What Are the Possible Bowel Issues?
Radiotherapy for prostate cancer, such as external beam radiotherapy and brachytherapy, can lead to bowel complications for some men. The radiation may cause the bowel lining to become inflamed, a condition known as proctitis. This can result in a range of symptoms, including:
- Loose Stools: Experiencing frequent and watery bowel movements.
- Increased Flatulence: Passing more gas than usual.
- Frequent Urinary Urges: Needing to use the toilet more often or feeling a sudden, urgent need to go.
- False Urgency: Feeling the need to have a bowel movement but being unable to pass stool.
- Incomplete Bowel Movements: The sensation that the bowels haven’t fully emptied.
- Abdominal Pain: Discomfort or pain in the stomach area or rectum.
- Rectal Bleeding: Rare instances of bleeding from the rectum.
Some men notice these symptoms subside a few weeks after completing treatment, while others may experience longer-lasting issues, with some bowel problems arising months or even years later.
How Can I Alleviate Bowel Problems?
Consult Your Healthcare Provider
If you notice any changes in your bowel habits, it is crucial to inform your GP, doctor, nurse, or radiographer. They can prescribe medications to help manage symptoms like diarrhoea.
Continence Services
Your local continence services can evaluate your bowel issues and provide treatment recommendations. These services are typically managed by specialist nurses who offer care and advice for those with bladder or bowel problems.
If bowel still persist, ask for a specialist referral
For persistent bowel issues, ask for a referral to a gastroenterologist (a bowel specialist). They can conduct further tests to assess bowel damage and suggest appropriate treatments.
Tips for Self-Managing Bowel Issues. Practical Advice
1. Plan Ahead: Before going out, identify the location of toilets and carry absorbent pads to manage potential accidents.
2. Dietary Changes:
- Low-Fibre Diet: If you are experiencing diarrhoea, temporarily switch to low-fibre foods such as white rice, pasta, bread, peeled potatoes, cornmeal, eggs, and lean white meat.
- Avoid Gas-Inducing Foods: Clear foods that cause gas and bloating, such as beans, pulses, cabbage, broccoli, cauliflower, fizzy drinks, and beer.
- Eat Slowly: Chew your food thoroughly to aid digestion and reduce bloating.
Bowel Problems and Anal Sex
Bowel issues can affect your comfort and safety during anal sex. Radiation can increase sensitivity and the risk of complications. Here are some tips for managing this aspect of your life:
1. Allow Time for Healing: Ensure bowel inflammation or sensitivity has resolved before engaging in anal sex.
2. Use Adequate Protection: Employ condoms and plenty of lubrication to reduce friction and discomfort.
3. Communicate Openly: Discuss your concerns and comfort levels with your partner.
4. Seek Professional Advice: Consult your healthcare provider for tailored advice.
Reflection on the bowel changes post radiotherapy
Managing bowel problems after prostate cancer radiotherapy involves a mix of medical interventions, lifestyle changes, and open dialogue with healthcare providers. Don't hesitate to seek assistance and discuss your symptoms, as effective management can greatly improve your quality of life.
