Search

Rss Posts

Rss Comments

Login

 

Ginseng: energy tonic for cancer patients?

Nov 13

ABOUT 90 PERCENT of cancer patients suffer from fatigue, and ginseng may be just what the doctor ordered to help fend off low energy. Research presented at the American Society of Clinical Oncology’s annual meeting reveals that American ginseng might safely increase energy levels and physical well-being. The small study followed 282 people who took either ginseng or a placebo daily for eight weeks. People who took 1,000 mg of the herb reported an increase of more than 14 points in energy and 12 points in well-being, on an energy rating scale of 1-100. There no side effects reported among those taking ginseng.

COPYRIGHT 2007 PRIMEDIA Intertec, a PRIMEDIA Company. All Rights Reserved.
COPYRIGHT 2008 Gale, Cengage Learning

Cancer fighter: ginseng boosts immune function, combats stress and fatigue, and even helps fight breast cancer

Sep 26

Michael Castleman
IN ASIA, ginseng has been revered for centuries as a total-body health enhancer. But the mounting excitement in the West is focused on a very specific benefit. “Many studies show that ginseng helps prevent and treat breast cancer,” says Christine Homer, M.D., author of Waking the Warrior Goddess: Dr. Christine Horner’s Program to Protect Against and Fight Breast Cancer (Basic Health Publications, 2005).

One clinical vote of confidence occurred last spring when researchers at Vanderbilt University in Nashville concluded that Panax ginseng increases both the length and quality of life for women with breast cancer. Among 1,455 women followed for six years after a breast cancer diagnosis, regular ginseng users had 30 percent less risk of dying from the disease and 29 percent less risk of dying from any other cause, compared with nonusers. The 2006 study, published in the American Journal of Epidemiology, noted that those women who consumed the most ginseng reported the greatest improvement in quality of life.

Scientists believe that ginseng counteracts the cancer-stimulating action of the body’s own estrogen. The herb is actually a phytoestrogen that binds to estrogen receptors in the body, locking out its hormonal counterpart; by itself, ginseng is too weak an estrogen to spur breast cancer.

Beyond the breast

Ginseng’s Latin name, Panax, comes from the Greek word for “panacea,” and its effects are impressively diverse. “The Chinese consider ginseng a tonic, something that strengthens the whole body,” says Efrem Korngold, O.M.D., a Chinese medicine practitioner in San Francisco and a Natural Health advisor. “Western medicine has been skeptical of ginseng, as though it’s too good to be true. The skeptics should study the research.”

In addition to breast cancer, ginseng may discourage a range of cancers. Researchers at the Korea Cancer Center in Seoul tracked ginseng use in 4,634 subjects for five years. Compared with those who used no ginseng, those who took it regularly had 60 percent less risk of developing any cancer. The results were published in 1998 in the International Journal of Epidemiology.

Overall, there seems to be a particularly positive effect on immune function. In the journal Pharmacy Research in 1996, University of Southern California researchers noted that ginseng increases production of interferon, the body’s own antiviral compound. In a related study in 2002, published in Immunopharmacology and Immunotoxicology, Korean researchers discovered that ginseng also enhances the ability of white blood cells to manufacture pathogen-devouring cells called macrophages.

By boosting immune function, ginseng may improve the efficacy of vaccinations. According to a 1996 study in Drugs in Experimental and Clinical Research, Italian researchers gave 227 volunteers a placebo or 100 milligrams of ginseng daily. A month later, everyone received flu shots; 42 placebo takers caught the flu, but only 15 ginseng patients became sick–a highly significant difference.

Several studies also indicate that ginseng’s immune-friendliness may help prevent the common (and always aggravating) cold. In 2006, University of Connecticut researchers gave 43 adults over age 65 a placebo or 400 mg of ginseng per day. For the first two months, both groups caught the same number of colds. But during months three and four, the ginseng group became sick only half as often (32 percent versus 62 percent), and their cold symptoms lasted less than half as long (six days compared to 13 days).

Total impact

In keeping with its reputation as an adaptogen, e r whole-body tonic, ginseng has been found to enhance both mental and physical performance, aid fertility and virility in men, reduce fatigue, and lower blood sugar in diabetics.

