Doctor insights on:
Medicine For Vipoma
It Can Be Fast: 60-80% of vipomas are malignant and have metastasized by the time of diagnosis. Diagnosis usually takes years because of the insidious onset. They are also associated with men-1 (multiple endocrine neoplasm) syndrome, which is associated with other cancers of the pituitary and parathyroid glands. ...Read more
Resection: VIPomas are neuroendocrine tumors that secrete vasoactive intestinal peptide (VIP) autonomously., They originate in amine precursor uptake and decarboxylation (APUD) cells of the gastroenteropancreatic endocrine system and in adrenal or extra-adrenal neurogenic sites. Whwn defined because of the symptoms produced, surgical resection is indicated. ...Read more
Maybe: Hi. VIPomas are rare. The symptoms of chronic watery diarrhea with dehydration and flushing often prompts the evaluation. I can'r see a physician LOOKING for a VIPoma in a patient with no symptoms! So I don't want to say VIPoma without symptoms is impossible, but if that's the case, why was the VIPoma ever looked for??? Best of luck! ...Read more
I don't have diabetes however my c-peptide test was high. I have been sick for over 1 year now. Can a vipoma cause this?
Not a key finding: Vipomas by producing vasoactive intestional peptide (vip) can increase glycogenolysis from the liver which increases a person's blood sugar. An increased blood sugar would stimulate more Insulin secretion from the pancreas which would increase the serum c-peptide level. There are much more common reasons for an elevated c-peptide level, you should discuss this with your dr. If you are worried. ...Read more
What test would you do to diagnosis vipoma? 1 high VIP & chromogranin, hypok be enough to confirm? How long does diagnosis take?
VIPoma: This is complicated. You may not have the satisfaction of "a diagnosis" until your doctors have found a tumor, removed it and the symptoms have resolved. As I mentioned to you before, you should be seeing someone who specializes in these kinds of tumors. Good luck. ...Read more
One high VIP blood test one normal. Was told VIP can fluctuate & retested when symptomatic. Is this the only way they can officially diagnose VIPOMA?
VIPoma: Presumably you have the cardinal symptoms and signs: watery diarrhea and low K. Yes, plasma VIP should be measured during symptoms, and it should be high. If this is a VIPoma or other neuroendocrine tumor, then it becomes important to localize it. CT/MRI/somatostatin receptor imaging. Most important: go to a center that specializes in this. These are rare, and average doc doesn't see much. ...Read more
Could you have Vipoma w/ out diarrhea? I have had low pottasium, numbness, weakness, hot flashes, high vip test, temp paralysis, low heart rate, dehyd
It comes and goes: VIP levels and diarrhea fluctuate. This is an uncommon condition best managed with a team approach. Adrenal insufficiency and other conditions that cause diarrhea have by now been excluded I would assume. You should have a good talk with your gastroenterologist about what to expect. ...Read more
Should I go to ER? Possible vipoma diagnosis took 2 packets of potassium chloride & still having numbness in fingers and hand, shortness breath.
Do not use if pregna: Category x drugs are contraindicated for use in pregnancy due to studies demonstrating evidence of serious fetal abnormalities in animals, humans, or both such that fetal risks clearly outweigh maternal benefit. Check out http://www.Empr. Com/drugs-contraindicated-in-pregnancy/article/125914/ for more info, including partial list. ...Read more
Laughter, of course: Sorry for the glib answer. Since there are thousands of medicines for thousands of conditions, could you be more specific in your question. Overall, I think antibiotics are one of the most amazing inventions in the history of mankind. ...Read more
Many of them: This is not an easy answer since there are many drugs categorized as unsafe. The american porphyria foundation has good resources on drug safety: http://www.Porphyriafoundation. Com/testing-and-treatment/drug-safety-in-acute-porphyria. Just because a drug may be listed as unsafe doesn't mean it's unsafe for everyone. However, it's important to use caution with any drug that is potentially unsafe. ...Read more
Yes: It is one of the chemo agents used in conjunction with Xeloda (capecitabine) (oral 5FU) or in the chemo combination with Folinic acid, 5 FU and the oxaliplatin as FOLFOX. The platinum targets DNA but in tumors the localization site is on tumor membrane where DNA localizes possibly in the form of mutated mitochondrial DNA ...Read more