Kbmcv's Cancer Blog

Sore bum

I finished day 17 of 28 on radiation. My dr. suggests sitz baths and Beaudreax Butt Paste (zinc oxide) for comfort. He also gave me loritab for pain. Baths and paste are doing a nice job but my bum still throbes for an hour after a trip to the bathroom.

Before I zone out on pain pills it seems that there ought to be a topical option to relieve the throbbing of my bum. He said all topical option for pain will sting. 

What worked for you? 


Thom likes this post.
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Sorry to hear you are having the pain. That’s never fun. The baths helped and I did give into pain meds even though I hate taking that stuff. I started out with half of what they prescribed and went from there. Your comfort level and caring for yourself is important. Know that this treatment is short but intense. You will heal quickly after treatment ends with some new normal affects. Hang in! Sending you hugs to get through.
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Knowing all of this is temporary does help! I don’t like taking pain pills but will give in if this doesn’t subside. Thank you for the encouragement.
Lucky likes this comment
Lidocaine might help? You also might be developing a fissure or it could be the tumor area ulceration. After BMs the sphincter will spasm and be painful for some time. Typically a hot compress will help the muscle relax or sitz bath but I’m not sure about doing that (hot compress) while you are in treatment and the skin is burned. Maybe try an ice pack so it can offer cooling and possibly relax the muscle? I know Tyndall used some kind of cream which had lidocaine in it. Definitely check with her.
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I keep recommending Recticare cream (5% lidocaine). It does sting for about 15 seconds, then begins to numb the area, and lasts for a couple of hours. It’s worth a try, anyway. I still use it when I become sore from too many trips to the WC. And it’s OTC—you can get it on Amazon. Good luck!
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Awesome! Thank you.
I used 5% lidocaine ointment but had to take Norco when my pain was so bad. The throbbing and spasming subsided faster when I walked after my bowel movements instead of taking a rest. Interestingly that my GI surgeon does not recommend using of lidocaine for rectal area if there are any fissures or open sores. She believes that it interferes with healing. She advises Calmoseptine ointment. I've started to use it just recently after my fissurectomy and like it so far.
Easterly, Kim like this comment
Great idea on walking. I do feel better when standing. After a BM it feels like I’m turned inside out and standing helps to feel back to normal. I’ll ask my dr. about Calmoseptine. Thank you.
Olga likes this comment
You are so early in treatment, I did not any real discomfort till later on but everyone is different. The lidocaine did nothing for me, I kept the site next to the toilet and a large water pitcher too. I'd fill it with the hottest water I could stand from the tub and just sit till things subsided some. Later when it became more like lightening bolts I would start filling the tub with hot water as soon as I entered the bathroom and jump right from the toilet to the hot bath and sit. I'm 5 weeks post treatment and still utilizing the sitz but things are soooo much better. Also invest in some good cushions either with the hole in the center or at the back. I had to try several till I found what worked for me. I still have to use the cushions around the house and in the car. I still feel like I have broken glass in there but it does get better. Oh I could not have gotten through without the pain pills but have stopped taking them. I wish you all the best, hang in there, you will get through it and we are all here to support you!
Olga likes this comment
Glad you are making progress and that there is hope in the future.
Thom likes this comment
Well thank you, and you too Karen, you're in the home stretch! Please let us know how you are doing. I could literally feel my tumor throbbing, I think it means it's working.
I had good luck with “proctofoam”. If you can manage to get in on before you go then it really penetrates tender tissues and reduces throbbing. Sorry it hurts.
Thom likes this comment
Doc prescribed that but insurance would not cover...I wish I could have tried it.
Clearly nobody at the insurance company felt like they were crapping broken glass...hang in there.
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Did they stress you must get all of the ointments off before your treatments? Butt paste is hard to get off. Recticare is powerful, I just could never time it right. Stool softeners are essential, are you using them? As long as the stool was soft, my pain diminished quickly after a BM. But diarrhea was another story. . Also used probiotics, which helped. I love Radioplex Rx, it soothes and helps heal. See if you can get that. Sitting in the tub is the best for healing and easing pain. Stay in there about 30 min. minimum. It helped me a lot.
Thom, Helen Marshall like this comment
Sorry that u are suffering. I didn't have to resort to pain pills myself just sitz and creams. However, whatever relieves your pain don't be reluctant since treatment will be over soon although at this time, it feels like forever. I hope u get relief soon
Thom likes this comment
You might try Lidocaine or Aloe. My doctor gave me Silver Sulfadiazine. However, it contains metal and if not completely removed prior to treatment, can intensify the burning. I'm sorry you are in pain. Hang in there, you are within sight of the finish line!
Thom likes this comment
This too shall pass. It’s been 2 years since my radiation, I had to take pain medication ALOT, and used Domebro in my site. My radiation was so bad that my radiologist will not do any further radiation even though I have cancer recurrence in my lungs. The good news is that there is no pain now. Am sending prayers and hugs!!
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Domebro in my sitz bath. Darn auto correct!
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Working with anal cancer treatments

I need to know what the possibilities are for being able to work as a school teacher while going through treatments. Any thoughts are welcome. 

