www.cancer.gov 47 Urinary, kidney, or bladder changes What they are and why they occur Some types of chemotherapy damage cells in the kidneys and bladder. Problems may include: Î burning or pain when you begin to urinate or after you empty your bladder Î frequent, more urgent need to urinate Î not being able to urinate Î not able to control the flow of urine from the bladder (also called incontinence) Î blood in the urine Î fever Î chills Î urine that is orange, red, green, or dark yellow or has a strong medicine odor Some kidney and bladder problems will go away after you finish chemotherapy. Other problems can last for the rest of your life. Drink plenty of fluids if you are getting chemotherapy that can damage the bladder and kidneys. Ways to manage Î You will have regular lab tests. Your doctor or nurse will take urine and blood samples to check how well your bladder and kidneys are working. Î Drink plenty of fluids. Fluids will help flush the chemotherapy out of your bladder and kidneys. See the lists of Clear liquids on page 49 and Liquid foods on page 50. Î Limit drinks that contain caffeine, such as black tea, coffee, and some cola products. Î Talk to your doctor or nurse. Tell them if you have any of the problems listed above.
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