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Managing the late effects of pelvic radiotherapy ... - Macmillan Cancer

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<strong>Managing</strong> <strong>the</strong> <strong>late</strong> <strong>effects</strong> <strong>of</strong> <strong>pelvic</strong> radio<strong>the</strong>rapy in women<br />

Symptoms<br />

Some women find that <strong>the</strong>ir symptoms don’t cause <strong>the</strong>m too<br />

many problems, and that <strong>the</strong>y can manage <strong>the</strong>m fairly easily.<br />

O<strong>the</strong>rs may have more severe changes that interfere with how<br />

<strong>the</strong>y live <strong>the</strong>ir day-to-day lives.<br />

The symptoms <strong>of</strong> <strong>late</strong> <strong>effects</strong> to <strong>the</strong> bowel can include:<br />

••<br />

bleeding from <strong>the</strong> back passage (bottom)<br />

••<br />

passing mucus (a clear, sticky substance)<br />

••<br />

cramps or spasms in <strong>the</strong> bowel and/or feeling that you<br />

haven’t emptied your bowel completely (tenesmus)<br />

••<br />

diarrhoea or severe constipation<br />

••<br />

needing to rush to open your bowels (urgency)<br />

••<br />

leaking or soiling (incontinence)<br />

••<br />

passing a lot <strong>of</strong> wind.<br />

The change in <strong>the</strong> way <strong>the</strong> bowel works may be slight,<br />

for example, having to go to <strong>the</strong> toilet twice a day instead<br />

<strong>of</strong> once. But sometimes bowel changes can have a much<br />

greater impact, interfering with day-to-day life.<br />

30

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