Thank you,


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You maybe able to work the first few weeks depending on how you tolerate the chemo. Unfortunately the side effects of the daily radiation will start to catch up with most by the fourth week. You will find you need the bathroom urgently and frequently. I would plan to take off work and then allow yourself several weeks to heal. You should be ready to go back to work by second semester, maybe sooner. I would plan to take some time to heal. You can always go back sooner if you feel up to it. Some can Work through their treatment, but school teaching or nursing like I did isn’t flexible for the hours you have to work and allow for frequent breaks and trips to the bathroom.
Take care of you,
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You are confirming what I thought based on research. A personal account is reassuring. Thank you for taking time to share. Taking care of others is my nature, I’m learning to take care of myself.
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I continued working through treatment. I am self-employed. I do balloon decor for events. Everyone is different...
Kbmcv, Lucky like this comment
I was not able to work at all.
Lucky, Cheryl like this comment
Every one is different, hard to tell ahead of time.
Work was do able the first 2-3 weeks, of treatment, after that, you probably want to be home. I did start back 12 days after treatment, a couple hours a day, with the understanding with my boss, I might need the bathroom anytime, without warning, and the private one was a distance away; so it might take a long time. Also, traffic, and private bathroom availability is huge. You can't take for granted you will make it there every time.
I never worked full time, after treatment. I had put in for retirement 3 months before I knew I had cancer. And I had tons of sick leave; so, hard to say, if I could do full time, traffic took 2 hours a day.
Exhaustion, still runs my life, post treatment. (But, I do a lot in life, inspite!)
Are you doing 5FU with the Mitomycin?
Lucky, Kbmcv like this comment
Keep in mind too your immune system will take a bit of a hit so you would want to limit your time around a lot of people and kids especially I was told. I was not able to work because of the physical nature and long 12-14hr days.
Lucky, Kbmcv like this comment
I was home for the six weeks of treatment and six weeks recovery post treatment. Some people can work at home but I was not able to do it. Chemotherapy really made me sick but everyone is different. The chemo lowers your immunity so you don't want to be exposed to all the kids as as a teacher. The radiation didn't get bad until the fifth week. I learned to take care of myself from this experience.
Kbmcv likes this comment
Hi Karen!
I know some on here do continue to work. I was fortunate as I also work for a school system and went through treatment and healing over summer break. I was in pretty good shape by the time school started. I have to say that as treatment progressed there is no way I could have worked. Maybe my age?..I was 57 when I started treatment. Between just feeling so unwell and fatigue as well as the bathroom issues/accidents...plus I ended up with blood clots in my lungs and legs right after treatment ended...landed in the hospital for 6 days. Just could not have done it. Anyway...we are here for you! Keep us posted on how you are doing.
Kbmcv likes this comment
Yes, I would agree that the most prudent course of action would be to take sufficient time off for treatment and subsequent recovery. We all react to treatment somewhat differently, but it’s really common to have urgency issues during and after treatment. It’s also very common to have your white blood cells knocked out by the chemo, which can cause your immune system to take a hit. Best to stay home and rest. Good luck, and keep us posted—we care!
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I was not working then, so was fortunate not to have this decision to make. Some people are able to work the entire time, but a lot of people have to take time off. It's so hard to know how well your body will handle treatment until you are in the thick of it.
Kbmcv likes this comment
I would not have been able to do it the last two weeks. For sure
Kbmcv likes this comment
My radiation oncologist recommended I not work. Being around so many kids with a weakened immune system was not a good idea. I was out for 3 months. When I went back I worked only half days for a few weeks. I was the school Media Clerk (library). So many kids and so germs. There was no way I could have worked with the way I felt.
Take care of yourself.

Kbmcv, Lily like this comment
I took off for treatment. Fortunately, I had alot of sick time so I used them..took off 6 months altogether. I was holding them out for retirement but if I dont get well there will be no retirement. Also with u being a teacher. I am worried that you will be exposed to lots of germs that your body may not be able to handle. Be good to yourself because treatment may be brutal.
I’m an aide working in an inclusion class with behaviorally challenged students in the 4th grade. When I had treatment 18 months ago for my analysis cancer I took two months off at the urging of my family, coworkers and principal. I could have probably worked the first few weeks but not after that at all. The combos the Chemo and radiation were exhausting. I would wake up ok go get my radiation, eat a little then sleep most of the day. I didn’t know it was possible to sleep as much as I did. My radiation was 28 days spread over 5 1/2 weeks. I went back after being off 8 weeks. The first few weeks were really difficult to get through as I didn’t get a break other than lunch all day ( I don’t know if you have a planning period? That will help if you do) I came home and slept for a couple if hours for the first few weeks too. It took me a few months before I was able to cut out the naps. But then I’m 62 maybe naps are normal LOL.
I probably could have worked the first few weeks (except it was painful to sit!) but definitely by the 2nd chemo (5Fu & mytomicin) I was totally wiped out. As other posters note, your immune system will be severely compromised, and being around all your students/virus carriers might not be advisable. You really need to take care of yourself and give yourself every chance to focus on your disease during treatment.
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Vital Info


August 2, 2019

Cancer Info

Anal Cancer

July 17

0.1 - 1.0 cm



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