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Sep 30, 2025

Radiation and Chemo Effects on Colostomy

The topic at hand is about understanding how radiation and chemotherapy might affect someone who has a colostomy, especially after undergoing surgery for lung cancer. Here are some helpful insights and advice from people who have been through similar experiences:

1. Chemotherapy often leads to constipation. Many people have found relief by using Miralax (polyethylene glycol) twice a day to manage this side effect.

2. To help with peripheral neuropathy, which is a common side effect of chemotherapy, some patients use "ice boots and ice gloves" during their infusions. Keeping hands and feet cold has helped limit numbness, especially in the toes.

3. Radiation targeting the colorectal or pelvic area can cause significant diarrhea and irritation. In some cases, surgeons may create a temporary ileostomy before treatment to help manage these issues, as stomas generally handle radiation well.

4. It's important to watch for both high output and severe constipation. Some patients have successfully used anti-diarrheals before chemotherapy infusions to prevent these problems.

5. Experiences can vary; for some, chemotherapy causes diarrhea while pelvic radiation leads to constipation. A well-sealed pouch can help protect clothing in both situations.

6. For skin burns caused by radiation, applying fresh aloe vera gel directly from a plant can soothe the skin more effectively than store-bought creams. Covering the area with soft netting or gauze before dressing can also help prevent further irritation.
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