Anal Cancer: What To Expect After Your Diagnosis


You just came home from your doctor’s office and heard the awful news that you have anal cancer. The reality would not sink in at first. You feel confused and full of disbelief. According to Dorina Stern, LMFT, “Shock is a sudden and often intense disturbance of your emotional state that may leave you feeling stunned or dazed.” What happened and what has gone wrong? You start to question yourself and the choices you made leading to this day. Although cancer is very common in our society, it’s something we do not wish for ourselves – not even to our worst enemies. So after the diagnosis, what does a patient with anal cancer expect?

Referral to a Specialist

The doctor will refer you to a specialist called an oncologist. An oncologist is a physician who specializes in the treatment and management of cancer. The next thing that you can expect is a series of diagnostic tests to determine the stage of cancer you have. Then the oncologist will offer treatment options that will work for your condition such as chemotherapy or the use of drugs to kill cancer cells, surgery or the removal of tissues or organs believed to be afflicted with cancer cells, and the use of radioactive materials to eradicate the cells and prevent from proliferating neighboring tissues and organs. The medical provider can either use a single course of therapy or a combination of these treatments.  The specialist will also explain the expectations, outcomes, and prognosis along with this.

The Treatment Process

Once you’ve already chosen the treatment option that will work for you, the series of tests along with the management and treatment regimen will continue. This is to make sure that it is working and you are responding well. Medical evaluation and succeeding medical follow-ups will also determine if the treatments are not working, or if the cancer has already progressed. Depending on the results, the dosage of the chemotherapy medications can be adjusted or surgical procedures can be repeated until the patient is relieved and can function optimally at the present condition. That is why the support system that surrounds you during this times is very important. According to Bobbi Jankovich, LMFT, “Most of us have developed a community — our own personal support system. These are people — family and friends — who care about us, and listen, and help us through difficult times.”


Side effects and adverse complications from treatments are expected. Your doctor will inform you of all this prior to the start of treatment. However, experiencing the real thing can be surreal.

Chemotherapy medications may cause loss of appetite leading to excessive weight loss or also known as body wasting. A severe form of nausea and vomiting can happen after chemotherapy sessions.  Most patients also suffer from hair loss. Once this sets in, problems like body image disturbance can lead to low self-esteem and other psychological problems. According to John Preston, PsyD, “Self-esteem, to put it simply, is a measure of how we feel about ourselves, our sense of our own value as human beings and our understanding of what we bring to the world.”

Management of Side Effects

There are several strategies to manage and curtail the side effects of the treatment procedures. The following are some helpful tips:

  • You can have ice chips during the chemo sessions to prevent nausea. The doctor usually administers medications that will help control the symptom prior and after chemotherapy sessions.
  • Don’t eat much prior to a procedure. You can eat toast or crackers early in the morning.
  • If you are feeling well, make sure that you eat with gusto. Coordinate with your nutritionist or dietician on what foods are allowed or prohibited while you are in therapy.
  • In order to address hair loss, you may use wigs, scarfs, or hats that will improve your self-worth. The good news is these are an all-year fashion thing and will never go out of style.

Get Diagnosed Early And Don’t Lose Hope

There are many instances that the cancer is treated properly especially if it is diagnosed and treated at an early stage. However, it is crucial that relapse must be prevented. Therefore, continual monitoring must still be conducted. Coordinate with your specialist as to how often you need to be checked and tested.


If you have been recently diagnosed with anal cancer or any type of cancer, it would be best to consult your physician and see a specialist right away. It is also recommended that you see a therapist and discuss the expected cost for treatment. BetterHelp (an affordable therapy option) has a good article on how you can assess the management of your condition. Early detection and prompt treatment is the key to early recovery and effective cure.

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