Possible symptoms include:

For most people, the cancer experience doesn’t end on the last day of radiation therapy. Radiation therapy usually does not have an immediate effect, and it could take days, weeks or months to see any change in the cancer. The cancer cells may then keep dying for weeks or months after the end of treatment.

When your radiation therapy is complete, you will meet with your radiation oncologist for follow-up. Your next steps after that may include: Meeting with other care teams for additional treatment, if needed. Meeting with the cancer survivorship team for supportive care.

• Nausea and vomiting.
• Diarrhea.
• Headache.
• Fever.
• Dizziness and disorientation.
• Weakness and fatigue.
• Hair loss.
• Bloody vomit and stools from internal bleeding.

Radiation therapy. High doses of radiation therapy to the head, ear, or brain can damage the inner ear. Radiation therapy can also cause middle and outer ear problems. These may include inflammation, earwax blocking the ear, fluid building up, and stiff ear bones. All these can affect your hearing.

Hearing loss may start slowly in the first 2 years after treatment. Radiotherapy or the chemotherapy drug cisplatin may cause ringing or other sounds in the ears. This is called tinnitus. It may improve gradually after treatment ends but sometimes it can be permanent.

Foods to avoid or reduce during radiation therapy include sodium (salt), added sugars, solid (saturated) fats, and an excess of alcohol. Some salt is needed in all diets. Your doctor or dietitian can recommend how much salt you should consume based on your medical history.

Dose of the radiation is proportional to development of ototoxicity. Total radiation dose of minimum 60 Gys is required to produce noticeable ototoxic effects.

It is used to treat a wide variety of solid tumors in both pediatric and adult patients with cancer. The incidence that you see of cisplatin-induced hearing loss varies widely, but around 50% of all patients treated with cisplatin will experience a significant, permanent hearing loss.

Tamoxifen’s anti estrogenic effect is primarily mediated by its action on the estrogen receptor ER-β. It is therefore possible that Tamoxifen could have potentiated noise induced hearing loss by blocking estrogen’s effects through ER in the inner ear.

Side effects of tamoxifen may include:

• Menopause-like symptoms, including hot flashes, night sweats and vaginal dryness.
• Weight gain (more common) or fluid retention (edema).
• Irregular or loss of menstrual periods.
• Leg swelling.
• Nausea.
• Vaginal discharge.
• Skin rash.
• Erectile dysfunction .

Causes of hearing loss sudden hearing loss in 1 ear may be due to earwax, an ear infection, a perforated (burst) eardrum or Ménière’s disease. sudden hearing loss in both ears may be due to damage from a very loud noise, or taking certain medicines that can affect hearing.

The temporal bone structures can be affected by leukemia in two ways: leukemic infiltration and hemorrhage. Hearing loss in patients with leukemia is usually caused by degeneration of membranous labyrinth or new bone development in the cochlea (1).

Wear loose-fitting cotton clothing and undergarments in the area being treated. Avoid tight clothing that will rub up against your skin, including underwire bras for women. Use only the moisturizers, creams, or lotions that you have discussed with your radiation oncologist or nurse.