INTELLIGENCE. In a 1996 Danish study, 112 middle-aged adults were given cognitive-function tests before and after taking a placebo or 400 mg per day of ginseng for eight weeks. The placebo group showed no change in brainpower, while those who took ginseng demonstrated significant improvement. British researchers conducted a similar study in 2002 using the same dose of ginseng, which again seemed to enhance memory and attentiveness.

STAMINA AND FATIGUE. When Italian researchers tested 50 male gym teachers, ages 21 to 47, on a treadmill, those taking ginseng had greater stamina than did the placebo group; another Italian study found that ginseng improves reaction time. And a 1999 Japanese study in the International Journal of Gynecology and Obstetrics showed that the herb helps relieve the fatigue some women experience during menopause.

DIABETES. In a 2000 study published in Archives of Internal Medicine, University of Toronto researchers gave ginseng (a relatively high dose of three grams) to diabetics before a meal. Blood sugar typically rises after eating, but 40 minutes after the meal, the ginseng takers showed a decrease in blood sugar levels.

REPRODUCTION AND SEX. While an Italian study showed that ginseng boosts sperm count, two Korean studies–published in 2002 in the Journal of Urology and in 1995 in the International Journal of Impotence Research–confirmed the herb’s reputed aphrodisiac effect. Apparently, ginseng increases production of nitric oxide, which plays a key role in sex-related blood flow into the genitals; taking 900 mg three times per day helped restore faltering erections.

WITH SO MANY BENEFITS, it’s no wonder that ginseng users taking as little as 200 mg daily continually report improved quality of life, mental health, and social functioning. After University of Connecticut investigators reviewed research on the herb as it relates to quality of life, their 2003 report, published in the Journal of Clinical Pharmacy & Therapeutics, found improvement in eight out of nine studies.

Those are darned good odds for a naturally healthier life.

Photograph by DAWN SMITH

RELATED ARTICLE: How to take it.

Asian or Korean ginseng (Panax ginseng) and American ginseng (P. quinquefolius) are botanically the same, while Siberian ginseng is a different plant. To use it in a healing tea, simmer one to three grams of the sliced root in 24 ounces boiling water for 20 to 30 minutes; the tea is traditionally cooled and served at room temperature, but you can drink it hot. if you want to try it in capsule form: Nationally recognized surgeon Christine Homer, M.D., recommends 200 to 400 milligrams daily, though daily doses of up to 600 mg are common. For health maintenance, ginseng should be taken in cycles, e.g., daily for two or three weeks followed by a two-week abstention.

Ginseng is distributed in both white and red varieties: The white is unprocessed root, while the red is steamed, then dried. In Traditional Chinese Medicine (TCM), red ginseng is considered “hot,” with stronger restorative action for disease recovery. The milder, white ginseng is “warm” and is thought to be preferable for long-term use. Western research draws no distinction between white and red ginseng; if you can’t decide which variety to take, consult a TCM practitioner. The herb causes no significant side effects, though caffeinelike jitters are possible; people with high blood pressure are advised to avoid ginseng without the guidance of a qualified herbalist.

COPYRIGHT 2007 Weider Publications
COPYRIGHT 2008 Gale, Cengage Learning



Fatigue Affects Breast Cancer Patients Even Before First Chemotherapy Treatment

Apr 25

ScienceDaily (Apr. 27, 2007) — A University of Nebraska Medical Center study has found that even before women with breast cancer undergo chemotherapy, they experience fatigue and disruptions in sleep and activity levels. Researchers say their findings suggest health professionals should address fatigue following breast cancer surgery.

Researchers say controlling fatigue after surgery — before starting chemotherapy — is important because fatigue typically increases during chemotherapy. Between 70 to 95 percent of breast cancer patients experience fatigue while undergoing chemotherapy.

The study was published in the current issue of the Journal of Pain and Symptom Management. Having studied 130 women with early stage breast cancer (stage I, II, IIIA), it the largest study to document the prevalence of fatigue associated with altered sleep and activity patterns before chemotherapy treatment. The data confirms what was reported in a previous smaller study funded by the National Institutes of Health.

