Nausea and vomiting caused by chemotherapy

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Nausea and vomiting:

Nausea and vomiting are common side effects of cancer treatment, including chemotherapy, radiation therapy, and certain medications. Managing these symptoms effectively can improve your comfort and quality of life during treatment. Here are some tips for managing nausea and vomiting:

  1. Medications: Your healthcare provider may prescribe anti-nausea medications (antiemetics) to help prevent or reduce nausea and vomiting. Medicines are Netupitant, Fosaprepitant, Aprepitant. Take these medications as directed, even if you’re not currently experiencing symptoms.
  2. Stay Hydrated: Drink plenty of fluids throughout the day to stay hydrated. Sip small amounts of clear fluids, such as water, ginger ale, herbal teas, or electrolyte solutions, to help prevent dehydration.
  3. Eat Small, Frequent Meals: Instead of large meals, try eating small, frequent meals throughout the day. Choose bland, easy-to-digest foods such as crackers, toast, rice, bananas, applesauce, or clear broth soups.
  4. Avoid Trigger Foods: Avoid foods and smells that trigger nausea or make it worse. This may include greasy, spicy, or strong-smelling foods.
  5. Eat Cold or Room Temperature Foods: Hot foods and strong odors can sometimes worsen nausea. Opt for cold or room temperature foods and drinks that are less likely to trigger nausea.
  6. Ginger: Ginger has natural anti-nausea properties. Consider adding ginger to your diet in the form of ginger tea, ginger candies, or ginger ale.
  7. Acupressure: Some people find relief from nausea and vomiting through acupressure. Try wearing acupressure wristbands or applying pressure to the P6 acupressure point on your inner wrist.
  8. Relaxation Techniques: Stress and anxiety can exacerbate nausea. Practice relaxation techniques such as deep breathing, meditation, guided imagery, or progressive muscle relaxation to help reduce stress levels.
  9. Fresh Air: Spending time outdoors or in well-ventilated areas with fresh air may help alleviate nausea. Open windows or use a fan to improve air circulation in your home.
  10. Rest: Get plenty of rest and sleep to help your body recover from cancer treatment. Fatigue can worsen nausea, so listen to your body and rest when needed.

If you experience severe or persistent nausea and vomiting that interfere with your ability to eat, drink, or perform daily activities, notify your healthcare provider. They can adjust your treatment plan or prescribe additional medications to help manage these symptoms effectively. Remember that managing nausea and vomiting is an important part of cancer care, and your healthcare team is there to support you throughout your treatment journey.

Different types of nausea and vomiting are caused by chemotherapy, radiation therapy, and other conditions.

Nausea and vomiting can occur before, during, or after treatment.

Types of nausea and vomiting include:

●    Acute: Nausea and vomiting occurring within 24 hours of treatment initiation.

●    Delayed: Nausea and vomiting that occurs more than 24 hours after chemotherapy. It is also known as delayed nausea and vomiting.

Contraindications: Nausea and vomiting before starting chemotherapy treatment. If a patient has nausea and vomiting after a previous chemotherapy session, he may experience nausea and vomiting before the next treatment. It usually starts after the third or fourth treatment. The smells, sights, and sounds of the treatment room may remind the patient of earlier times and trigger nausea and vomiting before the chemotherapy session begins

Breakthrough: Nausea and vomiting occur within 5 days of receiving anti-nausea therapy. Also different medications or dosages are needed to prevent nausea and vomiting

Refractory: Nausea and vomiting unresponsive to medications.

Chronic: Nausea and vomiting persist for some time after the end of treatment.

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Frequently Asked Questions

Soft tissue and bone cancers — collectively called sarcomas — are malignant tumours arising from connective tissues including muscles, fat, blood vessels, nerves, tendons, and bone. The exact cause of most sarcomas is unknown, but risk factors include certain genetic syndromes (Li-Fraumeni syndrome, neurofibromatosis, hereditary retinoblastoma), prior radiation therapy, certain chemical exposures, and chronic lymphedema. Most sarcomas arise sporadically without a clear identifiable cause. At Jus’ Onco, our oncologists assess your individual history and molecular profile during your first consultation.

Early warning signs include a growing lump or swelling in soft tissue or near a bone, persistent bone pain — particularly at night or with activity — a bone that fractures unexpectedly with minimal trauma, joint swelling or limited range of motion, and in children limping or refusal to use a limb. Because sarcomas are rare, symptoms may initially be attributed to injury or benign conditions — making specialist oncology evaluation important for any persistent or unexplained lump or bone pain.

Sarcoma diagnosis at Jus’ Onco involves a thorough review of clinical symptoms, imaging (MRI, CT, PET, bone scan), expert pathological review of biopsy specimens, and comprehensive molecular testing — including KIT and PDGFRA mutations for GIST, EWSR1 fusion for Ewing sarcoma, SS18-SSX for synovial sarcoma, CDK4/MDM2 amplification for liposarcoma, and PD-L1 expression. Your oncologist reviews all findings before recommending a personalized treatment plan.

Jus’ Onco offers day care chemotherapy (MAP protocol for osteosarcoma, doxorubicin plus ifosfamide for soft tissue sarcomas, multiagent chemotherapy for Ewing sarcoma), targeted therapy (imatinib for GIST, denosumab for GCTB, pazopanib for advanced soft tissue sarcoma), immunotherapy for eligible sarcoma subtypes, supportive and rehabilitation care, and coordination of surgical and radiation oncology referrals — all as part of a personalized sarcoma treatment plan.

Yes. Soft tissue and bone cancer chemotherapy at Jus’ Onco is delivered in a calm, private, clinically supervised day care setting — patients receive their full infusion and return home the same day. No hospital admission. No overnight stays. No unnecessary disruption to daily life.

The number of chemotherapy cycles depends on the sarcoma type, grade, stage, and treatment protocol. Osteosarcoma typically requires 6 cycles of MAP chemotherapy — 3 before surgery and 3 after. Ewing sarcoma requires intensive multiagent chemotherapy over 6 to 12 months. Your Jus’ Onco oncologist will map out a clear, complete treatment schedule from your first consultation.

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