Finishing treatment for lymphoma can bring a range of emotions. Some of these are likely to be positive but others might be harder to cope with.
Dealing with challenges can have an impact on how you feel overall and on your self-esteem. Be patient with yourself. Give yourself time to adjust to life after treatment.
Each person’s experience with lymphoma is unique, but connecting with other people who have been treated for lymphoma can be a helpful source of support. You could be in touch with someone who might be able to relate to your experience through out peer-support buddy service or closed Facebook support group. There is more information on our website about the support we offer, including wellbeing videos and information about support groups.
You might also be interested in Maggie’s, a charity that offers free cancer support and information in centres across the UK and online.
You might be interested in hearing Adam talk about his experiences of recovering from treatment for lymphoma.
You might have a sense of facing the unknown and a general feeling of uncertainty. Some people describe feeling ‘lost’ or alone after treatment. After getting used to regular hospital appointments, you might feel unsettled or anxious without so much contact with your medical team. You might feel unsure about what to expect in the future. Some people worry about the possibility that their lymphoma will come back (relapse) or get worse.
Let your Clinical Nurse Specialist (CNS) know how you’re feeling. They can offer reassurance and can often signpost to local sources of support. You can also get in touch with our helpline team to talk in confidence about how you’re feeling and to find out about the support we offer.
Finishing treatment can have an impact on interactions with those around you. We often hear people say that they have a different perspective or outlook on life now having experienced lymphoma.
You and the people close to you might have different thoughts about what is best for you. For example, friends and family might want you to take life at a slower pace than you’d like to. You might feel rushed by others to ‘get back to normal’. However, rather than things going back to exactly as they were before their diagnosis, many people describe finding a ‘new normal’ and need time to adapt once treatment finishes.
It might seem hard, but finding ways of communicating effectively and honestly can help to ease the strain on your relationships.
For some people, side effects can go on during recovery, which might feel disheartening when you have finished your treatment.
Changes in weight are fairly common after treatment for cancer. This can be for a number of reasons, including the effects of the cancer itself, changes in diet and changes in physical activity levels during and after treatment. Speak to your CNS or GP for advice on gaining or losing weight in a safe and healthy way.
If you are struggling with side effects, whatever these are, speak to your medical team for advice and to find out how they can support you. This might include self-help strategies or a referral for specialist support.
You might also be interested in our book: Living with and beyond lymphoma: coping practically, physically and emotionally.
It’s important to take guidance from your medical team. However, the general advice is to follow a healthy lifestyle. This includes eating well, doing exercise that’s suitable for you, keeping a healthy weight, limiting your alcohol intake and not smoking. You can find more information about these and other healthy lifestyle factors on the NHS website.
Things to consider
Treatment for lymphoma can cause temporary low counts of red blood cells (anaemia), white blood cells (neutropenia) or platelets (thrombocytopenia). Low blood counts can increase your risk of developing infections, and can make you bruise or bleed more easily (for example, with nosebleeds, bleeding gums or heavier periods) than before you had treatment. While your blood counts are building back up, take steps to lower your risk of infection and bleeding.
You might also be given guidance to prevent infections for if you need medical care in the future. This can depend on what treatment you’ve had and how long ago.
Precautions might include:
- having or not having certain vaccinations
- taking low-dose antibiotics every day if you’ve had your spleen removed (splenectomy) or radiotherapy to your spleen.
In some cases, you’ll be given a warning card to carry with you to let any doctors know if you:
- have recently had treatment with steroids
- don’t have a spleen
- need irradiated blood products in case you need a blood or platelet transfusion.
Ask your medical team any questions you have. They can give you advice specific to your situation.
The NHS is committed to offering tailored care and support to each individual living with and beyond cancer. This is known as a personalised care and support plan.
Personalised care should include:
- Holistic needs assessment (HNA), a questionnaire to help you and your medical team work together to identify and address any practical, financial, physical, emotional and social needs you might have.
- Treatment summary, which your medical team completes. This outlines your diagnosis and treatment, as well as its possible side effects and late effects. It should also tell you what symptoms you should look out for and who to contact if you notice them, including an out-of-hours number. The summary should outline your follow-up plan and any lifestyle recommendations, for example about diet and exercise.
- Cancer care review, which is a discussion that you have with your GP or a GP surgery practice nurse. It’s an opportunity to check in about any medical needs you might have and to talk about any points raised in your holistic needs assessment. You could also find out about any financial support available to you, including prescription charge exemptions.
- Health and wellbeing events, which aim to help people affected by cancer and their families live well. An example of a health and wellbeing event is our Live your Life programme.
You can read more about personalised care on the NHS website. You might also be interested in our podcast about enhanced supportive care, an approach that aims to help address the physical and psychological effects of living with lymphoma.
In this section, we answer some questions people often have about recovery after treatment for lymphoma. Your medical team can give you information specific to your situation.
How soon after treatment finishes will I feel better?
It takes time to recover after treatment for lymphoma and it might take a while for your energy levels to build back up. How quickly you feel stronger depends on factors that include:
- the type of treatment you had
- whether side effects go on once you finish your treatment
- your age
- your general health and fitness, including any other medical conditions, if you have any
- how you feel emotionally.
Some people have side effects that go on after treatment finishes. If this is the case for you, ask your CNS or GP for advice about how to manage these.
Can I get back to my ‘normal’ routine once treatment finishes?
You might have taken time out of work, studies or other responsibilities during your treatment. If you plan to return to these, remember that you won’t be back to your full strength straightaway. Be realistic with your goals rather than overstretching yourself. Find out how your workplace, school, college or university can support you. Although it can take time to adjust, many people describe finding a ‘new normal’ after treatment for lymphoma.
Should I celebrate when treatment finishes?
Some people mark the end of treatment. Think about if and how you’d like to. You might plan a trip, or perhaps treat yourself to a gift. However, you might choose not to celebrate at all, or not to do so straightaway. People around you might offer suggestions – try not to feel pressured by these or by the approaches that others have taken. The important thing is that you decide on what feels right for you.
Where can I go for support in my recovery from treatment?
Just because you’ve finished treatment, it doesn’t mean that the support available to you stops. For example, you could:
- Speak to your CNS about any side effects that are bothering you, and ask for advice about how to manage them.
- Connect with others who are affected by lymphoma at a support group or on in an online community.
- Attend a Lymphoma Action Live your Life workshop to get practical tips to help you live well with and beyond lymphoma.
It’s very common to worry about your lymphoma coming back (relapsing) after treatment and many people feel anxious in the lead-up to their follow-up appointments. Your doctor should tell you what to look out for after you finish treatment.
Contact your medical team if you have any of the following symptoms:
- swollen lymph nodes lasting more than a week
- drenching night sweats lasting more than a few weeks
- unexplained weight loss
- worsening fatigue (extreme tiredness)
- a rash (if you have skin lymphoma)
- ongoing or unexplained pain.
If you’re worried about any symptoms, let your medical team know – don’t wait until your next planned appointment. They should be able to reassure you or offer you an earlier appointment if necessary.
If you have ongoing heightened anxiety levels that affect your day-to-day life, speak to a member of your medical team or your GP. They can offer advice and support, which might include a referral for a talking therapy, such as counselling. The NHS website as information about anxiety, fear and panic. You can also find a list of organisations that offer emotional support on our website.
Late effects are health conditions that can develop months or even years after treatment for lymphoma. Modern treatments are designed to treat lymphoma effectively while keeping the risk to your long-term health as low as possible. Your doctor will monitor you for late effects at your follow-up appointments.