Hi All,
As I’m having FEC x 6 without a PICC line, veins are becoming an obsession of mine so I thought I’d pass on some useful tips for attempting to keep your veins in good condition while you’re having chemo. These drugs are not kind to veins and those of you on FEC in particular will find it worthwhile doing everything you can to preserve your them if you haven’t been given a PICC line or some other permanent access for the duration of your chemo. We need to try and avoid using our lymph node removal arm if at all possible because of the lymphodema risk so that only gives us one arm to work with.
The veins become painful due to two things: inflammation and cording (become tight like cords). Inflammation is acute while the cording is chronic.
Prior to attending the chemo unit for your chemo, plump your veins up by :
- drinking 2 litres minimum the day before and if possible on the actual day before arriving at the unit
- consider drinking miso soup the night before and on the day of treatment. The saltiness of this helps to lock in the fluid, apparently. Not tried this myself as my local supermarket doesn’t sell it!
- warm your arm up using a heat pad or hot water bottle
- wrap your arm in gloves, leg warmers for trip to hospital
- While at hospital, use heat pad, hot water, all means necessary prior to cannualtion - units seem to be very good at doing this automatically
Between trips for chemo do the following to help veins stay in good shape:
- use a hot water bottle/heat pad once a day - wrap around arm for about 30 mins
- if possible, use moist heat (damp hot towels wrapped in cling film) as this is apparently better absorbed
- Continue drinking as much as possible - 2 litres minimum in days following chemo to help flush drugs out of system. But keeping well hydrated will help keep vein damage at bay.
- squeeze a small ball (stress ball ideal but ball of socks just as good) several times a day - helps with pumping blood through veins, veins are muscle, helps to build muscle up.
If/when veins begins to become painful or inflammed:
- hirudoid cream is available over the counter and on prescription - used specifically for inflammation of the veins
- if hirudoid cream not available try ibuprofen/diclofenac cream
- ask a doctor about whether a steroid cream would be beneficial
- continue with heat & ball squeezing
Cording :
- massage - as often as practical. The creams listed above can be massaged in but will have a limit to number of applications so also massage with oil.
- stretch affected area as much as possible
- continue with all of the above.
As with any issues, always discuss it as soon as possible with your chemo team. This information is based on my rummaging around the internet, discussing it with my chemo team and discussion on forum. It is based on my understanding and I am more than happy to be corrected if I have got things wrong. If anyone can add anything else which would help, then please do.
Hope that’s useful,
B x