“We found women are not going into chemotherapy in the best possible shape,” said Ann Berger, Ph.D., Niedfelt Professor of Nursing, UNMC College of Nursing, who has conducted several studies over the past 15 years related to fatigue in cancer patients. “It makes it that much more difficult to reduce the fatigue during treatment. If you start out with some fatigue, it will probably increase.”

“We as health professionals need to address potential fatigue and sleep issues sooner,” said Dr. Berger, principal investigator of the study. “If women are having sleep problems after surgery, we need to address this symptom before women begin chemotherapy. “What we’ve learned might explain why we’re having problems reducing fatigue in breast cancer patients during chemotherapy.”

The published study comes from initial results of a five-year, $1.5 million grant Dr. Berger and her team received in 2003. The purpose of the study, which was funded by the National Institute of Nursing Research, a division of the National Institutes of Health, was to determine the best ways to reduce fatigue during chemotherapy and to prevent chronic fatigue after treatment.

Researchers measured sleep and activity patterns during the 48 hours prior to the first chemotherapy treatment using wristwatch-sized activity monitors called actigraphs.

Fatigue, the most prevalent and distressing symptom for breast cancer patients receiving chemotherapy, has long been accepted by health professionals and patients alike as a side effect of treatment. Researchers say there are ways to intervene, and now they have found it may be important to intervene during the recovery period after breast cancer surgery.

Researchers say disrupted sleep, low daytime activity and/or reduced activity are likely to contribute to mild fatigue before chemotherapy and moderate to severe fatigue after chemo. They say fatigue should be addressed before and after surgery. Women typically begin chemotherapy three to four weeks after surgery.

Dr. Berger said because inactivity contributes to fatigue, she and colleagues say though women need to rest for several days after surgery, they should try to regain activity when they’re able. “We’ve been telling patients for years to rest and take it easy, but in some cases, we’re finding the patients who remain inactive are the one who report higher fatigue.”

Cancer-related fatigue can have a profound impact on an individual’s life, with significant physical, emotional, social, and economic consequences that may persist for months or years after completing treatment. Even after treatment ends, between 30 and 50 percent of patients say their fatigue remains at least six months or doesn’t ever go away.

Fatigue related to cancer treatment is described as a distressing, persistent, sense of tiredness or exhaustion that is not proportional to activity. The factors associated with fatigue are the presence and severity of anxiety, pain, lower sleep quality, physical inactivity, and poor performance status, leaving little desire to work or socialize.

Dr. Berger said the findings provide an important benchmark to begin looking for interventions to reduce cancer-related fatigue.

The study was undertaken to further establish values for sleep, wake, activity, rest, circadian rhythms and fatigue and how they interrelate in women before and during the first year after chemotherapy.

University Of Nebraska (2007, April 27). Fatigue Affects Breast Cancer Patients Even Before First Chemotherapy Treatment, According To Study. ScienceDaily. Retrieved December 4, 2007, from http://www.sciencedaily.com­ /releases/2007/04/070426135536.htm

Nervous System Changes

Apr 25

Nervous System Changes

What they are and why they occur

Chemotherapy can cause damage to your nervous system. Many nervous system problems get better within a year of when you finish chemotherapy, but some may last the rest of your life. Symptoms may include:

  • Tingling, burning, weakness, or numbness in your hands or feet
  • Feeling colder than normal
  • Pain when walking
  • Weak, sore, tired, or achy muscles
  • Being clumsy and losing your balance
  • Trouble picking up objects or buttoning your clothes
  • Shaking or trembling
  • Hearing loss
  • Stomach pain, such as constipation or heartburn
  • Fatigue
  • Confusion and memory problems
  • Dizziness
  • Depression

Ways to manage

  • Let your doctor or nurse know right away if you notice any nervous system changes. It is important to treat these problems as soon as possible.
  • Be careful when handling knives, scissors, and other sharp or dangerous objects.
  • Avoid falling. Walk slowly, hold onto handrails when using the stairs, and put no-slip bath mats in your bathtub or shower. Make sure there are no area rugs or cords to trip over.
  • Always wear sneakers, tennis shoes, or other footwear with rubber soles.
  • Check the temperature of your bath water with a thermometer. This will keep you from getting burned by water that is too hot.
  • Be extra careful to avoid burning or cutting yourself while cooking.
  • Wear gloves when working in the garden, cooking, or washing dishes.
  • Rest when you need to.
  • Steady yourself when you walk by using a cane or other device.
  • Talk to your doctor or nurse if you notice memory problems, feel confused, or are depressed.
  • Ask your doctor for pain medicine if you need it.

