Doctor insights on:
Vomiting Expect Chemotherapy
Expectations : Nausea should be expected. Vomiting can occur. Though, you should have access to plenty of medications for nausea. Many people have flushing or an odd taste while getting chemo. Pain would be very unusual. There are some chemo meds that can have an allergic effect, so rash and flu-like symptoms can occur. ...Read more
Taking metoclopramide tid for nausea/vomiting occurring after pelvic radiation therapy, vomiting diminished but nausea still occurs. Any better meds?
Sure, but...: Is your nausea/vomiting due to sluggish emptying of the stomach, local inflammation, or a functional process? Assuming evaluation to date has ruled out obvious organic disease, then anti-emetics that are centrally-acting (zofran) or prokinetics drugs are worth discussing with your doctor. Metoclopramide, while a useful agent, is frought with possible side effects. ...Read moreSee 1 more doctor answer
Suffering extreme fatigue and loss of appetite following first chemo treatment for metastatic pancoast tumor. Any guess how long this will last?
Few weeks to few Ms: As side effects for chemotherapy medications you will be having them . Also whether you are responding to the treatment or not , the symptoms persisting after will give an indication. Well responding tumours after minimum of 4-6 wks of therapy should be showing some improvement of appetite , less fatigue etc. Your oncolo. & pcp will be following you in this regard in addition to you watching wt. ...Read more
Taking metoclopramide tid for nausea/vomiting right after pelvic radiation session, vomiting diminished but nausea still occurs. Any suggestions/meds?
After undergoing surgery, chemotherapy, radiation, herceptin (trastuzumab) then hormonal treatment, how much more can my body tolerate?
MAGIC MOUTHWASH: Mouth sores can be a sign that your white blood cells have dropped. Get labs drawn. For relief of symptoms while discomfort resolves several combinations exist. My favorite: nystatin/maalox/carafate - very soothing. Other include: benadryl/nystatin/maalox - can burn and viscous lidocaine/nystatin/maalox - will numb your entire mouth/tounge. ...Read moreSee 1 more doctor answer
Stage 2B idc breast cancer-neoadjuvant ... Had taxol/herceptin (trastuzumab) for 16wks. Now a/c chemo.. Is it risky to be without herceptin (trastuzumab) until surgery in jan?
Should be okay: You are receiving ac now and i think (and i hope) it should take care you cancer well --to shrink it down further- so you can have surgery in january. It is not safe to combine adriamyicn and Herceptin (trastuzumab) as it could give you significant problem with your heart. Once you are done with surgery- you will need Herceptin (trastuzumab) to be continued for 1 year. ...Read moreSee 3 more doctor answers
Complete appetite loss in chemo for metastic colon cancer , does not feel like eating anyting . Is this unusual ?
Yes: Sadly yes a lot of cancer cause appetite loss even without the side effects of chemo. That's why people think that smoking marijuana which has it's own side effect of giving you the "munchies" would help cancer pt eat better. I think cancer pt's should be allowed whatever they need especially if they are in pain and need help should have access to whatever makes them feel better. ...Read moreSee 1 more doctor answer
NO SPECIFIC REASON: Here are 3 possible reasons: 1) Most clinical trials use this sequence, although it has been given after in other studies as well 2) Etoposide is a shorter infusion 1-2 hours, Ifosfamide typically hours to 24 hrs, requiring monitoring of urine 3) Giving etoposide 1st also allows opportunity to give IV hydration prior to ifosfamide ...Read moreSee 1 more doctor answer
Ciii ovarian cancer in 06, 1212, surgery and chemo paxitaxtel/carboplatin. In remission. Recurrence treated with tamoxifen, carboplatin alone, abraxan, then topotacan to no avail. Which chemo next?
Many options: Choosing chemo depends on many factors, so only your doctor can decide what might work for you. Drugs you haven't mentioned include altretamine, capecitabine, cytoxan, (cyclophosphamide) vinorelbine, ifosfamide, etoposide, and irinotecan. There are also several hormonal agents. And a clinical trial might be an option. Check out www.Cancer.Gov for more info. And good luck. ...Read moreSee 1 more doctor answer
Oncology: What do you think of the protocol of zofran (ondansetron) and dexamethasome for 2-3 days post chemo for pancreatic cancer? Bad vomiting/nausea.Worthwhile?
Evolving science: In 2006 we occ. used palonosetron with steroids: http://annonc.oxfordjournals.org/content/17/9/1441.long These days, thanks to an HT reference given to me, we sometimes try drug combos: http://ecancer.org/journal/9/full/567-comparative-evaluation-of-triplet-antiemetic-schedule-versus-doublet-antiemetic-schedule-in-chemotherapy-ind Fight the fight and best wishes. My Mom sucked on ginger candy. ...Read more
Worried - fever at 38.6 after 14 days from chemo. Can this be cancer progressing ? On oxyplatin and raltitrexed for metastic colon cancer ?
Fever after chemo: is typically considered an oncologic emergency and you should go to the hospital or call your oncology nurse/team for further instructions. You may be "neutropenic" from your chemo, meaning that the WBCs that fight acute bacterial infections are very low. This can put you at risk of becoming seriously ill, and again you should be seen ASAP. Fever is not typically a sign of cancer progressing. ...Read more
Talk to your doctor: I would strongly suggest you talk this out we your oncologist. The present chemotherapy regimens exist to allow you the best chance at remission. While stopping early doesn't mean the end of the world - it does mean you may hurt your chances at successful treatment - something like this shouldn't be done lightly. Please take your time with a decision like this and rely on trusted care providers ...Read more
AFTER taxol/A/C for breast cancer stage2,path result-Lympho vascular invasion-shouldn't chemo resolved this? What now?
Ask your oncologist!: You need to givel us more information...Did the tumor shrink on chemotherapy? How much. shrinkage? If the tumor did not shrink much, that is a bad sign. But if it reduced in size substantially then you are on the right track. But your oncologist can address your questions and guide you better. ...Read more
Medication: Begin with basic nausea medicines such as Compazine or phenergan, (promethazine) if not improved then more expensive medications such as Zofran or others. It also helps if patients avoid smells or foods that seem to trigger the symptom. Sometimes even perfumes and non food smells may be an issue and you can avoid them if suspected. Foods like crackers, 7-up, ginger ale or ginger root can help. ...Read moreSee 2 more doctor answers
Yes: If a 2b lesion has been completely resected with a lobectomy and there is no problem 6 months post surgery the best approach is for careful follow up. Adjuvant radiation for this stage of disease has shown no survival benefit and adjuvant chemo if initiated following surgery has only shown a 5% improvement in survival. ...Read more