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Coping

Find out what you can do, who can help and about how to cope with a diagnosis of bile duct cancer (cholangiocarcinoma).

Your feelings

You might have a number of different feelings when you're told you have cancer. You may feel shocked and upset. You might also feel:

  • numb
  • frightened and uncertain
  • confused
  • angry and resentful
  • guilty

You may have some or all of these feelings. Or you might feel totally different. Everyone reacts in their own way. Sometimes it's hard to take in the fact that you have cancer at all.

Experiencing different feelings is a natural part of coming to terms with cancer. All sorts of feelings are likely to come and go.

Helping yourself

You may be more able to cope and make decisions if you have information about your type of cancer and its treatment. Information helps you to know what to expect.

Taking in information can be difficult, especially when you have just been diagnosed. Make a list of questions before you see your doctor. Take someone with you to remind you what you want to ask and help remember the answers.

Ask your doctors and nurses to explain things again if you need them to.

Remember that you don’t have to sort everything out at once. It might take some time to deal with each issue. Ask for help if you need it.

Talking to other people

Talking to your friends and relatives about your cancer can help and support you. But some people are scared of the emotions this could bring up and won’t want to talk. They might worry that you won't be able to cope with your situation.

It can strain relationships if your family or friends don't want to talk. But talking can help increase trust and support between you and them.

Help your family and friends by letting them know if you would like to talk about what’s happening and how you feel.

You might find it easier to talk to someone outside your own friends and family. We have cancer information nurses you can call on our freephone 0808 800 4040, from 9am to 5pm, Monday to Friday.

Or you may prefer to see a counsellor.

Specialist nurses can help you if you’re finding it difficult to cope or if you have any problems. They can get you the help you need. They can also give you information about your cancer.

Dietitians can help you with any eating or nutritional problems you have.

Support groups

NHS Choices has a service that tells you about local information and support.

Physical problems

Bile duct cancer and its treatment may cause physical changes in your body. You might have jaundice and lose weight. These changes can be difficult to cope with and may affect the way you feel about yourself. Such changes can affect your self esteem and the way you relate to other people, especially close family and friends.

Jaundice can cause itching and very dry skin which can be difficult to deal with. There is information about skin problems and how to manage them in the coping with cancer section.

You may also have to cope with feeling very tired and lacking in energy a lot of the time. Tiredness may be worse during and after treatment, or if your cancer is advanced.

Relationships and sex

The physical and emotional changes you have might affect your relationships and sex life. There are things that you can do to manage this.

Coping practically

Practical things you and your family might need to cope with include:

  • money matters
  • financial support, such as benefits, sick pay and grants
  • work issues
  • childcare

Talk to your doctor or specialist nurse to find out who can help. Getting help early with these things can mean that they don’t become a big issue later.

Last reviewed: 
01 Mar 2018
  • Biliary cancer: ESMO clinical practice guidelines for diagnosis, treatment and follow up
    JW Valle and others
    Annals of Oncology, 2016. Volume 27, Pages 28-37

  • Guidelines for the diagnosis and treatment of cholangiocarcinoma: an update
    SA Khan and others 
    Gut, 2012. Volume 61, Pages 1657-1669

  • Oxford Textbook of Palliative Medicine (5th edition)
    N Cherny, M Fallon, S Kaasa and others
    Oxford University Press, 2015

Information and help

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