Let your doctor or nurse know right away if you notice any nervous system changes. It is important to treat these problems as soon as possible.

Traditional Chinese Medicinal Herbs May Help Women With Breast Cancer

Apr 25

ScienceDaily (Apr. 18, 2007) — Using Chinese herbs either alone or in conjunction with chemotherapy may help protect a breast cancer patient’s bone marrow and immune system, as well as improving the woman’s overall quality of life.

Sixty per cent of women undergoing chemotherapy for breast cancer experience a range of significant short term side effects. These include nausea, vomiting and fatigue, as well as inflammation of the gut lining, decreased numbers of red and white blood cells and decreased numbers of blood platelets.

Chinese medicinal herbs include mixtures of herbal compounds or extracts from herbs, and they are prescribed to counteract the side effects of chemotherapy. This Cochrane Systematic Review set out to see if there is conventional evidence indicating that these medicines are safe and whether there is evidence that the medicines are effective.

The researchers identified seven randomised studies involving 542 patients with breast cancer. By analysing these data, the researchers concluded that there was no evidence that the Chinese medicinal herbal treatment caused harm, and some evidence that it might reduce side effects.

“Further trials are needed before the effects of traditional Chinese medicines for people with breast cancer can be evaluated with any real confidence,” says Assistant Professor Jing Li, who works at the Chinese Cochrane Centre in Chengdu, China.

John Wiley & Sons, Inc. (2007, April 18). Traditional Chinese Medicinal Herbs May Help Women With Breast Cancer. ScienceDaily. Retrieved December 4, 2007.

Infection

Dec 09

Some types of chemotherapy make it harder for your bone marrow to produce new white blood cells. White blood cells help your body fight infection. Therefore, it is important to avoid infections, since chemotherapy decreases the number of your white blood cells.

There are many types of white blood cells. One type is called neutrophil. When your neutrophil count is low, it is called neutropenia. Your doctor or nurse may do blood tests to find out whether you have neutropenia.

It is important to watch for signs of infection when you have neutropenia. Check for fever at least once a day, or as often as your doctor or nurse tells you to. You may find it best to use a digital thermometer. Call your doctor or nurse if your temperature is 100.5°F or higher.

  • Your doctor or nurse will check your white blood cell count throughout your treatment. If chemotherapy is likely to make your white blood cell count very low, you may get medicine to raise your white blood cell count and lower your risk of infection.
  • Wash your hands often with soap and water. Be sure to wash your hands before cooking and eating, and after you use the bathroom, blow your nose, cough, sneeze, or touch animals. Carry hand sanitizer for times when you are not near soap and water.
  • Use sanitizing wipes to clean surfaces and items that you touch. This includes public telephones, ATM machines, doorknobs, and other common items.
  • Be gentle and thorough when you wipe yourself after a bowel movement. Instead of toilet paper, use a baby wipe or squirt of water from a spray bottle to clean yourself. Let your doctor or nurse know if your rectal area is sore or bleeds or if you have hemorrhoids.
  • Stay away from people who are sick. This includes people with colds, flu, measles, or chicken pox. You also need to stay away from children who just had a “live virus” vaccine for chicken pox or polio. Call your doctor, nurse, or local health department if you have any questions.
  • Stay away from crowds. Try not to be around a lot of people. For instance, plan to go shopping or to the movies when the stores and theaters are less crowded.
  • Be careful not to cut or nick yourself. Do not cut or tear your nail cuticles. Use an electric shaver instead of a razor. And be extra careful when using scissors, needles, or knives.
  • Watch for signs of infection around your catheter. Signs include drainage, redness, swelling, or soreness. Let your doctor or nurse know about any changes you notice near your catheter.
  • Maintain good mouth care. Brush your teeth after meals and before you go to bed. Use a very soft toothbrush. You can make the bristles even softer by running hot water over them just before you brush. Use a mouth rinse that does not contain alcohol. Check with your doctor or nurse before going to the dentist.
  • Take good care of your skin. Do not squeeze or scratch pimples. Use lotion to soften and heal dry, cracked skin. Dry yourself after a bath or shower by gently patting (not rubbing) your skin.
  • Clean cuts right away. Use warm water, soap, and an antiseptic to clean your cuts. Do this every day until your cut has a scab over it.
  • Be careful around animals. Do not clean your cat’s litter box, pick up dog waste, or clean bird cages or fish tanks. Be sure to wash your hands after touching pets and other animals.
  • Do not get a flu shot or other type of vaccine without first asking your doctor or nurse. Some vaccines contain a live virus, which you should not be exposed to.
  • Keep hot foods hot and cold foods cold. Do not leave leftovers sitting out. Put them in the refrigerator as soon as you are done eating.

