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Managing Chemotherapy Side Effects

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  • Posted: 11/24/2008

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Bleeding Problems


Take these steps:

Protect yourself.

  • Use an electric shaver, not a razor.
  • Be careful when using s ors, knives, or other sharp objects.
  • Wear shoes all the time, to protect your feet.
  • Blow your nose gently.
  • Brush your teeth with a very soft toothbrush.
  • Tell your doctor or nurse if you have hard bowel movements or feel constipated.

Don't do things that could make it easier to bleed.

  • Don't use dental floss or toothpicks.
  • Don't pick at pimples or scabs.
  • Don't play rough sports.
  • Don't put anything in your rectum, not even a thermometer or medicine.
  • Don't use tampons. Use pads.
Talk with your doctor or nurse before you take any medicine, vitamins, or herbs.

If you start to bleed: Press down firmly on the area with a clean cloth. Keep pressing until the bleeding stops.

If you bruise: Put ice on the area for about 20 minutes.

Call your doctor or nurse if you have any of these changes:

Skin changes

  • Bruises
  • Tiny, red, pinpoint spots on your skin

Head or vision changes

  • Bad headaches
  • Changes in how well you see
  • Feeling confused or very sleepy

Bleeding

  • Bleeding that doesn't stop after a few minutes
  • Bleeding from your mouth or nose
  • Bleeding from your vagina when you are not having your period (menstruation)
  • Bleeding during your period that is heavier or lasts longer than normal

Changes when you go to the bathroom

  • Blood in your urine. The urine will have a red or pink color to it.
  • Black or bloody stools
Questions to ask your doctor or nurse:
 
  1. What problems should I call you about?
  2. How long should I wait for the bleeding to stop before I call you or go to the emergency room?
  3. Is it okay to drink beer, wine, or other drinks with alcohol?
  4. Is it okay to have sex?
  5. Can I take medicine, vitamins, herbs, or supplements?
  6. What should I do if I bruise?
 

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"My nurse said that chemotherapy could make it easier for me to bruise and bleed. He told me what to call him about, such as red, pinpoint spots."

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