Kidney Cancer: Care Instructions

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Your Care Instructions

Kidney cancer is when abnormal cells grow out of control in one or both of the kidneys. Your doctor will do tests to see if the cancer is in the kidney only or has spread to other parts of the body. Then you and your doctor can decide on treatment. Surgery may be used to remove the cancer and all or part of the kidney. If you cannot have surgery, you may have radiation or treatment that cuts off the blood supply to the cancer (arterial embolization). You also may have medicine that kills cancer cells (chemotherapy). And your doctor may recommend immunotherapy, which uses the body's own immune system to treat an illness.

Many people still have the use of one or both kidneys after treatment for early kidney cancer. If you do not have a working kidney after treatment, you will need to have your blood cleaned by a machine (dialysis) or have a kidney transplant. Being treated for cancer can weaken your body, and you may feel very tired. Home treatment can help you feel better.

Finding out that you have cancer is scary. You may feel many emotions and may need some help coping. Seek out family, friends, and counsellors for support. You also can do things at home to make yourself feel better while you go through treatment. Call the Canadian Cancer Society (1-888-939-3333) or visit its website at www.cancer.ca for more information.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • Take your medicines exactly as prescribed. Call your doctor or nurse call line if you think you are having a problem with your medicine. You may get medicine for nausea and vomiting if you have these side effects.
  • Follow your doctor's instructions to relieve pain. Pain from cancer and surgery can almost always be controlled. Use pain medicine when you first notice pain, before it becomes severe.
  • Eat healthy food. If you do not feel like eating, try to eat food that has protein and extra calories to keep up your strength and prevent weight loss. Drink liquid meal replacements for extra calories and protein. Try to eat your main meal early. Your doctor also may recommend a special diet.
  • Get some physical activity every day, but do not get too tired. Keep doing the hobbies you enjoy as your energy allows.
  • Get enough sleep. Try using a sleep mask and earplugs at night, and keep your bedroom dark, cool, and quiet.
  • Do not smoke. Smoking can make kidney cancer worse. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good.
  • Take steps to control your stress and workload. Learn relaxation techniques.
    • Share your feelings. Stress and tension affect our emotions. By expressing your feelings to others, you may be able to understand and cope with them.
    • Consider joining a support group. Talking about a problem with your spouse, a good friend, or other people with similar problems is a good way to reduce tension and stress.
    • Express yourself through art. Try writing, crafts, dance, or art to relieve stress. Some dance, writing, or art groups may be available just for people who have cancer.
    • Be kind to your body and mind. Getting enough sleep, eating a healthy diet, and taking time to do things you enjoy can contribute to an overall feeling of balance in your life and help reduce stress.
    • Get help if you need it. Discuss your concerns with your doctor or counsellor.
  • If you are vomiting or have diarrhea:
    • Drink plenty of fluids (enough so that your urine is light yellow or clear like water) to prevent dehydration. Choose water and other caffeine-free clear liquids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink.
    • When you are able to eat, try clear soups, mild foods, and liquids until all symptoms are gone for 12 to 48 hours. Other good choices include dry toast, crackers, cooked cereal, and gelatin dessert, such as Jell-O.
  • If you have not already done so, prepare an advance care plan. An advance care plan provides instructions to your doctor and family members about what kind of care you want if you become unable to speak or express yourself.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

  • You are very short of breath.
  • You have sudden or severe chest pain.

Call your doctor or nurse call line now or seek immediate medical care if:

  • You have new or more blood in your urine.
  • You have trouble urinating or can urinate only very small amounts.
  • You have symptoms of a urinary infection. For example:
    • You have blood or pus in your urine.
    • You have pain in your back just below your rib cage. This is called flank pain.
    • You have a fever, chills, or body aches.
    • It hurts to urinate.
    • You have groin or belly pain.

Watch closely for changes in your health, and be sure to contact your doctor or nurse call line if:

  • You have nausea or vomiting.
  • Your pain is not controlled by medicine.
  • You do not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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