Bone Marrow Suppression and Chemotherapy

The side effects of chemotherapy (chemo) depend on the type of chemo. They also depend on the amount given. Side effects can be planned for and managed. This will help reduce them and give the best possible experience for the person getting chemo.

What is bone marrow suppression?

Each person's health profile and diagnosis are different. Their reaction to treatment is different, too. You may not have side effects. Or they may be mild or severe. Talk with your cancer care team about the possible side effects of treatment before the treatment starts.

Nearly all chemo medicines suppress the bone marrow. This causes the marrow to make fewer red blood cells. The timing of this effect varies by the medicines used and the doses used for your treatment. Red blood cells carry oxygen and white blood cells fight infection. Platelets help control bleeding and bruising. The risks for anemia, severe tiredness (fatigue), infection, bleeding, and bruising go up when your bone marrow is suppressed.

What are the symptoms of bone marrow suppression?

These are the most common symptoms of bone marrow suppression. But symptoms may be a bit different for each person.

Symptoms of a low red blood cell count may include:

  • Fatigue

  • Pale skin, lips, and nail beds

  • Faster heart rate

  • Easy tiring with exertion

  • Dizziness

  • Shortness of breath

Symptoms of a low white blood cell count only happen if an infection occurs because of the low count. These may include:

  • Fever and chills

  • Mouth sores 

  • Rash

  • Diarrhea

  • Swelling

  • Redness

  • An area that is warm to touch

Symptoms of a low platelet count may include:

  • Easy bruising

  • Bleeding through nosebleeds, or from the gums or mouth

  • Tiny red spots on the skin

  • Blood in the urine

  • Dark or black bowel movements

The symptoms of bone marrow suppression may seem like other health problems. Always talk with your healthcare provider for a diagnosis.

Online Medical Reviewer: L Renee Watson MSN RN
Online Medical Reviewer: Raymond Turley Jr PA-C
Online Medical Reviewer: Todd Gersten MD
Date Last Reviewed: 11/1/2020
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