Welcome to the site and the wonderful world of chemo. I had my chemo in 2011, which is when I was diagnosed with breast cancer. The reason, I believe, for the diarrhea is that your liver deals with the toxins in your system and it gets maxed out with the chemo treatments. Since it can't fully process everything, diarrhea is your liver's way of getting the toxins out of your body quickly. So almost think of diarrhea as a good thing. :-)
This taxing of the liver is another reason that each treatment can feel a little worse than the last one. If the liver has not processed all the toxins from one treatment (or is sort of in recovery mode from the last treatment), it has to deal with the new toxins and possibly some toxins from the previous round.
So maybe it would be good to do something nice for your liver. Some green tea might prove helpful. As always, talk to your doctor to see if there is anything you can eat or drink that might help support your liver. It's an under-appreciated organ.
As for the hot flashes, I didn't experience any but it could because chemo will likely, if you are not already, put you into menopause (even temporarily). Like everyone is quick to point out, you should check with your doctor. This is just my theory.
You seem to be doing everything right. Back when I had my chemo, no one told me to drink more fluids. I was trying to avoid drinks while I was having chemo so that I didn't have to wheel the contraption with the IV into the washroom with me. I wish I had known. I didn't drink anything more at home. See, years later, I'm still learning.
On an appointment I had with a nurse learning how to do the grastofil injection, I mentioned about being hot at night and she didn't seem too concerned. I am also 53 so hot flashes are not new to me. When I have been exceptionally warm, I check my temperature and so far it's normal.
At first I was using a notebook to record things, but now I have changed to a binder. I want to document my chemo cycles and maybe I will be able to be better prepared for the side effects start dates. Fingers crossed anyway.
What I was wondering about the diarrhea part is not that you get it each cycle but whether you will get it more then once in the same cycle? So far it happened just the one day but I took meds to stop it. I have also been drinking hydralite since I had diarrhea. Hoping that hydralite will replace the lost fluids/electrolytes.
I got the hot flashes with chemo/Herceptin. I was constantly taking my temperature to make sure I wasn't feverish, and I never was. By mid way thru my treatment I quit with the thermometer. My hot flashes continue, but much worse now that I'm on Tamoxifen. I get the night sweats too. I wake up and it's covers off because I'm too hot, then it's covers on because I'm freezing. It's like my internal thermostat has gone crazy. I never had much grief with my natural hot flashes but the ones I get now are spectacular, I turn red - ears, throat, chest, I break out in a sweat and feel like I'm about to spontaneously combust. Not pleasant, but not the worst side effect ever.
As for the diarrhea, I never had a problem. I suffer from IBS-D so I was extremely concerned that the chemo would make my existing issue a bigger problem. Turns out, while I was having chemo my gastro issues normalized and for a while I felt just like a normal person again. I suppose the chemo was making me a bit constipated but with my existing issue it wasn't a real problem. Now that chemo has been over for 6 months my IBS-D is back to it old self, unfortunately.
Wishing you well with the remainder of your treatments.
I am starting my first chemo treatment next Thursday, May 30th. 4 treatments, once every 3 weeks and then a second set of treatment sessions once every week for 12 treatments. 4. I don't know which drugs I will be on at each of these treatments because the nurse just wrote AC/wkly TAXOL on the Fever Card she gave me for the paramedics incase I get a high fever and have to go to the emergency department. The 3 listed in the binder they gave me when I had my first visit with the Oncologist on Tuesday has these 3 drugs listed. Doxorubicin, cyclophosphamide and Paclitaxel. I don't know if anyone recognizes these drugs but I am assuming that they are the ones I will be given.
Anyway, I have gleamed a lot of information from this thread. Thank you.