Doctor insights on:
About High P H Therapy And Chemo
Cea analysis was increased to 1500 before treatment of secondary bone cancer but after radiation therapy and 3 chemotherapy sessions dropped to 1000?
Tx is bi-weekly with fu5 + avastin (bevacizumab). Cea is reliable, tested at start of tx. Cea drops significantly with neulasta/neopogen tx following chemo. Why?
The doctor prescribed melpalan, velcade (bortezomib) and dexamethasone for 78 yrs old male with multiple myeloma. He later increase the dose of melphalan from 10 mg to 14 mg despite the treatment progress. Is this warranted considering high AST and alt?
Speak with physician: The best advice at this point is to speak with the treating physician and ask for an explanation regarding the increase in the medication given the progression of disease on the current treatment. If you are not satisfied with the explanation then by all means seek a second opinion consultation. At times, changes in regimens are easily explained; don't be afraid to ask. ...Read more
Good evening, pt with prostate cancer & TURP done for him in 2010 & now on hormonal therapy but the tpsa level increased > 70. Why? What to do? Thanks
Biochemical relapse: Most likely this is a case of biochemical relapse. However, metastatic disease should be ruled out ( ct scan, bone scan) . If there is no site of metastatic disease- then it is biochemical relapse. Then in that case, he should see a radiation oncologist for local radiation to the prostatic area, in addition to hormonal therapy. Discuss further with oncology team. ...Read moreSee 1 more doctor answer
My doctor wants to use biological therapy instead of chemotherapy for my slow growing thymoma cancer. Could that treatment be effective?
Had radical prostactemy, PSA level that has been 0.8 in last 2 readings. Doing hormone treatment, should I do radiation as well or diet changes?
PSA pretty good..: Often, in your situation we would like to see the PSA be undetectable, but 0.8 is low & reassuringly stable. Only your treating physicians can advise you on the risks/benefits of adding a treatment such as radiation in your individual case. Besides generally healthy eating, two diets may reduce prostate cancer risk: Japanese-green tea/soy/veggies/fish & Mediterranean-tomatoes/garlic/olive oil,etc ...Read more
Chemotherapy agents: Work by several different mechanisms. Some block cell cycle progression, for example by inhibiting dna synthesis or mitotic spindle function. Others damage dna (eg., by covalent modification or strand breaks) and activate checkpoint controls to prevent those errors from being propagated and instead causing apoptosis. Radiation works similarly. Some, but not all agents work best on dividing cells. ...Read moreSee 1 more doctor answer
After total thyroidectomy, i131, and yrs in bipolar Meds...low ALT results and extremely low alkaline phosphate, which has been low for 4 yrs. ????
Hi! how can I treat low urea level in patient with liver disease and what is the role of lola in lowering urea level ! thanks a lot
Low urea is good: Most labs report "normal" range for blood urea nitrogen as with serum creatinine. In fact BUN should ideally be reported as normal < 20 in adults. Babies should have very low bun, lower the better. Your liver problem is something else and best discussed with your GI dr. ...Read more
My sister is on chemotherapy (folfox for metastatic colon cancer). Recent blood test shows high WBC (14, 000) and platelets (429). Is this okay?
No worries.: High WBC can be due to many causes: infection, stress, steroid use, dehydration, or the use of growth factor (such as neupogen). If there is no evidence of infection, then there is nothing to worry about. High platelet count is not uncommon since it is a body's reaction to stress of any cause (platelet is an acute phase reactant). Again, nothing to worry about. All the best, hk. ...Read moreSee 1 more doctor answer
Avg BP used to be 140/93 changed diet for 1 mo and BP dropped to avg of 128/88. Cardio wants to explore medication. Can diet and lifestyle lower more?
Hello Doctors, my mum is undergoing chemo (Gemcitabine and Abraxane) for pancreatic cancer. Please advise what food & drinks to increase blood count.
73 year old male with PSA 20, Gleason 7, prostate adenocarcinoma
Choice of surgery or radiation with hormone therapy
Which do I choose?
Prostate: Ask your doctor for the names of several patients who have done these procedures and speak w/them. They will give you personal responses to each procedure which can help you w/decision making. Peace and good health. ...Read more
Would "4 life factor plus" or max international's products do any good on a 59 year old cancer patient? He's on chemo with eloxatin (oxaliplatin) and capecitabina.
SORRY (:-( - NO: Unfortunately no. "tranfer factor" is one of the current fads, just see who is selling these products, literally your neighbors or friends. From what i can gather this person has colon cancer. These two chemotherapy agents are appropriate in this setting. Stick to what we know works. ...Read more
Blood pressure very high 200/96 inspite of many tab for bp, blood sugar also high around 260. She has a hb count 8.5 inspite vitcofol 2ml weekly. Help?
Needs urgent care: A BP of 200/96 in someone with heart disease is very dangerous. The blood sugar is also rather high (vitcofol wont help that) but the BP is more dangerous. Causes of resistant hypertension include: 1. Sodium retention - low salt diet and a loop diuretic such as Furosemide can substantially reduce bp 2. High aldosterone levels - spironolactone can block these. Need to see a doctor urgently. ...Read more
What does it mean to have a high monocytes and low neutrophils absolute count while I am taking Nexavar, (sorafenib) a chemotherapy for advanced thyroid cancer?
Effect of chemo: Low neutrophils are expected with chemotherapy agents, as the drugs destroy them (in the process of destroying the cancerous cells.) High monocyte count can be due to an infection or inflammation. Also, as the blood counts recover after a dose of chemo, the monocyte count can also be temporarily improved. Good luck with your cancer treatment. ...Read more