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Suffering From Liver Cancer With Lung Metastasis. Feeling Weak And Abdominal Tightness. Treatment?

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Posted on Sun, 22 Sep 2013
Question: My father is suffering from liver cancer with lung metastasis. presently he has gone very weak and feeling severe abdominal tigntness (abdomen and leg is swollen). What would be the line of treatment for this. please guide.
doctor
Answered by Dr. Pankaj Malhan (2 hours later)
Brief Answer:
General Management

Detailed Answer:
Hi

Thanks for asking.

As you are aware that the liver cancer with lung metastasis is the incurable condition in which cure is not a possibility.

Most of the medical management revolves around the symptomatic relief , providing the pain management and nutritional support.

Get the proteins levels checked as he may need some supplementation.In some cases fluid tablets ( Diuretics ) help o relieve the swelling.

In some cases even with metastasis chemotherapy is also advocated.

Thanks.

Please let me know if you need more information.






Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pankaj Malhan (16 hours later)
Can he be given intravenous saline (glucose) in case he feels very weak and is unable to take food orally? if yes, How frequently? will it be helpful to add multivitamin infusion to saline if he is not able to take mutivitamin and calcium tablets? Pse suggest some diuretics also.
doctor
Answered by Dr. Pankaj Malhan (3 hours later)
Brief Answer:
Yes

Detailed Answer:
Yes, IV fluids are the only option if a person is not able to take the fluids / diet properly ,only problem is if given too much , it can cause fluid overload with its complications.One or two 500 cc drips off and on will be fine.A better idea will be ryle's tube to give fluids and semi solids.

Multivitamins can be given ,although they are not needed on daily basis.

A mild diuretic will be aldactone 100 mg which can be increased if kidneys permit.






Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pankaj Malhan (46 hours later)
Thanks for the valuable information. Pse suggest the dosage of aldactone 100 mg and what are the tests that he should undergo regularly especially for giving duretics
doctor
Answered by Dr. Pankaj Malhan (28 minutes later)
Aldactone should be started in low dose of 100 mg a day and if the desired results are not achived it can be increased up to 300 mg in divided doses.

It would be unethical and inappropriate to prescribe you scheduled drugs without doing a proper examination.

A person on diuretics need to go for kidney functions on a regular basis - namely, blood urea, serum creatinine, serum sodiumĀ  and serum potassium. These tests should be done every 4-6 weeks.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Pankaj Malhan

Internal Medicine Specialist

Practicing since :1998

Answered : 439 Questions

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Suffering From Liver Cancer With Lung Metastasis. Feeling Weak And Abdominal Tightness. Treatment?

Brief Answer:
General Management

Detailed Answer:
Hi

Thanks for asking.

As you are aware that the liver cancer with lung metastasis is the incurable condition in which cure is not a possibility.

Most of the medical management revolves around the symptomatic relief , providing the pain management and nutritional support.

Get the proteins levels checked as he may need some supplementation.In some cases fluid tablets ( Diuretics ) help o relieve the swelling.

In some cases even with metastasis chemotherapy is also advocated.

Thanks.

Please let me know if you need more information.