Table 1.
Examples of radiotherapy-induced pain syndromes and associated symptoms.
| Acute phase radiation-related pain | Symptoms | Late phase radiation-related pain | Symptoms |
|---|---|---|---|
| Enteritis | Abdominal pain Diarrhoea Vomiting |
Radiation fibrosis syndrome | Dependent on area affected
|
| Oesophagitis | Dysphagia Vomiting Reflux Cough |
Osteoradionecrosis of jaw | Pain Trismus Orocutaneous fistula Non-healing ulcers |
| Oral mucositis | Oral Pain Ulcers Dysgeusia Weight loss (secondary decreased oral intake) |
Oesophageal stricture | Reflux Bitter/acid taste Hiccups Dysphagia Weight loss |
| Proctitis | Tenesmus Pus/blood in stool Diarrhoea Abdominal pain |
Dyspareunia | Painful intercourse |
| Dermatitis | Colour changes Swelling Desquamation/skin breakdown |
Lower GI tract stricture | Painful defaecation (anal stricture) Bowel obstruction |
| Peripheral neuropathy | Gain or loss of function neuropathic symptoms |