CancerNausea.com - Symptom Diary – A tool to keep detailed records of your symptoms

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What should you tell your doctor or nurse?

Choosing the right antiemetic

Tips for discussing nausea and vomiting with your doctor

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Symptom Diary

A Symptom Diary is one of the best ways to keep a detailed record of your symptoms. By taking a more active role in controlling your symptoms, you ensure effective communications with your doctor, nurse or pharmacist and selection of the best treatment option for you.

CancerNausea.com has provided you with a detailed Symptom Diary. By writing down how often you feel nauseous or vomit after your cancer treatment, how severe it is, as well as a record of the foods you have eaten, you will help your doctor, nurse or pharmacist find better ways to improve your nausea and vomiting.

Click on the links below to get started on your Symptom Diary.

Available in English, Spanish, German and Italian

Sample Symptom Diary (Adobe® PDF)

Symptom Diary (Adobe® PDF)

Symptom Diary (Microsoft® Word)

Modelo del Diario de Síntoma (Adobe® PDF)

Diario de Síntomas (Adobe® PDF)

Diario de Síntomas (Microsoft® Word)

Symptomtagebuch - Beispiel (Adobe® PDF)

Symptom-Tagebuch (Adobe® PDF)

Symptom-Tagebuch (Microsoft® Word)

Esempio Diario dei Sintomi (Adobe® PDF)

Diario dei Sintomi (Adobe® PDF)

Diario dei Sintomi (Microsoft® Word)

Information to include in your Symptom Diary

Keep a daily log and record:

When you felt nauseous or vomited.

- How bad were these symptoms? Rank them from "Mild" to "Moderate" to "Severe"

- How many hours or days after your chemotherapy or radiation treatment did these symptoms occur?

- What medications did you take on the days you felt nauseous or vomited?
Any foods you ate that helped lessen your nausea or made your symptoms worse.
All other medications you took, including vitamin supplements, herbal supplements, aspirin, etc.
All prescription medications you took and how these medications helped your symptoms or made them worse.
Any activities that you think may have caused your nausea and vomiting. Try to avoid these activities.
Any activities that help take your mind off your symptoms. Try to increase these activities, which may include:

- yoga

- watching your favorite TV shows

- talking on the phone

- being out in the fresh air

- playing video games (especially for kids)

Tips for Keeping a Successful Symptom Diary:

Make your Symptom Diary a daily part of your routine; always carry it with you and write down any change in symptoms or events.
Show your Symptom Diary to your healthcare professionals as soon as you start it. Inform them that you’d like to review this with them on each visit or check-up.
Remember, the more you information you record, the more useful the Symptom Diary will become as your move through your treatment course.

Please Note: These Symptom Diary documents are provided in Adobe® Acrobat Reader format (PDF). To view or print them, you must first have Adobe® Acrobat Reader (version 3.0 or higher) installed on your computer. If you do not have the Reader, you can obtain it free from Adobe Corporation. Click on the icon below to download the program from their Web site.