Transplant - bone marrow - discharge; Stem cell transplant - discharge; Hematopoietic stem cell transplant - discharge; Reduced intensity, non-myeloablative transplant - discharge; Mini transplant - discharge; Allogenic bone marrow transplant - discharge; Autologous bone marrow transplant - discharge; Umbilical cord blood transplant - discharge
You have had a bone marrow transplant. It will take 6 months or more for your blood counts and immune system to fully recover. During this time, your risk of infection, bleeding, and skin problems is higher.
Your body is still weak. It may take up to a year to feel like you did before your transplant. You will likely get tired very easily. You may also have a poor appetite.
If you received bone marrow from someone else, you may develop signs of graft-versus-host disease (GVHD). Ask your doctor or nurse to tell you what signs of GVHD you should watch for.
Rinse your mouth 4 times a day with a salt and baking soda solution. (Mix one half teaspoon of salt and one half teaspoon of baking soda in 8 ounces of water.)
Your doctor may prescribe a mouth rinse. Do not use mouth rinses with alcohol in them.
Use your regular lip care products to keep your lips from drying and cracking. Tell your doctor if you develop new mouth sores or pain.
Do not eat foods and drinks that have a lot of sugar in them. Chew sugarless gums or suck on sugar-free popsicles or sugar-free hard candies.
Take care of your dentures, braces, or other dental products.
Take care not to get infections for up to 1 year or more after your transplant.
Wash your hands with soap and water often:, including:
Keep your house clean. Stay away from crowds. Ask visitors who have a cold to wear a mask, or not to visit. Do not do yard work or handle flowers and plants.
Be careful with pets and animals.
Ask your doctor what vaccines you may need and when to get them.
You will need close follow-up care from your transplant doctor and nurse for at least 3 months. Be sure to keep all your appointments.
Call your doctor if you have any of these symptoms:
Be The Match. Post-transplant care guidelines. http://bethematch.org/For-Patients-and-Families/Support-and-resources/Educational-resources/Survive-resources. Accessed May 7, 2014.
Bishop MR, Pavletic SZ. Hematopoietic stem cell transplantation. In: Abeloff MD, Armitage JO, Niederhuber JE, et al., eds. Abeloff's Clinical Oncology. 4th ed. Philadelphia, PA: Elsevier Churchill-Livingstone; 2008:chap 32.
Vose JM. Hematopoietic stem cell transplantation. In: Goldman L, Schafer AI. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 181.
Updated by: Todd Gersten, MD, Hematology/Oncology, Florida Cancer Specialists & Research Institute, Wellington, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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