How can pain from radiation burns be eased in a 70-year-old?

Question

Hello doctor,

My friend’s mom, age 70, is undergoing radiation for breast cancer, but now she is struggling with severe burn-like marks on her skin. It looks so painful; what can she use to ease that? Is it safe to apply regular over-the-counter creams, or do those interfere with treatment?

She has also completely lost her appetite and refuses to eat much, even when we bring her food she loves. Is this just due to the radiation, or is there something deeper to worry about? We are wondering if a nutritionist might help. And should we be asking for post-radiation scans right after her sessions are complete?

Kindly help.

Answer 1

Hello,

Welcome to iciniq.com.

I understand your concern.

I am happy to help you support your friend's mom during her radiation treatment.

Managing radiation dermatitis

Radiation dermatitis: The burn-like marks on her skin are likely due to radiation dermatitis, a common side effect of radiation therapy.

Topical creams: Certain topical creams or gels can help alleviate symptoms. Her radiation oncologist may recommend:

Aloe vera gel or creams.
Silver sulfadiazine cream.
Moisturizers like Aquaphor or Cetaphil.

Avoid certain products: She should avoid:

Perfumed soaps or lotions.
Exfoliating scrubs.
Tight clothing that rubs against the affected area.

Loss of Appetite

Radiation-induced side effects: Loss of appetite, nausea, and fatigue are common side effects of radiation therapy.
Underlying concerns: While radiation therapy can cause appetite loss, other factors like depression, anxiety, pain, or nutritional deficiencies should be considered.
Nutritionist consultation: A registered dietitian or nutritionist can help improve her appetite and ensure adequate nutrition.

Post-Radiation Scans

Follow-up imaging: Her oncologist will likely schedule follow-up imaging, such as mammograms, ultrasounds, or MRIs, to monitor her response to treatment.
Timing of scans: The schedule for post-radiation scans varies, so it’s best to follow her oncologist’s recommendations.

Additional Tips

Encourage hydration: Drinking plenty of fluids can help manage side effects.
Offer emotional support: Listening to her concerns and providing reassurance can alleviate stress.
Follow her treatment plan: Ensure she attends all scheduled appointments and follows her oncologist’s advice.

I hope you are satisfied with my answer.

For further queries, you can consult me at iCliniq.