Radiation Oncology: Managing Side Effects
Having side effects of radiation therapy does not mean that your cancer is getting worse or that therapy isn’t working.
Radiation therapy uses high-energy X-rays to kill cancer cells. Some normal cells can also be affected and result in side effects, such as dry skin, fatigue, or appetite changes. Most side effects heal when your radiation therapy is over.
On Treatment Visit (OTV):
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All our physicians do “On Treatment Visits” or “OTV”. These are scheduled once or twice each week on a set day with your provider.
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OTVs take place after your treatment. Your family and support system are welcome to join you.
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These visits are important! At these visits:
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We take your vital signs which includes a blood pressure and weight.
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This is the time to talk with your provider about any concerns or needs you may have. Such as a refill on medication or symptoms.
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We assess if you can continue radiation treatments during these visits.
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Please stay when directed after your treatment. If you cannot stay, please make a plan with your nurse when you can see the provider next.
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Your provider’s OTV day is: ____________________
Caring For Your Skin
Skin reactions may occur where your body receives radiation. Your skin may become dry, itchy, red, and peeling. It may darken in that spot, like a tan. To care for your skin:
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It is okay to bathe daily. Use a mild soap and wash the skin in the treatment area gently. Do not scrub or scratch the skin in the treatment area.
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Ask your therapy team what lotion to use.
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Avoid sun on the treated area. Use sunscreen, with an SPF of 30 or higher, daily.
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Do not remove ink marks unless your radiation therapist says you can. Don’t scrub or use soap on the marks when you wash. Let water run over them and pat them dry.
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Protect your skin from heat or cold. Avoid hot tubs, saunas, hot pads, and ice packs
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Wear soft, loose clothing to avoid rubbing skin.
Fighting Fatigue
The cancer itself or the radiation therapy may cause you to feel tired. Your body is working hard to heal and repair itself. To feel better:
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Try light exercise each day. Take short walks.
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Plan tasks for the times when you tend to have the most energy. Ask for help when you need it.
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Relax before you go to bed to sleep better. Try reading or listening to soothing music.
Coping with Appetite Changes
Tell your therapy team if you find it hard to eat or have no appetite. You may be referred to a nutritionist, a specialist in meal planning. To keep your strength up, you need to eat well and maintain your weight. Think of healthy eating as part of your treatment. Try these tips:
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Eat slowly.
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Eat small meals several times a day.
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Eat more food when you’re feeling better.
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Ask others to keep you company when you eat.
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Stock up on easy-to-prepare foods.
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Eat foods high in protein and calories.
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Drink plenty of water and other fluids.
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Ask your doctor before taking any vitamins.
Site-Specific Side Effects
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Hair loss may occur in the area being treated. The hair often grows back after treatment.
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Your mouth or throat can become dry or sore if the head or neck is being treated. Sip cool water to help ease discomfort.
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Bowel changes can happen with radiation to the abdomen and pelvic area.
Questions
If you have questions, the number to call based on which facility you received treatment at:
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Buffett Cancer Center: (402) 552-3844
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Village Pointe: (402) 596-3302
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Weekend/Night on Call (Buffett or Village Pointe): (402) 552-3844
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Kearney Cancer Clinic: (308) 296-5850
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Kearney Weekend/Night on Call: (308) 296-5850
© 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.