Guidance for Cervical and Uterine Cancer Patients During Radiation Therapy

This guide provides evidence-based information for women undergoing radiation therapy for cervical (cervix) and uterine (uterus) cancer. It covers common side effects, their prevention, do’s and don’ts, home remedies, dietary changes, supplements, and health counseling.

This guidance is based on international standards (such as NCCN, ASTRO) and is lovingly provided by Dr. Narendra Rathore (MB Hospital, Udaipur).

1. Common Side Effects of Radiation Therapy

Radiation therapy affects the lower abdominal (pelvic) area, leading to several possible side effects, such as:

• Burning or inflammation in the vagina, bladder, and rectum

• Skin irritation, dryness, or itching

• Fatigue

• Digestive issues

2. Preventive Measures

• Maintain Hygiene: Keep the vaginal and genital area clean and dry. Use lukewarm water and mild soaps (like Dove).

• Skin Care: Apply doctor-recommended moisturizers (e.g., Vaseline) on affected skin.

• Hydration: Drink 2–3 liters of water daily.

• Nutrition: Eat a nutritious, high-calorie, high-protein diet.

• Sun Protection: Keep treated areas covered.

• Manage Fatigue: Rest adequately and engage in light physical activity.

3. Do’s and Don’ts

Dos:

• Clean the area 2–3 times a day with lukewarm water.

• Use moisturizer regularly on treated skin.

• Stay hydrated with water, coconut water, and diluted fruit juices.

• Eat soft, easily digestible foods (e.g., porridge).

• Report any severe symptoms to your doctor immediately.

• Take regular rest.

Don’ts:

• Avoid scented soaps, lotions, or deodorants on treated areas.

• Don’t eat spicy, fried, or acidic foods.

• Avoid smoking or alcohol consumption.

• Do not scratch or rub the skin.

• Don’t hide symptoms from your doctor.

• Don’t take home remedies or medications without medical advice.

4. Home Remedies

For Vaginal Burning or Dryness:

• Aloe Vera Gel (for external use only)

• Coconut Oil (for external skin use only)

• Rose Water: Mix with lukewarm water for gentle cleaning

For Bladder Irritation:

• Coconut Water: 1–2 glasses/day

• Cumin Water

• Coriander Water

For Rectal Irritation:

• Aloe Vera Gel (on external anal area)

• Holy Basil Water: Use for gentle washing

For Pain and Swelling:

• Warm Milk + Turmeric

• Cold Compress: Wrap ice in cloth, apply gently for 10–15 minutes

For Digestion Issues:

• Banana

• Ginger Water

⚠️ Caution: Do not apply anything to open wounds, vagina, rectum, or bladder area without consulting your doctor.

5. Dietary Changes and Supplements

Recommended Diet:

• Curd Rice

• Boiled Vegetable Soup: e.g., carrots, bottle gourd

• Mashed Potatoes

• Thin Buttermilk or Chaas

• Small Frequent Meals: 5–6 light meals per day

• Protein Shakes or Supplements (e.g., Kabipro)

• Hydration: Water, coconut water, diluted fruit juice

Avoid: Spicy, fried, acidic, or heavy foods (e.g., pickles, lemon, tomatoes)

Supplements (under medical supervision):

• Protein Powder

• Omega-3 Fatty Acids

• Multivitamins

• Glutamine

• Probiotics

6. Stay Regularly in Touch with Your Doctor

• Follow-up Visits: Attend them consistently

• Symptom Diary: Track issues like burning, pain, appetite, and weight

• Communication: Share concerns with your doctor and family/support system

7. Commonly Prescribed Medications (Only With Medical Advice)

• Vaginal Dryness: Hyaluronic acid gel, Bepanthen

• Skin Irritation: Hydrocortisone cream

• Bladder Issues: Phenazopyridine, Ural syrup

• Rectal Irritation: Mesalamine, Hydrocortisone suppositories

• Pain: Paracetamol (500–1000 mg)

• Digestive Issues: Loperamide (for diarrhea), Lactulose (for constipation), Ondansetron (for nausea)

• Infections: Antibiotics, Antifungal creams

• Nutrition: Enteral nutrition formulas (e.g., Ensure)

🌟 Additional Suggestions

• Monitor your symptoms daily

• Pay attention to mental health – practice mindfulness, deep breathing, and maintain positivity

• Always consult your doctor before using home remedies

📝 Important Note

Radiation therapy side effects are common and can be effectively managed with proper care. Stay in regular contact with your doctor, follow their advice, and don’t neglect self-care.

You are not alone on this journey. ❤️