the deep breath technique and hold my breath while they counted me down from 20 each time.

    It was only my first session but my breast is tingling like mad and feeling hot one minute and really tender. All normal I know but amazed it has kicked in already.

    Sending healing vibes xx


    I am not great at drinking water either but trying hard as they said it was important.

  • Kiwirunner 

    Hi , only just popped back on here and saw your reply. 

    Sorry your breast was sore after  your first Radiotherapy session ,and I know whst you mean about drinking water, I dudnt drink more ,as I find it hard to drink water, but give me a cuppa tea ,and im ok lol.

    My first Radiotherapy session was ok,had a few twinges but nothing much. I was getting pain by the fourth one. Was putting tge cream on skin so not to red or sore.

    I finished the 15th one on the 30 th March ,git my certificate, ( which was a lovely surprise( and rang the bell ,I was soooo happy it had ended. As I was getting very uncomfortable, and some.  They saud it would get worse within the next 2 weeks after stopping the treatment and then  I should start to feel better. 

    Thry were right ,my breast dud get  very painfull and the redness seemed to come out,but it wasn't so bad I couldn't handle it ,I feel.really tired though, but it's doable . You will be getting your certificate  and thinking, I can't believe its over, I've sine it yay ,it's such a great feeling and puts you into.a really happy place .Good luck with the rest if yoir treatments, you've got this,and I know you will get there just as i did xxxx ps let ne know how you are doing .xx

  • Hey there [@Jassoscared]‍ nice to hear from you and congratulations on finishing your treatment - yay!! So pleased for you. Hope you are feeling a bit less tired now.

    I had my fifth and final session on Good Friday (so a week ago). I didn't get a certificate or a chance to ring the bell (even though there was one there). I think it was because the department was all closed up on the Bank Holiday with just a few patients in. One of the machines broke down earlier in the week so they had to get some of us in that day instead. But the main thing is it is finished and that's a good feeling:happy:

    I don't have any fatigue yet (but it is early days) and have even managed a couple of gentle runs on the days I haven't been walking. Will be some time before I get back to my old fitness but there is no hurry. Today though I've come out in quite an itchy rash to go with the general redness. It's bearable though so if it stays like that I think I will cope OK.

    Now about to start taking Anastrazole for the next five years which is a drag. Have to remind myself that it is worth it to reduce risk of recurrence.

    Good luck to you and thanks so much for your helpful and supportive comments. I've really appreciated it. Take care xxx