  • Wash raw vegetables and fruits well before eating them.
  • Do not eat raw or undercooked fish, seafood, meat, chicken, or eggs. These may have bacteria that can cause infection.
  • Do not have food or drinks that are moldy, spoiled, or past the freshness date.
  • Call your doctor right away (even on the weekend or in the middle of the night) if you think you have an infection. Be sure you know how to reach your doctor after office hours and on weekends. Call if you have a fever of 100.5°F or higher, or when you have chills or sweats. Do not take aspirin, acetaminophen (such as Tylenol®), ibuprofen products, or any other drugs that reduce fever without first talking with your doctor or nurse. Other signs of infection include:
    • Redness
    • Swelling
    • Rash
    • Chills
    • Cough
    • Earache
    • Headache
    • Stiff neck
    • Bloody or cloudy urine
    • Painful or frequent need to urinate
    • Sinus pain or pressure

Anemia

Dec 07

What it is and why it occurs

Red blood cells carry oxygen throughout your body. Anemia is when you have too few red blood cells to carry the oxygen your body needs. Your heart works harder when your body does not get enough oxygen. This can make it feel like your heart is pounding or beating very fast. Anemia can also make you feel short of breath, weak, dizzy, faint, or very tired.

Some types of chemotherapy cause anemia because they make it harder for bone marrow to produce new red blood cells.

Ways to manage

  • Get plenty of rest. Try to sleep at least 8 hours each night. You might also want to take 1 to 2 short naps (1 hour or less) during the day.
  • Limit your activities. This means doing only the activities that are most important to you. For example, you might go to work but not clean the house. Or you might order take-out food instead of cooking dinner.
  • Accept help. When your family or friends offer to help, let them. They can help care for your children, pick up groceries, run errands, drive you to doctor’s visits, or do other chores you feel too tired to do.
  • Eat a well-balanced diet. Choose a diet that contains all the calories and protein your body needs. Calories will help keep your weight up, and extra protein can help repair tissues that have been harmed by cancer treatment. Talk to your doctor, nurse, or dietitian about the diet that is right for you.

When you get up from lying down, sit for a minute before you stand. Stand up slowly. You may feel dizzy if you stand up too fast.

Your doctor or nurse will check your blood cell count throughout your chemotherapy. You may need a blood transfusion if your red blood cell count falls too low. Your doctor may also prescribe a medicine to boost (speed up) the growth of red blood cells or suggest that you take iron or other vitamins.

Call your doctor or nurse if:

  • Your level of fatigue changes or you are not able to do your usual activities
  • You feel dizzy or like you are going to faint
  • You feel short of breath
  • It feels like your heart is pounding or beating very fast

Nervous System Changes

Dec 07

What they are and why they occur

Chemotherapy can cause damage to your nervous system. Many nervous system problems get better within a year of when you finish chemotherapy, but some may last the rest of your life. Symptoms may include:

  • Tingling, burning, weakness, or numbness in your hands or feet
  • Feeling colder than normal
  • Pain when walking
  • Weak, sore, tired, or achy muscles
  • Being clumsy and losing your balance
  • Trouble picking up objects or buttoning your clothes
  • Shaking or trembling
  • Hearing loss
  • Stomach pain, such as constipation or heartburn
  • Fatigue
  • Confusion and memory problems
  • Dizziness
  • Depression

