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NCCN Guidelines for Patients


Adolescents and Young Adults with Cancer, Version 1.2017


Try a specialty toothpaste—such as



—that does not contain sodium lauryl



Rinse your mouth regularly with a special

mouthwash (such as Biotene


) or mix baking

soda and warm water to make a rinse.


Stay away from spicy or acidic foods (such as

chili and lemonade).

If you’re experiencing diarrhea, be sure to get more

fluids to make up for what you’re losing. To prevent

diarrhea, try the following:


Eat several small meals a day.


Have easy-to-digest foods such as bananas,

white rice, and applesauce.


Avoid high-fiber foods such as whole grains

or raw fruits and vegetables, and gassy foods

like broccoli.


Avoid spicy, fried, greasy, or rich foods, like

dairy products.

Let your treatment team know if you have more bowel

movements than usual or severe diarrhea for two or

more days in a row. If you become dehydrated, you

may need fluids given by IV.


Why it happens

Fatigue can be the result of many things. It can be

from the treatment’s effects on the red blood cells

that carry oxygen to your tissue (anemia), side

effects of other medicine, pain, dehydration, stress,

sleeplessness, your diet, or any combination of the

above. If you have fatigue, you may find that it is

worse right after treatment.

What you can do

How your fatigue is managed will depend on what

is causing it. If you have anemia, you may get a

transfusion of red blood cells. If your fatigue can be

traced to factors such as pain, sleeplessness, or diet

you may be referred to specialists in those areas.

Pay attention to when fatigue tends to start and take

it easy. If you tend to feel wiped out the days following

treatment, avoid doing too much during those times.

When you do have energy, take your time doing

things. Feel free to change or cancel plans if you’re

just not up to it.


Coping with side effects

How do I cope with side effects?