Treating symptoms of breast cancer

Tiredness or ​fatigue​ is a common symptom of advanced cancer. It can feel a bit overwhelming and as though you don’t have any energy. 

Fatigue can also be caused by the cancer treatment you have and it can last for some time after you finish your treatment.

Let your doctor or nurse know if you’re very tired as they might be able to prescribe medicine or other treatments to help. For example, a blood transfusion can give you more energy if you’re tired due to anaemia (low red blood cell levels).

Resting

It’s important to rest a few times throughout the day. Resting regularly can help you feel less tired and more able to cope. You don't have to sleep during these times. Just sitting or lying down will help. 

Exercise 

Exercising can be hard when you feel very tired. But research shows that daily light to moderate exercise can give you more energy. Going for a gentle walk is very good. Gentle exercises in bed or standing up can help if you can’t move around easily. 

Your hospital physiotherapist might be able to help you plan an exercise programme that suits your needs.

Get tips for managing and treating cancer fatigue

Even when you feel tired you may find it hard to sleep. There are different reasons for this, including anxiety, having a lot on your mind and side effects of cancer treatment. You may want to ask your doctor for sleeping pills. These can help to break a pattern of poor sleep and get you back into a better routine.

You can also try some other remedies for sleeplessness such as:

• warm milk drinks before bed

• natural sleep remedies (for example, homeopathic remedies)

• a warm bath in the evening

• a relaxing body massage to relieve muscle tension

• a little more exercise during the day, if you can manage it

• use sleep apps such as Sleepio that can help you manage sleep problems and insomnia

There are other ways that may help you improve your sleep, including acupuncture or relaxation techniques. Do speak to your breast care nurse or doctor if you are having problems sleeping. They can put you in touch with other specialists who can help you.  

Find out more about difficulty sleeping and ways to help

Read more about loss of appetite

Swelling in the arm or around the site of your breast cancer is called lymphoedema. It develops because:

• you had surgery to remove the ​lymph glands​ or radiotherapy to the lymph glands

• the cancer has blocked your lymph glands

Find out more about lymphoedema

If you have cancer spread in your liver, fluid may collect in your tummy (abdomen), making it swell. This is called ascites.

Find out more about ascites

Pain can affect you physically and how you feel emotionally. It's a very personal experience that is different for everyone. Pain relief treatment can vary from one person to another. What works for you might not help someone else. So having an individual treatment plan to control your pain is important.

Treatment can often help reduce pain. For example, radiotherapy, chemotherapy or targeted drugs can shrink the cancer and reduce the pain.

Painkillers are also available if other treatments haven't controlled your pain or control it until other treatments start to work.

Pain can usually be well controlled. With good pain control, most people should be free of pain when they are lying or sitting. The first step is to tell your doctor or nurse that you have pain so that they can find the right painkillers for you.

Your doctor will ask you questions about the pain you have. They may ask you to fill in questionnaires or rate your pain on a pain scale. This helps to describe your pain and what might make it worse or better.

Read more about cancer and pain control

You might feel breathless if your cancer has spread to the lungs or if you have low red blood cell levels (anaemia). You can learn breathing techniques that can help. You might need a blood transfusion to give you red blood cells if you have anaemia.

Tell your doctor or nurse if you feel breathless. There are ways to improve your breathing. For example, medicines to make your breathing easier.

Find out about treating breathlessness

Constipation is a common problem for people with cancer and a side effect of some cancer treatments. It means difficulty having a poo and you probably won’t have regular bowel movements. You might not have one for a few days or more.

With breast cancer, you may become constipated if:

• you take certain painkillers (including morphine)

• there is too much calcium in your blood (hypercalcaemia)

• treatment has made you lose your appetite and you are not eating as much as usual

• you are not able to move about as much as usual

Don't be embarrassed to ask for help with constipation. The longer you leave it the more problems it can cause. Fibre in your diet and plenty of fluids will help, but you may also need to take a laxative. Your doctor can prescribe one. Many hospital and community nurses know about constipation and can talk to you about how to prevent or relieve it.