Ways to manage

  • Let your doctor or nurse know right away if you notice any nervous system changes. It is important to treat these problems as soon as possible.
  • Be careful when handling knives, scissors, and other sharp or dangerous objects.
  • Avoid falling. Walk slowly, hold onto handrails when using the stairs, and put no-slip bath mats in your bathtub or shower. Make sure there are no area rugs or cords to trip over.
  • Always wear sneakers, tennis shoes, or other footwear with rubber soles.
  • Check the temperature of your bath water with a thermometer. This will keep you from getting burned by water that is too hot.
  • Be extra careful to avoid burning or cutting yourself while cooking.
  • Wear gloves when working in the garden, cooking, or washing dishes.
  • Rest when you need to.
  • Steady yourself when you walk by using a cane or other device.
  • Talk to your doctor or nurse if you notice memory problems, feel confused, or are depressed.
  • Ask your doctor for pain medicine if you need it.

Let your doctor or nurse know right away if you notice any nervous system changes. It is important to treat these problems as soon as possible.

Chemobrain: When cancer treatment disrupts your thinking and memory

Dec 05

From MayoClinic.com http://www.chemobraininfo.org

For years people undergoing cancer treatment have described their minds as being in a fog — unable to concentrate and remember details about their everyday lives. Doctors and researchers knew something was wrong, but they couldn’t pinpoint what it was.

Research now shows that what these people are experiencing is called mild cognitive impairment — the loss of the ability to remember certain things, learn new skills and complete certain tasks. The cause of mild cognitive impairment during cancer treatment still isn’t clear, nor is it clear how often it happens or what may trigger it. Doctors aren’t sure what they can do about it.

But that doesn’t mean there isn’t any hope. Recognize mild cognitive impairment and its association with cancer treatment, and talk to your doctor about your symptoms or concerns. Taking small steps can help you cope with changes in your memory during treatment.

What is chemobrain?

The terms “chemobrain” and “chemofog” refer to cognitive changes during and after cancer diagnosis and treatment. Though these terms imply a relation to chemotherapy, it isn’t clear that chemotherapy is responsible. Women with breast cancer who underwent chemotherapy were the first group to bring these symptoms to light, as more started mentioning their symptoms to their doctors. It isn’t clear whether chemotherapy, or other factors such as stress and hormonal fluctuations, cause the changes in memory and thinking. What is clear is that some people with cancer do notice increased difficulties with certain mental tasks during and after cancer treatment.

In general, researchers have found that chemotherapy can affect your cognitive abilities in the following ways:

bullet

Word finding. You might find yourself reaching for the right word in conversation.

bullet

Memory. You might experience short-term memory lapses, such as not remembering where you put your keys or what you were supposed to buy at the store.

bullet

Multitasking. Many jobs require you to manage multiple tasks during the day. Multitasking is important at work as well as at home — for example, talking with your kids and making dinner at the same time. Chemotherapy may affect how well you’re able to perform multiple tasks at once.

bullet

Learning. It might take longer to learn new things. For example, you might find you need to read paragraphs over a few times before you get the meaning.

bullet

Processing speed. It might take you longer to do tasks that were once quick and easy for you.

About 20 percent to 30 percent of people undergoing chemotherapy will experience cognitive impairment, though some studies report that at least half the participants had memory problems. One study found 35 percent of women with breast cancer had memory problems before beginning chemotherapy, so it’s not clear how or if memory changes are related to cancer treatment. Signs and symptoms of these memory changes can last for a year or two after your treatment.

Changes in memory during and after treatment may be very subtle. You might notice changes during your everyday tasks and as you start working again after treatment. The memory changes are often so subtle, in fact, that researchers find that people who report having memory difficulties tend to score in the normal ranges on tests of their cognitive ability. That makes it more difficult to understand, diagnose and treat the memory changes.

What causes the memory changes?

Doctors don’t know what causes the cognitive changes associated with chemotherapy. It was previously thought that chemotherapy drugs didn’t enter your brain, but were kept out by the blood-brain barrier, which separates chemicals that should be in your brain from those that shouldn’t. But some researchers now suspect some chemotherapy drugs may be able to slip past the blood-brain barrier. This could potentially affect your brain and your memory.

It isn’t clear which chemotherapy drugs are more likely to cause memory changes or if higher doses pose a bigger risk than do smaller ones. And it isn’t possible to predict who’s more likely to have cognitive impairment after chemotherapy.

