Author: admin | 12.06.2015

Most people are aware of common side effects of cancer treatment like nausea and hair loss.
At API, our focus is to assist you by providing you protocols to manage your oral health prior to, during and after chemotherapy and radiation treatment. About 65- 75% of all cancer patients will receive anitneoplastic chemotherapy during some part of the course of their disease. Cancer patients who also have transmucosal or endosseous dental implants pose special problems for oncologists and dentists both when planning for chemotherapy and when providing supportive care during the course of treatment. Other oral side effects from chemotherapy and radiation treatment may include mouth or throat soreness and problems with the glands that make your saliva.
The publication series "Oral Health, Cancer Care, and You" informs health care providers and patients about steps they can take before, during and after cancer treatment to reduce the risk and impact of these often painful side effects. A visit to our office prior to starting your chemotherapy, can help to prevent serious mouth problems and may help to lessen the amount of side effects you experience. After eating and at bedtime, brush your teeth using a very soft toothbrush with toothpaste. If you notice sores, bleeding, white patches, or a white coating on your tongue, notify your doctor or nurse. Radiation, which is targeted to specific parts of the body where the cancer is located, will generally only affect patients’ mouths when they are treated in areas such as the head or neck. Everyone and every case is different, so not all people experience the same thing or may not experience them at all. Generally, keeping a clean healthy mouth and healthy body is good advice for anyone (see our blog: How Your Teeth Affect Your Heart)  but can only help you if you are being treated for cancer. Choosing the Right Mouthwash for YOU!Dental Premedication: What is it and Why do I Need it?
Colorectal carcinoma is a cancer, or malignant tumor, of the large intestine, which may affect the colon or rectum. Factors such as age, race, personal or family history of colon disease and diet can play a significant role in having an increased risk of developing colorectal cancer.
Many colon cancers develop over a long period of time, often arising from pre-cancerous colon polyps which gradually grow and may turn into cancer. Colonoscopy: This examination uses a flexible tube with a tiny camera at the end, which is inserted into the colon. CT Colonography: A small tube is inserted into the rectum and air is used to inflate the colon. Air-contrast barium enema: Also called a lower GI (gastrointestinal exam), this x-ray exam of the large intestine allows radiologists to view the colon and rectum in real-time and detect any abnormal growths.
Abdominal and Pelvic CT: This imaging procedure uses x-rays to quickly identify sources of pain or abnormalities within the gastrointestinal tract. Magnetic Resonance Imaging (MRI) of the Body: This imaging test uses a magnetic field and radio frequency pulses to produce detailed pictures of the internal organs and is helpful for detecting diseases of the small intestine, colon, rectum and anus. Endorectal Ultrasound: This imaging test uses high frequency sound waves generated from a probe, which is inserted into the rectum. Depending on the size and extent of spread of the cancer, patients may need to undergo a surgery, removing part or all of the colon, in order to remove the tumor.
In many cases, chemotherapy may be used as supplemental treatment, either alone or in combination with radiation therapy. Web page review process: This Web page is reviewed regularly by a physician with expertise in the medical area presented and is further reviewed by committees from the American College of Radiology (ACR) and the Radiological Society of North America (RSNA), comprising physicians with expertise in several radiologic areas.