Find out more about preventing and managing constipation

Treatment for sickness depends on what is causing it. It can be due to the side effects of treatment or symptoms of breast cancer spread.  

Some painkillers or cancer treatments can cause sickness. You might also feel sick if you are constipated.

Tell your doctor or nurse if you have sickness. They can give you the anti sickness treatment you need.

Some people find that ginger is a good natural remedy for sickness. Try eating stem ginger or crystallised ginger if you like it. Or you can slowly sip ginger beer or ginger ale.

Find out more about sickness and how to manage it

Calcium is an important nutrient that our body needs. Breast cancer can spread to the bones and this can affect the amount of calcium in the body.

Cancer cells in your bone can mean that the damaged bone releases calcium into your bloodstream. A high level of calcium in the blood is called hypercalcaemia and can cause:

• feeling or being sick

• tiredness

• confusion

• constipation

You need treatment if you have hypercalcaemia. You may have to spend a day or two in the hospital to get your calcium levels down.

You usually have fluids through a drip into your bloodstream. This helps to flush the extra calcium out of your system. Drinking plenty of fluids will also help if you are able to.

You are also likely to have a drug called bisphosphonate. These medicines can help to control hypercalcaemia. You have bisphosphonate by drip or as tablets.

Find out more about hypercalcaemia

You might have bone pain if your breast cancer has spread to the bones. If this happens, your bones might become weaker so they can break more easily. Your doctor and nurse can help you to be pain free most of the time.

Possible treatments include:

• hormone treatment

• radiotherapy

• surgery

• bisphosphonates

• radiofrequency ablation (RFA)

• painkillers

• a targeted treatment called denosumab

You might find that complementary therapies, such as relaxation or gentle massage, may also help.

Find out more about treatment for secondary bone cancer

Spinal cord compression

Cancer that has spread into the spinal bones can cause pressure on the spinal cord. This is called spinal cord compression. The pressure on the spinal cord stops the nerves from working normally. This can cause:

• back pain

• changes in sensation, such as tingling or numbness

• changes in the way your bowel or bladder work

• difficulty walking

Spinal cord compression is an emergency. It is important to get treatment as soon as possible.

Find out more about treating spinal cord compression

Breast cancer that has spread to the liver can often make you feel ill and tired. You may also have:

• discomfort or pain on the right side of your tummy (abdomen) where the liver is

• sickness (nausea)

• loss of appetite

• a swollen abdomen

• weight loss

• hiccups

Secondary breast cancer in the liver can cause pain if the cancer presses on the fibrous tissue covering the liver (the capsule). 

The liver has a lot of functions in the body. One is to make bile to help digest food in the intestine. If the drainage channels leading from the liver are blocked by secondary cancer, bile may build up in the blood. This causes jaundice, where the skin and whites of the eyes become yellow and your skin may feel itchy.

The liver can still work well when part of it, or even most of it, is affected by cancer cells. And the symptoms of secondary breast cancer in the liver can usually be well controlled.

Find out more about treating cancer that has spread to the liver

The thought of cancer spreading to and affecting the brain can be very frightening. But the brain can work well even if part of it is affected by cancer cells.

Secondary breast cancer in the brain can cause different symptoms depending on which part of the brain is affected. You may have:

• headaches

• feeling or being sick

• problems controlling parts of the body. For example, an arm or a leg may be weaker than usual or may feel numb

• memory problems

• changes in your personality and how you behave

Very rarely, you may have eyesight problems. Tell your doctor straightaway if you have any changes to your vision. But remember that eye problems can have many causes so it may not be due to cancer. If you are having some types of hormone therapy, chemotherapy or biological therapies, these can occasionally affect your vision.

Treatment for secondary cancer in the brain includes:

• steroids

• radiotherapy

• chemotherapy

• surgery

• hormone therapy

Find out more about treatment for secondary brain cancer