Melissa Dalton

After a stage 3b rectal cancer diagnosis, one patient endured radiation, chemotherapy, surgery, and complications, relying on resilience, advocacy and support.

In November 2021, I received a diagnosis of stage 3b rectal cancer. As someone who had been passionate about exercise for 30 years and committed to a healthy lifestyle, including taking vitamins and eating well, the news came as a complete shock. I vividly recall asking my gastrointestinal doctor, following my colonoscopy, “Are you talking to me?” The anxiety and stress of waiting for the cancer to be graded were overwhelming.

Once my cancer was graded and my team of oncologists was assigned, a treatment plan was put in place. I resolved to do whatever was necessary to overcome this disease. I was fortunate to be placed on a new treatment regimen at UCLA and to be supported by excellent oncologists.

Facing intensive IMRT radiation and two types of chemotherapy over nine months was daunting. I quickly realized the importance of self-advocacy, regularly asking my oncologists questions about both radiation and chemotherapy. Before starting the five days of high-intensity radiation at UCLA, I inquired about expected side effects, how the treatment would affect my body, and how soon symptoms would appear. The side effects of radiation were extreme — my body felt as if it was burning from the inside out. During this difficult period, I drew strength from decades of physical training and my inner resilience. Maintaining a positive outlook helped me endure the pain, reminding myself that it was temporary and would lead to positive results.

Chemotherapy brought its own challenges. I kept up my advocacy, asking how I might feel, what to expect, and what I would need to get through treatment. Despite dropping from 132 to 90 pounds at a height of 5 foot 10 inches, and suffering severe side effects, I persevered through both types of chemotherapy. Throughout, I made efforts to live as normally as possible by working, going to the beach, walking, and striving for a sense of routine. The love and support of family and friends were invaluable, and I occasionally turned to a Facebook group to see others’ experiences and share my own, though I did not rely on this heavily.

In July 2022, because the cancer had not responded sufficiently to treatment, I underwent surgery to remove my rectum. An anastomosis was created, and once again, I committed myself to recovery — learning about ileostomy bags and lower anterior resection syndrome and was determined to overcome any obstacles that arose. The anastomosis required frequent dilatations, and unfortunately, one procedure resulted in a recto-vaginal fistula.

In 2024, I underwent seven surgeries to address complications from the fistula. As of now, I still have an ileostomy and am awaiting surgery to correct the fistula, hoping to return to a more typical life. Throughout this journey, I would not change my approach — self-care, a positive attitude, advocacy, and trust in my doctors have been essential. Education and self-empowerment have also played critical roles.

I have been back at the gym for over a year now and, aside from my weight (which I hope will improve after the ileostomy is removed), I feel nearly as strong as before this journey. The key has been attitude, knowledge, and holding onto a love for life — pushing through the hardest days while knowing better ones are ahead. Relying on the support of family and friends, and finding strength and courage within, has made all the difference.

This piece reflects the author’s personal experience and perspective. For medical advice, please consult your health care provider.

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Articles

Receiving a stage 3b rectal cancer diagnosis was a shock, especially for someone committed to a healthy lifestyle. The treatment journey involved intensive IMRT radiation and chemotherapy, requiring self-advocacy and resilience. Despite severe side effects and significant weight loss, maintaining a positive outlook and routine was crucial. Surgery was necessary due to insufficient treatment response, leading to further complications. Seven surgeries were needed to address a recto-vaginal fistula. Throughout, self-care, advocacy, and support from loved ones were vital, with a focus on education and empowerment.

Melissa Dalton

Finding Strength Through Rectal Cancer Treatment and Recovery

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