It isn’t easy to cope with a neuroendocrine tumour (NET). You may have ongoing symptoms that are difficult to control and treatments that other people don’t understand.
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:
- frightened and uncertain
- angry and resentful
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.
Counselling can help you to cope better with the difficulties you’ll face. It can help to reduce stress and improve your quality of life.
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.
Dietitians can help you with any eating problems you have. These might include loss of appetite and weight loss.
You might find it helpful to go to a support group to talk to other people affected by cancer.
NHS Choices has a service that tells you about information and support.
NETs and its treatment might cause physical changes. These can be difficult to cope with and might affect how you feel about yourself. The changes you have depend on your type of NET and the treatment you have.
Changes cause by the NET itself
You might have changes that are caused by the NET itself. Changes might include tummy (abdominal) pain if you have a NET in the bowel. Or shortness of breath if you have a lung NET.
Being short of breath or having abdominal pain can have a big impact on how much you can do each day. And people usually find not being able to get their breath very frightening.
Talk to your doctor or specialist nurse about your symptoms. It is very likely that they can give you treatment to help. They might also refer you to other health professionals such as a dietitian or the symptom control team (palliative care team).
Changes caused by the hormones made by the tumour
Some NETs make large amounts of hormones and proteins that are released into the bloodstream. This can cause a collection of symptoms called carcinoid syndrome.
Symptoms of carcinoid syndrome include:
- flushing of the skin
You lose a lot of fluid when you have diarrhoea. So it’s important to replace the fluid to prevent dehydration.
Flushing of the skin can be triggered by stress or by eating certain foods. You might find it helps to keep a note of your skin flushes to see what might trigger them.
Changes caused by NET treatments
Surgery is often the only treatment you need for NETs. But surgery can cause scarring and other body changes that might affect your self esteem and the way you relate to other people, especially close family and friends.
Other treatments for NETs involve having regular injections which can cause some discomfort at the injection site.
You might have to cope with feeling very tired and lethargic a lot of time, especially for a while after treatment or if your NET 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.
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
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.