Side effects tend to start a few days after the radiotherapy begins. They gradually get worse during the treatment. They can continue to get worse after your treatment ends. But they usually begin to improve 1 or 2 weeks after your treatment ends.
Everyone is different and the side effects vary from person to person. You may not have all of the effects mentioned. The side effects tend to be milder if you're having a short course of radiotherapy for advanced oesophageal cancer.
Side effects can include:
Tiredness and weakness
You might feel tired during your treatment. It tends to get worse as the treatment goes on. You might also feel weak and lack energy. Rest when you need to.
Tiredness can carry on for some weeks after the treatment has ended but it usually improves gradually.
Various things can help you to reduce tiredness and cope with it, such as exercise. Some research has shown that taking gentle exercise can give you more energy. It's important to balance exercise with resting.
Sore mouth and throat
Your mouth and throat might get sore. It may be painful to swallow drinks or food. You will have mouth washes to keep your mouth healthy.
You can have painkillers to reduce the soreness. Take them half an hour before meals to make eating easier.
During and after treatment, you might have a feeling of a lump in the throat when you swallow. This can make it difficult to swallow solid foods.
This problem is often at its worst about 10 days to 2 weeks after you finish treatment.
Tips for eating and drinking
- Drink about 3 litres of water a day while having treatment.
- Eat soft foods.
- Eat slowly and avoid eating late in the day.
- Drink plenty during and after meals to soften your food.
- Eat small amounts often rather than big meals.
- Try different foods to find out which are easiest to swallow.
- You can have high calorie drinks to boost your calorie intake if you need them.
You might need to have liquid food through a tube into your nose or stomach if you can’t eat enough. This is called tube feeding.
Feeling or being sick
Feeling or being sick can be severe. It can start a few hours after treatment and last for a few days. Anti sickness injections and tablets can control it. Tell your doctor or nurse if you feel sick. You may need to try different anti sickness medicines to find one that works.
- Avoid eating or preparing food when you feel sick.
- Avoid fried foods, fatty foods or foods with a strong smell.
- Drink plenty of liquid to stop you from getting dehydrated.
- Relaxation techniques help control sickness for some people.
- Ginger can help – try it as crystallised stem ginger, ginger tea or ginger ale.
- Fizzy drinks help some people when they are feeling sick.
Loss of neck and chest hair
Your hair may fall out in the treatment area.
Your voice might get husky or croaky and sound weaker. This can last for a while after your treatment.
This is more likely to happen if your cancer is in the top part of your oesophagus, near to your voice box.
Reddening or darkening of your skin
Your skin might go red or darker in the treatment area. You might also get slight redness or darkening on the other side of your body. This is where the radiotherapy beams leave the body.
The red or darker areas can feel sore. Your radiographers will give you creams to soothe your skin. The soreness usually goes away within 2 to 4 weeks of ending the treatment. But your skin might always be slightly darker in that area.
Long term side effects
Most side effects gradually go away in the weeks or months after treatment. But some side effects can continue or might start some months or years later.
Side effects if you have chemotherapy with radiotherapy
Chemotherapy combined with radiotherapy can make some side effects worse. Combining these treatments is called chemoradiotherapy.