Doctor insights on:
Green Black Bile Vomit Cancer Patient
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Liver Cancer patient SGPT (ALT)=84 U/L, SGOT (AST)=121 U/L, BILIRUBIN=10.91 with no bile duct obstrcton in Ultra Sound. Does this mean liver is failing?
Can't tell w/ these.: The bilirubin level is high (whether direct or indirect bilirubin) & this can lead to jaundice. However, the TREND is more important than 1 lab value - without knowing your history & past lab results better, it is hard to determine. Also, liver "function" is also measured by cholesterol, complement, & coagulation tests (INR, PTT). Even with these blood tests, sometimes a biopsy is needed. TTYD. GL ...Read more
Increase caloric int: Increased intake of calories is the only way to gain weight. Some foods are more rich in calories (dairy products and meat dishes) than others (pasta, grains etc). Calorie dense foods will help put on more weight. Taking a bed time snack in addition to the 3 regular meals a day will help to gain weight. ...Read more
Many ways: Very commonly organ failure will be a big clue - marrow failure, liver failure, respiratory failure, etcetera. Prior to any of these things setting in, it is very important to have end of life discussions and understand a person's wishes with regard to resuscitation, living will, healthcare surrogate, spiritual wishes, etc. ...Read more
Unfortunately nothing specific but notable decline in activity. Sometimes increase sleeping, unable to care for self. Increasing pain like symptoms. Extreme fatigue and weakness. Less communicative.
Of course laboratory assessment can be very telling with abnormalities noted in liver function and kidney function. ...Read more
Depends on you.: This probably depends on your situation with cancer. If it is curable, and treatment is successful, there likely won't be any. If it is involved, and treatment is complicated, loss and grief can happen at any time, depending on how you feel. Different people get affected by different things. Some are affected very little, and understand this is what they must do. Group therapy may help.. ...Read more
What is the best way that you have found to offer comfort 4 family members of a terminally ill cancer patient?
Concrete offers: Make specific offers, like "i'm bringing a meal over this week; what night is best? " offer to update their friends via email/phone so they can spend time with their dying loved one. Mow their lawn, take their dog for a walk, pick up groceries or dry-cleaning, do the laundry...And just be available as a friend. ...Read more
Yes, it can be: Some patients have great restlessness and agitation at the end of life. Thorazine (chlorpromazine) is among the medicines that can be helpful in such palliative care situations. Http://tinyurl. Com/lo7p272 it can also be used for persistent hiccups that are extremely troublesome for people whose cancers are irritating their diaphragms. Http://tinyurl. Com/mrn4zga. ...Read more
Immaterial: Brand does not matter. Any mask will do the samejob. ...Read more
Varies: This varies dramatically depending on the stage. Small tumors confined to the kidney may be curable in 90% or more of people, whereas lymph node involvement or involvement of tissues surrounding the kidney may be curable in only a small percentage of people. ...Read more
Indiv or Grp Therapy: I work with many cancer patients in psychotherapy (individual & group) where they explore their emotions in a supportive setting & explore ways to cope w/ those feelings. Some find a renewed intention to explore & resolve issues previously avoided & turn the cancer experience into an opportunity to grow & integrate emotionally. Ask ur dr. For referral to ind or group therapy. Please get support! ...Read more
Any: An oncologist to treat. A surgeon to fix the scar. A radiation specialist to manage late effects. A good primary care physician to keep everyone on the same page. A palliate care specialist to talk about possible outcomes sooner rather than later. A psychiatrist if emotions run wild. A rehab specialist. Any licensed physician. ...Read more
It can be trickey:
Many patients develop hiccups when receiving antiemetics given with chemotherapy. So one of the antiemetics is probaly the cause although it may be difficult to pinpoint. It may be Dexamethasone which is routinely used.
I generally use Ativan which has multiple CNS effects and may help. Occasionally I use benadryl (diphenhydramine) if ativan is already in the mix of antiemetics used. I am curious about others' view ...Read more
Love: I'm sorry for your situation, there's a lot of hope for much testicular cancer. That said your cancer can have little to do with whether someone would marry you. Of course it decreases your chances but on other hand love is that mysterious thing that overcomes all odds. Shakespeare: let me not to the marriage of true minds admit impediments. Love is not love that alters when it alteration finds. ...Read more
Depends on origin: Liver cancer in actuality represents a primary hepatoma of the liver. Such lesions are not staged but rather considered resectable or unresectable. Metastatic liver cancer noted as Stage IV disease has different prognostic features, depending on origin resectablility or response to intra arterial chemo via chemoembolization or isotope infusion or microwave ablation of the solitary lesion. ...Read more
It may be the only way to save the life.
No operation is without risk, benefit, options to be discussed. ...Read more
This is steatorrhea.: People with pancreatic cancer (and other diseases of the pancreas) are unable to mix enzymes normally made in the pancreas with the food in the small bowel. This prevents the food from being digested and absorbed normally, leading to malnutrition and stinky feces. A good palliative for this is to take prescribed pancreatic enzymes orally with the food. That has no side effects and much benefit. ...Read more
Yes: Give him/her a call asap.Get a more detailed answer ›
Dr. Rao is correct: The fact that the principal article on resveratrol was a complete fake should tell you something. Generally, anti-oxidants have been the greatest disappointment in medicine throughout my lifetime. To my knowledge, none of the physicians I work with take any. ...Read more
Find out cause: My first advice would be to find out the cause. Hiccups can be related to any type of irritation of the diaphgram, including tumor growth or metastasis. You can also get hiccups from a pleural effusion. If you can't find the cause, then I have used low-dose Chlorpromazine at a dose of 25 mg by mouth 3-4 times per day to be effective. This medication can have other serious side effects. ...Read more