TUMOUR and TREATMENT SIDE-EFFECTS

TUMOUR TUMOUR TREATMENT EFFECTS RADIATION SITE EFFECTS THERAPY Head & Difficulty Mucositis Impaired chewing & chewing or swallowing Dysgeusia, Stomatitis hypogeusia Xerostomia, Difficulty chewing secondary to dental decay or infection Viscous Oropharyngeal ulceration Osteoradionecrosis Dysphagia Nausea Dysphagia Decreased gastric secondary to motility esophageal Esophageal fibrosis or Decreased gastric obstruction stricture acid production Regurgitation Fistula Fistula of meals Nausea Esophageal Edema Regurgitation Steatorrhea Early satiety Nausea Nausea & Vomiting after Vomiting Vomiting diarrhea meals Stomatitis Decreased gastric Diarrhea motility "Dumping" syndrome Protein malabsorption Deficiences in , calcium, fat-soluble vitamins & vitamin B12 Esophagitis & Malabsorption Nausea Nausea Diabetes mellitus biliary tree &/or diabetes Vomiting Vomiting Malabsorption of fat, secondary to Stomatitis protein, & fat-soluble pancreatic Diarrhea vitamins & insufficiency Minerals Dysgeusia Nausea

Small Bowel Nausea Gastrointestinal Loss of , intestine obstruction Stomatitis ulceration calcium, , Malabsorption Diarrhea Villous hypoplasia zinc Malabsorption Metabloic acidosis secondary to Increased risk of decreased enzyme renal stones production Postoperative gastric Intestinal fistula hypersecretion Fibrosis stricture Obstruction perforation Hemorrhage Colon & Bowel Mild nausea Chronic Gas production obstruction Stomatitis Fibrosis structure Diarrhea Malabsorption Diarrhea Fistula Sodium imbalance Bowel necrosis, Fluid imbalance perforation Malabsorption secondary to decreased enzyme production Breast Weight gain Weight gain with Esophagitis adjuvant or hormonal Nausea treatment Musositis Dysphagia Nausea Esophagitis secondary to Vomiting esophageal Stomatitis compression Dysgeusia Difficulty eating secondary to dyspnea Gy necologic Bowel Nausea Malabsorption obstruction Vomiting Fistula secondary to partial Weight gain Stricture bowel resection Early satiety secondary to Gas production Weight gain hormonal agents Genitourinary Nausea Enteritis Vomiting CNS Dysphagia Fluid retention Nausea Dysgeusia Increased appetite Weight gain Lymphoma Site dependent Nausea Site dependent Site dependent Dysphagia Vomiting Esophagitis Malabsorption Stomatitis Nausea secondary to Enteritis mucosal infiltration

©2000 American Dietetic Association. Used with permission. Revised May 2005.