What should you prepare for during a stem cell transplant (SCT)?
A stem cell transplant is a significant treatment, and knowing what to expect can make the journey a little less daunting. Here's an overview of what to prepare for: Before the Transplant
- Daily injections (like Neupogen) may be given to draw stem cells Show Full Answer
What should you prepare for during a stem cell transplant (SCT)?
A stem cell transplant is a significant treatment, and knowing what to expect can make the journey a little less daunting. Here's an overview of what to prepare for: Before the Transplant
- Daily injections (like Neupogen) may be given to draw stem cells from your bone marrow into your blood
- A port (such as a Hickman catheter) will likely be placed surgically in your chest or arm for medications, fluids, and blood draws
- Your doctor may advise you to gain weight beforehand, as weight loss is common after the procedure
- A heavy chemotherapy drug (such as melphalan) will be given to wipe out existing cells before the new ones are introduced During and After the Transplant
Most people stay in the hospital for two to three weeks. You may experience:
- Fatigue, nausea, vomiting, and diarrhea
- Hair loss
- Mouth sores (chewing ice during infusion can help prevent these)
- Loss of appetite and weight loss
- Trouble sleeping
- Skin rashes
Don't try to tough it out — ask for anti-nausea and anti-diarrhea medications. They're there to help! Infection Precautions
Your immune system will be very vulnerable, so strict hygiene is critical. You may be placed on a special antibacterial diet that includes:
- Canned fruits and vegetables instead of fresh
- Only fruits with hard outer skins (like bananas or melons) that can be thoroughly washed
- Meat cooked extra well done
- No fast food or restaurant food until your counts recover What to Bring
A MyMyelomaTeam member suggested packing items that can be sterilized, such as:
- Photos
- Music and movies
- Books
That said, the same member noted sleeping was a big part of recovery, so don't over-pack! After You Go Home
You'll need several medications post-transplant, including antibiotics, antivirals, and antifungals. Maintenance medications are also typically prescribed for several years to sustain the treatment response.
Always keep your care team informed about how you're feeling, and don't hesitate to ask questions at every step of the process.
August 10