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Radiation colitis is injury to the colon caused by radiation therapy. It is usually associated with treatment for prostate cancer or cervical cancer . [ 1 ] Common symptoms are diarrhea , a feeling of being unable to empty the bowel , [ 2 ] gastrointestinal bleeding, and abdominal pain.
Multiple disorders are found in patients with radiation enteropathy, so guidance including an algorithmic approach to their investigation has been developed. [ 5 ] [ 7 ] This includes a holistic assessment with investigations including upper endoscopy , colonoscopy , breath tests and other nutritional and gastrointestinal tests.
Chronic radiation damage to the rectum (>3 months) may cause rectal bleeding, incontinence, or a change in bowel habits secondary. Severe cases may lead to with strictures or fistulae formation. [5] [4] Chronic radiation proctopathy can present at a median time of 8-12 months following radiation therapy. [4]
5. Bowel issues. Bowel issues like irritable bowel syndrome (IBS), irritable bowel disease (IBD), and even constipation and diarrhea can be culprits, both experts note. “These abnormal bowel ...
Fungal infections can also emerge in those that fail antimicrobial therapy and stay febrile for over 7–10 days. Exogenous infections can be caused by organisms that colonize the skin such as Staphylococcus aureus or Streptococcus spp. and organisms that are acquired from the environment such as Pseudomonas spp.
Radiation-induced lumbar plexopathy (RILP) or radiation-induced lumbosacral plexopathy (RILSP) is nerve damage in the pelvis and lower spine area caused by therapeutic radiation treatments. RILP is a rare side effect of external beam radiation therapy [ 1 ] [ 2 ] [ 3 ] and both interstitial and intracavity brachytherapy radiation implants.
Osteoporosis in the vertebrae can cause serious problems for women. A fracture in this area can happen during day-to-day activities like climbing stairs, lifting objects, or bending forward when ...
However, because radiation therapy causes tissue changes, prostatectomy after radiation has higher risks of complications. To avoid the adverse side effects of a radical prostatectomy, doctors may recommend deferred treatment which can involve observation and palliative treatment or active monitoring with some local treatments as needed.
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