Why platelets are high and hgb low on a patient with prostate cancer and bone mets? do you recommend a g-tube on this patient.

Due to cancer: Platelets high can be a reactant to his metastatic disease, and his anemia can be due to his malignancy and bone metastases. I typically do not recommend a g-tube in advanced malignancy as this has never been proven to extend life, or improve quality. There is a higher risk of aspiration pneumonia, no improvement in weight, muscle mass continues to be lost despite the g-tube.

Talk to oncologist: High platelets could be a sign of inflammation and low hemoglobin a sign of being chronically ill, but your oncologist can do further testing to see if something reversible is causing both of these. A g-tube typically is helpful for obstruction or non-functioning GI tract, if tract working then with terminal cancer cachexia force feeding if not hungry typically doesn't work and adds side effects.