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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chills And Rashes While Undergoing Chemotherapy For Follicular Lymphoma?

I am currently undergoing chemotherapy for follicular lymphoma stage II I am being treated with rituximab and bendamustine. I have had two cycles 28 days apart. In the last week I have been experiencing chills every evening and a horrible rash and itchiness all over my legs. Can one develop these side effects or symptoms during treatment?
Wed, 31 Jan 2018
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Oncologist 's  Response
Hi

After hearing your history i feel you are suffering from side effects of chemotherapy medicines rituximab and bendamustine.

Since you are having chill and

I will also need to avoid cold temperatures and cold objects.
Cover your skin, mouth and nose if you must go outside in cold temperatures.
Do not drink cold drinks or use ice cubes in drinks.
Do not put ice or ice packs on your body.
Other ways to reduce the side effects caused by cold:
Cover yourself with a blanket
Do not breathe deeply when exposed to cold air.

Regards

DR De
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Oncologist Dr. Monish De's  Response
HI

After hearing your history i would advise you to treat rashes with
a topical cream such as hydrocortisone.

I will also advise you to take antibiotics if prescribed. Oral or topical antihistamines may also be recommended to relieve itching.

In addition to medication, there are some things you can do to help reduce discomfort with the rash:

Apply alcohol-free, fragrance-free, hypoallergenic moisturizer daily and on feet and hands at bedtime

Drink plenty of fluids (at least two liters per day) to stay hydrated, and avoid caffeine

Apply PABA-free sunscreen of at least SPF 30 and wear protective clothing when in sunlight

Avoid hot showers, walking barefoot, and wearing tight-fitting footwear
Antihistamines: These drugs block histamine receptors. There are 2 types of histamine receptors that have differing actions, H1 receptors are part of the body's response that controls airway constriction, capillary dilation and constriction of veins. By blocking these receptors it interferes with the production of symptoms such as redness, urticaria (hives), or shortness of breath.

Maintaining a cool room temperature

Use gently, hypoallergenic laundry detergents

Chills are normal side effects of chemotherapy.You can cover yourself with blanket when the symptom occurs.

If chillls persist along with temperature then you need do to a blood and urine culture test.

Regards

DR Monish De
Oncologist
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What Causes Chills And Rashes While Undergoing Chemotherapy For Follicular Lymphoma?

Hi After hearing your history i feel you are suffering from side effects of chemotherapy medicines rituximab and bendamustine. Since you are having chill and I will also need to avoid cold temperatures and cold objects. Cover your skin, mouth and nose if you must go outside in cold temperatures. Do not drink cold drinks or use ice cubes in drinks. Do not put ice or ice packs on your body. Other ways to reduce the side effects caused by cold: Cover yourself with a blanket Do not breathe deeply when exposed to cold air. Regards DR De