Doctor insights on:
Best Cll Treatment
My mom diagnosed with CLL and m really worried for her . RBC count is fine so far . Doc suggested chemo therapy . Best solution ? Coral calcium helps?
Depends on stage: For the patient with early stge cll the treatment is only observatio, meaning no therapy. When the disease stage advances or complications such as infections or low blood counts develop, at that point chemotherapy is started. Type of chemo depends on patient age, activity and can range from oral pills to combination regimens. ...Read more
Nothing: The indication for cll therapy are the following: stage 3 (hemoglobin <10), stage 4 (platelets<100, 000). A rapid lymphocyte doubling time is also a reason. It should not be treated at rai stage 0 or 1. It is not curable, so treatment is given only when needed. If the leukemia starts bothering the patient, then time to treat the leukemia. Hope this helps. ...Read more
How should I expect to feel after an ivig treatment. I'm a 76 year old male living with cll thanks?
IVIG treatment: There are 2 ways to receive igg- IV or subcutaneous. Iv preparations, sometimes cause infusion reactions - headache, chills, rashes. Either the rate of infusion, certain premedications or changing the product can minimize these reactions. Once you receive a few doses, you should have more protection against common infections, which should help you feel better, due to less infections. ...Read more
What could cause my wbc to go from 2.9 to 5.0 in three weeks? I have CLL, but have had no treatment yet.
Mu: Likely nothing, just a normal variation. Less likely, infection. ...Read more
After 9 years of wait & watch with cll - my doctor wants to start treatment with a 6 cycle regimen of FCR drugs. Is this appropriate?
FCR is highly effect: FCR is a good regimen for patients who are fit and under 70 years of age because it does cause considerable suppression of blood counts. The long term results with FCR are very good. But do consider other options with news drugs which produce equally impressive results. An Example would be Ibrutinib used alone or in combination with Rituximab. You may seek a 2nd opinion to help you chose between v ...Read more
I've been on a wait & watch for cll for over 8 years. My WBC numbers have slowly reached 100k . What will determine if and when I receive treatment?
My 87 yr old sister has cll.will not take treatment. Has wax of 103,500.what are poss. Side effects?
CLL: CLL typically progresses more slowly than other types of leukemia. Prognosis depends on the disease stage at diagnosis as well as the presence or absence of high-risk markers. Most patients live 5-10 years, with a relatively benign course, which at her age does not sound too bad. Best of luck to both of you. ...Read more
What is the treatment for CLL (stage one)? Neck lymph are larger than normal, One Dr. Said removal of the lymph and chemo, another one said do nothing
Some options: CLL in early stages(Stage-1) typically does not require treatment. yet it needs to be monitored to see if it is static or progressive into stages 2,3,4. If it is progressive, then further treatment is required. You should find a good doctor(internist or Medical oncologist) who can supervise your care and guide you further in the future. ...Read more
Husband,57 has cll,no treatment yet; been told he has proteinuria, but kidneys ok. Can you tell us why, please? Connected to cll? Thank you.
Protenuria: The loss of protien in the urine ocurrs when the kidneys stop filtering blood correctly. A simplifed explanation is that the filter paper that make up the kidneys becomes more porus, allowing large protien molecules to pass. A typical cause of this is IgA nephropathy, which can be assocaited with lymphomas and CLL. Other common causes such as diabetes would need to be excluded. ...Read more
Have cll. Total WBC are 15.0. Lymphocytes are 75, neutophils 23 and monocytes are 2. Do i need treatment now?
Not based on numbers: What determines the need for treatment is the development of severe symptoms-such as weight loss >10%, profuse (not mild) sweats, fever, significant enlargement of lymph glands, low red cells, low platelets, and rapid doubling time of the leukemic cells (6 months or less). Cll patients need follow up at regular interval, precisely to monitor the possible need for therapy. ...Read moreSee 1 more doctor answer
My father in law has cll had 2nd chemo treatment last week he felt constipated yesterday drank mettamucell got diariah what shld he take no appetitite?
See MD: Your father-in-law should contact his doctor and let the doctor know what is going on. Most importantly is to keep fluids going in--any fluids--as diarrhea will deplete fluids and this must be replaced. He might benefit from simple foods for now--as applesauce and baked potato with spices to make him comfortable.. I would not use greasy or fried foods at his time. Hope this helps. ...Read more
Cll 7 yrs no treatment. In bone marrow. Bone pain is new-feel like flu, tired sick hurting all over. Could this be cll or something else?
Not likely but could: It doesn't sound like it would be related, but i would be more suspicious if there were other changes, i.e.: increasing wbc, dropping hemoglobin or platelets, swelling lymph nodes, fever, sweats, chills, itching, etc. Whoever is following you for cll should check you out and get some blood tests. ...Read more
I am living with af (came back after three shock treatments) and taking warfrin. Also have cll for past 11 year. I'm 77. How will life exp be affect?
Depends: Depends on how stable is your cll. If the cll has been stable for the last 11 years and there is no need for therapy to be started- it is likely that the cll won't affect your life expectancy significantly which means your other problems like your heart problems and other diseases you may have would be more important contributors to your life expectancy. Live your life fully one day at a time. ...Read more
See below...: Chronic lymphoblastic leukemia does not exist. Cll stands for chronic lymphocytic leukemia. Lymphoblastic leukemias are acute.The only known complete cure for cll is stem cell transplantation; however, many patients do not need any form of therapy unless there are symptoms or adverse prognostic factors. Cll is usually not an aggressive form of leukemia and has a relatively good prognosis overall. ...Read moreSee 2 more doctor answers