A number of factors can cause temporary memory problems in people undergoing chemotherapy — making it difficult to identify the so-called chemobrain from the normal stresses of treatment. Temporary memory problems can, for the most part, be treated. Causes include:

bullet

Low blood counts. If your blood counts are low, you might feel tired, making it difficult to concentrate.

bullet

Stress. Being diagnosed with cancer and starting treatment is stressful. Stress also makes concentrating difficult.

bullet

Medication to treat side effects. Certain medications for treating side effects including nausea and vomiting may cause drowsiness. When you’re tired, it may take longer to complete tasks.

bullet

Lingering depression. Depression is common in people with cancer. If your depression continues after your treatment, you might find it difficult to pay attention.

bullet

Lingering fatigue. Fatigue is a side effect of several types of cancer treatment, including chemotherapy. Your fatigue might end when your cancer treatment ends, though it also can continue after treatment.

bullet

Hormonal changes. Many cancer treatments may alter the normal hormonal balance in your body, causing cognitive changes. Hormonal changes are a side effect of some treatments and, with other treatments, are the intended way to treat your cancer.

bullet

Pain medications. Some pain medications cause drowsiness and difficulty concentrating. For most people, these side effects diminish or disappear once a proper dose of pain medication is established.

Talk to your doctor about your memory problems. If your symptoms are caused by medications or stress, your doctor can treat those symptoms and help get your mind back on track.

How are memory changes treated?

If you have impaired memory, your doctor may first try to rule out other causes of memory problems, such as stress and depression. Currently no medications exist to treat cognitive impairment associated with cancer and its treatment. Researchers are investigating whether medications for such disorders as depression, attention-deficit hyperactivity disorder (ADHD) and dementia could prove effective.

You can help yourself cope with the changes in your memory by taking a few simple steps. You might want to:

bullet

Exercise your body. Aerobic exercise helps your mood and can make you feel more alert. Both can help you when it comes to concentrating.

bullet

Exercise your mind. Give your mind a workout by learning a new skill, such as a new language. Take a class, participate in a book club or try crossword puzzles.

bullet

Track your memory problems. Keep a detailed diary of your memory problems throughout your day. Carry your diary with you and take quick notes on what medications you take and when. Note the time of day your memory problems occur and the situation.

bullet

Target specific problems. Use your daily diary to determine what influences your memory problems. If they tend to crop up in the early afternoon, you may be able to prepare yourself by not scheduling meetings or deadlines at that time of day.

bullet

Take notes. Make a list of everything you need to accomplish today and use it as a guide. Take detailed notes of things you need to remember.

bullet

Start a routine. Put your keys or other commonly misplaced objects in the same place every time you set them down. Try to keep the same schedule every day.

bullet

Talk about your problems. Be open with your friends and family about what you’re experiencing. Let them know your mind is moving a little slower these days and explain how they can help you. This can help you relax and make it easier for you to think and process information.

Find the coping method that’s best for you and stick to it. Talk to your doctor about your concerns. He or she might have some other suggestions.

What other types of cancer treatment might cause cognitive impairment?

Chemotherapy isn’t the only cancer treatment that may cause memory and thinking problems. Other treatments that might affect your brain include:

bullet

Hormone therapy. It isn’t clear whether women undergoing hormone therapy that alters the amount of estrogen in their bodies experience memory problems. Some studies link memory function to the amount of estrogen in the brain. Other studies haven’t found this link.

bullet

Immunotherapy. This experimental therapy stimulates your body’s own defenses to fight your cancer. Treatment with cytokines — a type of protein that causes inflammation in your body — may cause problems with memory, multitasking and processing information.

bullet

Radiation therapy. Radiation to your brain can impair your memory and your motor function, as well as your ability to learn new things and to multitask. Older adults and people receiving high doses of radiation are at a greater risk of memory problems. If you receive both chemotherapy and brain radiation, your risk is also higher.

As research continues, doctors expect to better understand which cancer treatments cause cognitive impairment and what they can do to limit their side effects.

Take note of any memory problems

If you’re currently undergoing cancer treatment or you’ve already been through treatment, take note of any problems you have remembering certain things or concentrating during certain tasks. Talk to your doctor about your signs and symptoms.

