www.cancer.gov 19 Check with your doctor or nurse before: Î Drinking beer, wine, or other types of alcohol. Î Having sex. Î Taking vitamins, herbs, minerals, dietary supplements, aspirin, or other over-the-counter medicines. Some of these products can change how chemotherapy works. Check with your doctor or nurse before taking any vitamins, herbs, minerals, dietary supplements, aspirin, or other over-the-counter medicines. Let your doctor know if you are constipated. They may prescribe a stool softener to prevent straining and rectal bleeding when you go to the bathroom. For more information on Constipation, see page 20. Your doctor or nurse will check your platelet count often. You may need medication, a platelet transfusion, or a delay in your chemotherapy treatment if your platelet count is too low. Call your doctor or nurse if you have any of these symptoms: Î bruises, especially if you did not bump into anything Î small, red spots on your skin Î red- or pink-colored urine Î black or bloody bowel movements Î bleeding from your gums or nose Î heavy bleeding during your menstrual period or for a prolonged period Î vaginal bleeding not caused by your period Î headaches or changes in your vision Î a warm or hot feeling in your arm or leg Î feeling very sleepy or confused
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