Body Image Changes

 

Changes in physical appearance may be the most upsetting side effect of chemotherapy.  Hair loss, excessive weight gain or weight loss, and rashes are all physical changes that your child may experience.  Everyone is different, and it is impossible to predict exactly what changes your child will have.

Hair Loss (Alopecia):

Hair that is lost because of chemotherapy will almost always grow back.  Do not be surprised if the new hair is lighter, darker, or curlier than it used to be.  A word of caution, a bare head loses heat in the wintertime and gets sunburned in the summer time.  Your child should use proper head protection in the form of a hat, wig, scarf, or sunscreen during these times.

Excessive Weight Gain or Loss:

Steroids, such as Decadron or Prednisone, may cause increased appetite, excessive weight gain (particularly in the face and abdomen), and fluid retention.  Stretch or knit clothes remain comfortable during the weight changes.

It is important to realize that children on steroids are genuinely hungry, and may become very hungry without warning.  The weight gain from steroids is also fluid retention.  While taking steroids, you should stay away from salty foods or foods high in sodium which will increase fluid retention.

Chemotherapy effects normal metabolism, your child may lose weight while eating a well balanced diet.

Skin Changes:

Some chemotherapy medicines may cause rashes, such as acne or hives.  These rashes can be a side effect or allergic reactions to the medicine.  Please inform you doctor of any skin changes that you may develop

Some chemotherapy medicines can cause tissue damage if they leak outside a vein.  These medicines are called vesicants, and leakage into the body tissue is called extravasation.  These medicines are always given intravenously, and you should know which, if any, of the drugs your child receives are vesicants.  Extravasation can occur even when a central line is used, although it is very rare.

Effects of an extravasation vary from mild tissue irritation or redness to serious tissue damage requiring hospitalization and surgery.  Usually an extravasation is detected right away, but occasionally effects may be delayed.  Id your child complains of pain or burning in an area where he or she has received a vesicant medicine within the last 2 or 3 days, an extravasation may have occurred.  Please notify your doctor if you have any concerns.

*Information provided by Florida Hospital Cancer Institute

Last update Nov. 1, 2008