Piles following chemo


I’m on cycle three of EC chemo and have been having issues with constipation. I have now started with internal piles which are really painful when I go to the toilet. I’ve started taking haemorrhoid suppositories and eating lots of fibre and drinking water. I’m not sure if I have a internal fistula or not.
Is it normal to get piles/issues with chemo and is there anything else I should do? I spoke with my treatment nurse on my last cycle and see suggested continuing with laxatives but I’m only constipated the week after treatment.
Anyone else have this issue?

Assuming piles due to straining with constipation. I have suffered over the years and that’s the cause main of piles. Prevention is the best treatment but once you have them you nee aa haemorrhoids cream to shrink them.

.I did a www.pennybrohn.org.uk treatment program designed for people going through treatment. They discussed constipation and recommended slippery elm.
Slippery Elm Tea - 80g – Penny Brohn Shop

If you Google it you can get tea,powder or supplements.
Please mention it to your team,helpline. Always worth a call for help.

Hi louNash

Thanks for posting.

Constipation is a known side effect of some chemotherapy treatments that often cause piles (haemorrhoids) which as you say can be really painful. An anal fistula is usually caused by an infection so it’s important you contact your treatment team if you have any symptoms listed on the link above.

It sounds as though you are doing all the right things by eating lots of fibre and drinking plenty of water. It’s also helpful to take regular gentle exercise. As @naughty_boob says, there are some organisations such as Penny Brohn that have tailored support programmes for people going through cancer treatment which you might find useful.

It’s good to hear that you have spoken to your treatment nurse about your symptoms. Do ask them if you should continue with laxatives as there are different types available.

Talking to someone who has had a similar experience can often be helpful. Our Someone Like Me service can match you with a trained volunteer who’s had a similar experience to you. You can be in touch with your volunteer by phone or email and they can share their personal experiences to answer your questions, offer support or simply listen to how you are feeling.

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