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Adverse effects of chemotherapy for breast cancer - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Breast Cancer
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3387 Questions
Doctor :   Hi
Doctor :   I am Dr
Doctor :   How can I help you ?
User :   Undergoing chemo would like to know the side effects
Doctor :   Ok, Could you give me some more details pertaining to the Chemotherapy ?
User :   Would like to know whether osthoporosis is one of the side effects and how can u counter the same
Doctor :   Can you tell me the age of the patient ?
User :   50 yrs
Doctor :   Ok.
Doctor :   The most common side effect to bones would be bony pains.
Doctor :   Also effecting the cellular growth inside the marrow like thrombocytopenia and anemia.
Doctor :   I am sorry I typed capitals.
Doctor :   Is the patient male or female ?
User :   female
Doctor :   Ok.
Doctor :   Let me explain to you even otherwise without the chemo women who reach menopausal age have greater chances of Osteoporosis.
User :   Already reached menopause 10 yrs back
Doctor :   So it would be better to take 1. Calcium Supplements and 2.Vit.D supplements And sometimes even 3. Hormone Calcitonin could be given depending on the advise of the Oncologist and Orthopedician
Doctor :   For this the patient needs to run through few tests : Doctor :   1. Bone Density Test
Doctor :   2. Serum Calcium levels
Doctor :   3. Some cases Calcitonin levels
Doctor :   Walikng in sunlight would be of lot of help.
User :   all three tests
Doctor :   First two tests are usually done, if they are fine then The third test.
User :   what about urinary infection is that also a side effect
Doctor :   How is the Renal function ? Have any test been done for that or Is the chemotherapy causing any Renal toxicity which is very common ?
User :   no test have been done
User :   which test should be done
Doctor :   Yes , You are absolutely right, Urinary infections are very common in chemotherapy because of Immunosuppression and dryness in all cavities.
Doctor :   Lots of fluids, fresh fruit juices are advised.
Doctor :   They are called Renal Function Tests : Doctor :   1. Serum Creatinine
Doctor :   2. Serum Uric acid
Doctor :   3. Serum Urea
Doctor :   4. Serum elctrolytes.
User :   after doing these tests is it better to see a gynac or oncologist
Doctor :   Oncologist is the concerned doctor. These days we have Gynec oncologists for more help.
Doctor :   Where exactly is the Carcinogenesis or Malignancy in the patient ?
User :   Did not understand your question
Doctor :   In which part is the malignancy present ?
User :   Breast
Doctor :   Ok
Doctor :   Please take the help of the Oncologist, They can guide you exactly on this problem rather than a Gyn-Oncologist.
Doctor :   Hope I have been helpful and answered your queries ?
Doctor :   Do you have anything else to ask ?
Doctor :   Hope you have followed ?
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