Coping with Fatigue from Bowel Cancer

Coping with fatigue from cancer

We all feel fatigue at times, but fatigue for people with cancer is different. It is often chronic (long-lasting) and can persist for months or even years after treatment ends. Most people return to normal energy levels within 6 to 12 months, but for some, it can take longer.


Radiotherapy and Fatigue

Tiredness is a very common side effect of radiotherapy, especially over long treatment courses. This happens because:

  • The body is working hard to repair healthy cells damaged during the process.
  • Treatment can cause anaemia (low red blood cell levels).

You may feel weak or lack the “get-up-and-go” for daily tasks. This usually peaks a few weeks after treatment ends before gradually improving. Small amounts of light exercise, when possible, have actually been shown to help reduce this specific type of tiredness.


Fatigue is Very Real

Fatigue affects between 70% and 90% of people with cancer. It is often described as the most disruptive side effect of all. It is not “all in your head”—it is a recognized medical symptom that doctors and researchers are now prioritizing.

Important: Always let your doctor or nurse know if you are struggling. There are medical interventions and support strategies that can help.

Learning to Manage Your Energy

Think of your energy like a battery that needs careful budgeting. Here are practical ways to save energy in your daily life:

Personal Care

  • Sit down to dry off after a bath or use a towelling dressing gown.
  • Get dressed sitting down; lay clothes out in one place beforehand.
  • Wear loose-fitting clothes with fewer buttons.
  • Rest your foot on your opposite knee to put on shoes (avoids bending).

Household Tasks

  • Place “rest chairs” around the house so you can stop easily.
  • Sit down to peel vegetables, wash up, or iron.
  • Use a duster on a long stick so you don’t have to reach or lean.
  • Shop online or go when stores are quiet.

Family & Support

  • Play “low-energy” games with children (puzzles, reading, drawing).
  • Accept help with housework, shopping, or school runs.
  • Keep nutritious snacks ready to avoid long meal prep.
  • Don’t cut out the things you enjoy—they help you relax.

Colorectal cancer is also known as bowel cancer. Bowel cancer is cancer that starts in the large bowel (colon cancer) or back passage (rectal cancer).

According to the 2024 National Cancer Registry of Ireland (NCRI) report, around 2500 men and women are diagnosed with bowel cancer in Ireland every year 1052 men and  1047 women.

Explore our site to learn more about the condition and some helpful advice to support you at every step of your bowel cancer journey.

'Bowel Cancer: From diagnosis to recovery' is a free booklet that is available for download from the Marie Keating Foundation

01

What You Should Know

A statistical and preventative overview of bowel cancer in Ireland, detailing its prevalence, risk factors, and the specific lifestyle changes that can help reduce its occurrence.

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02

How Bowel Cancer Affects You

A broad roadmap for navigating a bowel cancer diagnosis, covering the essential practical, medical, and emotional steps—from understanding your treatment options to managing the systemic side effects of chemotherapy.

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03

Feelings & Emotions

An overview of the emotional journey associated with a cancer diagnosis—from shock and denial to the unique challenges of finishing treatment.

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04

Bowel Cancer Support

You will come across a variety of medical and other professionals who will provide you with care, support and advice.

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05

What Is Bowel Cancer

A technical and diagnostic overview of Bowel Cancer, detailing the biological symptoms, the standardized systems used for staging (TNM), and how doctors determine the severity (grade) of the disease.

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06

Bowel Cancer & Exercise

The vital role of physical activity and nutrition in recovering from bowel cancer, featuring expert advice on how tailored exercise can combat fatigue and significantly reduce the risk of recurrence.

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07

Fatigue

The reality of cancer-related fatigue, distinguishing it from everyday tiredness and offering practical, energy-saving “life hacks” to help patients navigate daily tasks during and after treatment.

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08

Side Effects

The sensitive physical and intimate challenges following bowel cancer surgery and radiotherapy, specifically focusing on life with a stoma, body image, and long-term sexual health.

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09

Bowel Screening

Learn about the BowelScreen program in Ireland, how the free at-home testing kit works and why regular screening is vital for early detection of bowel cancer.

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10

Advanced Bowel Cancer

The concept of advanced and recurrent bowel cancer, clarifying how the disease spreads locally or to distant organs while highlighting why its origin remains the primary factor in treatment.

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11

Diet & Nutrition

Dietary advice for patients recovering from bowel cancer treatments, focusing on managing digestive changes, wind, and diarrhea through trial-and-error and specialized eating habits.

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12

Returning to Work

Legal and practical advice for returning to work with a personal survivor story, highlighting the balance between professional rights and the long emotional and physical recovery period.

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13

Coping with Terminal Bowel Cancer

Understanding what to expect can help you and your loved ones find a sense of peace and preparation.

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