If you’ve yet to start your treatment, talk to your doctor about the risks of treatment, including cognitive impairment. Understanding your risks can help you make more informed decisions about your treatment.

October 13, 2006 http://www.chemobraininfo.org

Fatigue Affects Breast Cancer Patients Even Before First Chemotherapy Treatment

Dec 05

ScienceDaily (Apr. 27, 2007) — A University of Nebraska Medical Center study has found that even before women with breast cancer undergo chemotherapy, they experience fatigue and disruptions in sleep and activity levels. Researchers say their findings suggest health professionals should address fatigue following breast cancer surgery.

Researchers say controlling fatigue after surgery — before starting chemotherapy — is important because fatigue typically increases during chemotherapy. Between 70 to 95 percent of breast cancer patients experience fatigue while undergoing chemotherapy.

The study was published in the current issue of the Journal of Pain and Symptom Management. Having studied 130 women with early stage breast cancer (stage I, II, IIIA), it the largest study to document the prevalence of fatigue associated with altered sleep and activity patterns before chemotherapy treatment. The data confirms what was reported in a previous smaller study funded by the National Institutes of Health.

“We found women are not going into chemotherapy in the best possible shape,” said Ann Berger, Ph.D., Niedfelt Professor of Nursing, UNMC College of Nursing, who has conducted several studies over the past 15 years related to fatigue in cancer patients. “It makes it that much more difficult to reduce the fatigue during treatment. If you start out with some fatigue, it will probably increase.”

“We as health professionals need to address potential fatigue and sleep issues sooner,” said Dr. Berger, principal investigator of the study. “If women are having sleep problems after surgery, we need to address this symptom before women begin chemotherapy. “What we’ve learned might explain why we’re having problems reducing fatigue in breast cancer patients during chemotherapy.”

The published study comes from initial results of a five-year, $1.5 million grant Dr. Berger and her team received in 2003. The purpose of the study, which was funded by the National Institute of Nursing Research, a division of the National Institutes of Health, was to determine the best ways to reduce fatigue during chemotherapy and to prevent chronic fatigue after treatment.

Researchers measured sleep and activity patterns during the 48 hours prior to the first chemotherapy treatment using wristwatch-sized activity monitors called actigraphs.

Fatigue, the most prevalent and distressing symptom for breast cancer patients receiving chemotherapy, has long been accepted by health professionals and patients alike as a side effect of treatment. Researchers say there are ways to intervene, and now they have found it may be important to intervene during the recovery period after breast cancer surgery.

Researchers say disrupted sleep, low daytime activity and/or reduced activity are likely to contribute to mild fatigue before chemotherapy and moderate to severe fatigue after chemo. They say fatigue should be addressed before and after surgery. Women typically begin chemotherapy three to four weeks after surgery.

Dr. Berger said because inactivity contributes to fatigue, she and colleagues say though women need to rest for several days after surgery, they should try to regain activity when they’re able. “We’ve been telling patients for years to rest and take it easy, but in some cases, we’re finding the patients who remain inactive are the one who report higher fatigue.”

Cancer-related fatigue can have a profound impact on an individual’s life, with significant physical, emotional, social, and economic consequences that may persist for months or years after completing treatment. Even after treatment ends, between 30 and 50 percent of patients say their fatigue remains at least six months or doesn’t ever go away.

Fatigue related to cancer treatment is described as a distressing, persistent, sense of tiredness or exhaustion that is not proportional to activity. The factors associated with fatigue are the presence and severity of anxiety, pain, lower sleep quality, physical inactivity, and poor performance status, leaving little desire to work or socialize.

Dr. Berger said the findings provide an important benchmark to begin looking for interventions to reduce cancer-related fatigue.

The study was undertaken to further establish values for sleep, wake, activity, rest, circadian rhythms and fatigue and how they interrelate in women before and during the first year after chemotherapy.

University Of Nebraska (2007, April 27). Fatigue Affects Breast Cancer Patients Even Before First Chemotherapy Treatment, According To Study. ScienceDaily. Retrieved December 4, 2007, from http://www.sciencedaily.com­ /releases/2007/04/070426135536.htm