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Keeping the Silvadene on the Booty - What was your secret?

lowens's picture
lowens
Posts: 33
Joined: May 2012

To All Veteran Anal Cancer Survivors who have "BEEN THERE, DONE THAT"

I completed my 29th day of radiation and chemotherapy last Friday. I AM SO THANKFUL TREATMENT IS OVER AND I CAN FOCUS ON HEALING!

Last week my problem was how to keep Silvadene in place while the open wound areas are "weeping." I shower and cleanse a couple of times a day and take sitzbaths throughout the day as well. I was instructed by my radiation oncologist to begin using the Domeboro compresses to those areas to help dry them up. Okay, so I have been doing those but I suppose I need to just keep on keeping on with that as it won't prevent the weeping overnight - give it time. The areas are dry after letting the compresses sit for 15-30 minutes. I then apply a little Lidocaine if I feel the need but I do that only in the areas that are really bothering me at the time; I noticed my booty was feeling a bit numb too often and I didn't like that sensation. So, now it is time to apply the Silvadene AND here comes my concern (Somebody out there has had to have experienced this, too, right?). I cannot hold my booty cheeks apart for 6 hours before the next cleaning and application of meds; therefore, my cheeks/anal area that touches seems to melt the white ointment because after all, it is basically like a built in heater there especially since radiation. I understand I can pull my knees to my chest as I did when delivering my child 16 years ago; I also know I can lie on my stomach with my booty propped up. BUTT... for how long??? and how often? Someone please tell me this is "normal" and I will still heal. Any suggestions that got you through the rest of this pain in the ass?

Gotto find some humor in this somewhere...
Lisa

mp327's picture
mp327
Posts: 2823
Joined: Jan 2010

Congrats on finishing treatment! That's wonderful. How thick are you applying the silvadiazine? I ask because I vaguely remember my rad nurse telling me to apply only a thin layer. Perhaps you are applying too much? I just don't know. Regardless, your skin WILL heal. That being said, this is obviously a place where it may take a little longer than, if for instance, it was on your arm. You can leave your arm alone, but the anal area is, as I often say, a "high traffic" area. One suggestion I would have is to go bottomless around the house as often as you can. I also found that lying on my back and propping my thighs up on a couple of pillows helped to air the area out. I hope someone else will chime in and give you some more suggestions. As I told someone else on this site not long ago, you may find just like I did that one day you wake up and you have turned the corner. That is my wish for you.

Missgrace's picture
Missgrace
Posts: 36
Joined: Apr 2012

I will begin treatment next week and was wondering if anyone could tell me more about the skin effects. Are the burns on the front and back? How large is the area? Also, I've read that some folks were radiated while in a face-down position, but I will be treated while lying face-up. Does anyone know how and why one position is favored over the other?

mp327's picture
mp327
Posts: 2823
Joined: Jan 2010

My burns were located on the inner part of my thighs and in the anal area. Yes, some people do receive their radiation lying face-down. I don't know if this has to do with the type of machine with which they are treated, location of the tumor, doctor's preference or what. Most people, however, are treated while on their backs in the "frog" position, with supported legs bent and spread, as I was. I once heard someone say that their doctor treated them while in the prone position (stomach) to minimize damage to their bladder. I don't know if there is any truth to that theory or not. I was advised to always have a full bladder for radiation treatment to minimize damage. That would be a good question to ask your doctor--do I need to have a full bladder? I remember always hopping off the machine as soon as I was done and bolting for the restroom!

Missgrace's picture
Missgrace
Posts: 36
Joined: Apr 2012

Thanks for the reply. I was told to have a full bladder because it would push my intestines up out of the way and cause less damage.

mxperry220
Posts: 349
Joined: Mar 2011

I was laid out completely horizontal with my feet strapped in a foor harness. I guess each doctor has different patient positions mabybe depending on the cancer location. My tumor was in my anal verge.
Mike

RoseC's picture
RoseC
Posts: 501
Joined: Jun 2011

My first five weeks of radiation were administered with me lying on my back in a pre-formed cast (and I already had the three tattoo marks). The sixth week was butt up in the air - how (not) dignified. :) The last week was called a 'boost'.

Missgrace's picture
Missgrace
Posts: 36
Joined: Apr 2012

Haha, Rose, what's "dignity?" That flew out the window along with modesty. At first, I was mortified, but I just don't care anymore.

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