@abinoone I have a proactive mindset, so if it was me, I would get a jump start on the dietary adjustments. In my case, cutting out beans, a dietary staple for me, pretty much did the trick. I also added extra protein to my diet before starting RT and continued throughout and after for a couple of weeks.

When I had the problem with too much gas in my rectum on the second day of treatment, I asked my RO why I wasn’t provided better upfront info about that. Her response was that she didn’t like to overwhelm patients with too much information and preferred to address issues as they popped up. That approach really doesn’t work for me, and honestly, just makes me distrustful and even more anxious. I found the nurses to be much more upfront about things like this.

I will just say this—I tried to be proactive about mitigating SEs during treatment, and as it turned out, my SEs were relatively minor. Can’t prove a causal connection, but there is a correlation.