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Mouth sores are common ailments that affect about 80 percent of Americans at some point in their lives.
These sores can appear on any of the soft tissues of the mouth, including the lips, cheeks, gums, tongue, and floor and roof of the mouth.
Most commonly, mouth soresa€”which include canker soresa€”are a minor irritation and last only a week or two. In most cases, mouth sores cause some redness and pain, especially when eating and drinking. Several things can lead to mouth sores, ranging from minor everyday causes to serious illnesses.
Often, minor mouth sores often go away naturally within 10 to 14 days, but they can last up to six weeks. If you see your doctor for your mouth sores, he or she may prescribe a pain medication, anti-inflammatory drug, or steroid gel. In cases of cancer, your long-term effects and outlook depends on the type, severity, and treatment of your cancer.
Please note that we are unable to respond back directly to your questions or provide medical advice. But many don't realize that more than one-third of people treated for cancer develop complications that affect the mouth. The 12-piece series includes fact sheets and laminated pocket guides for dental and cancer professionals, patient education publications in both English and Spanish, and a wallet card for patients with space for the names and contact information of their health care team. Make sure to tell us about your diagnosis, blood values, chemotherapy medicines, and treatment schedule.
Because the bristles on soft toothbrushes are softer, your brushing motion must be slower to allow the bristles to flow along the gum line and clean off the food and plaque deposits. Eat foods like broth, gelatin, puddings, milkshakes, cooked cereals and frozen juice bars on a stick. Usually these symptoms come and go with treatment, but unfortunately, some can be permanent.
Your doctor may perform a colonoscopy, CT colonography (also known as virtual colonoscopy) or an air-contrast barium enema to help diagnose your condition. Advanced cases may require treatment with radiation therapy such as external beam therapy (EBT). Typically, the colon is the upper five or six feet of the large intestine, and the rectum is the lower five to seven inches located above the anal canal. Then, low dose CT images of the abdomen and pelvis are obtained with the patient lying on their back and then stomach. For some patients, an ileostomy or colostomy may be needed, which diverts bowel content into an external bag. These x-rays deliver radiation to the patient’s tumor in order to destroy the cancer cells while leaving the surrounding healthy tissues unaffected. Chemotherapy is given to decrease the chance of the tumor returning elsewhere in the body or to decrease the disease burden elsewhere in the body if it cannot be removed surgically. Please contact your physician with specific medical questions or for a referral to a radiologist or other physician. The costs for specific medical imaging tests, treatments and procedures may vary by geographic region., ACR and RSNA are not responsible for the content contained on the web pages found at these links.
These sores can appear on any of the soft tissues of the mouth, including the lips, cheeks, gums, tongue, and floor and roof of the mouth. In some cases, however, they can indicate mouth cancer or an infection, such as herpes simplex virus. The sores are contagious until completely healed, so be sure to wash your hands after touching them and to change your toothbrush once they are healed.
Depending on the size, severity, and location of the sores in your mouth, they can make it difficult to eat, drink, swallow, talk, or breathe.
If your doctor suspects you have cancer, he or she may perform a biopsy and run some tests. Some simple home remedies might help reduce the pain and possibly speed up the healing process. If your mouth sores are a result of a virus, bacteria, or fungus, your doctor might provide a medication to treat the infection. Outbreaks are more common if you are under stress, if you are ill or have a weakened immune system, if you had too much sun exposure, or if there is a break in your moutha€™s skin. These problems may interfere with cancer treatment and diminish the patient's quality of life. If flossing is not one of your routine hygiene habits, speak to your physician before beginning to floss. Your doctor may also prescribe chemotherapy as a supplemental treatment to decrease the chance of the tumor returning elsewhere in the body.
Therefore, various methods of colon cancer screening are currently recommended in the hope of finding the polyp or cancer at a time when it can be removed and cured.
Software can then create a three-dimensional (3-D) interior view of the colon, allowing specially trained radiologists to look for abnormalities (such as polyps) in the large intestine.
To locate a medical imaging or radiation oncology provider in your community, you can search the ACR-accredited facilities database. Head and neck radiation, chemotherapy, and blood and marrow transplantation can cause oral complications ranging from dry mouth to life-threatening oral infections, to rampant tooth decay. Your doctor or nurse will talk to you about your blood counts and tell you when you should leave your dentures out. You should consider talking to your physician about if and when colon cancer screening would be appropriate. This test may be used to determine the local extent of disease if the patient has been diagnosed with rectal cancer. Side effects, such as abnormal blood-cell counts, fatigue, diarrhea, mouth sores, and a compromised immune system may occur.
Even though it’s a tough time, it’s still important to see your dentist regularly to make sure you are doing everything you can while having your treatments and to nip things in the bud to keep you on the right track.

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