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Suggest Treatment For Swelling On Feet When Diagnosed With Breast Cancer
Question: My wife has XXXXXXX diagnosed with stage 4 breast cancer that has move to sever vertebrae in her spine, Recently her feet have begging swelling and she has had spells of falling and being unconscious. she just had a dipolar ultra sound and the found her inferior vein cava push up and touch her aorta what she we ask her oncologist.
Brief Answer:
Please find details below
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. There is a need to know why your wife is having spells of falling and being unconscious. This might be discussed with the oncologist. It is possible that the cancer might have spread to the brain or her blood count is low and she is having severe weakness. You might ask the oncologist if she requires a brain CT or MRI scan.
2. The ultrasound Doppler report is to be studied in detail. It is important to know whether there are clots in the lower limb veins or inferior vena cava and if that is the reason for swelling of feet. This is usually painful swelling and this point might be discussed with the oncologist.
3. Giving your wife the right diet also needs to be discussed. It is possible that the oncologist might consider giving chemotherapy and radiation therapy. These might make the patient weak and it is important to keep your wife healthy and maintain her general health. She might be given daily 1800 kcal diet with proteins.
4. Falsodex, Xgeva and anastrozole are medicines recommended for breast cancer that has spread to other organs. Your wife also requires dietary supplements of vitamins and minerals and to keep her bones strong.
5. Since the cancer has spread to many vertebrae therefore she might be experiencing nerve related pain and pain from cancer. Please ask her oncologist for pain relief should she be having pain due to her health condition.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find details below
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. There is a need to know why your wife is having spells of falling and being unconscious. This might be discussed with the oncologist. It is possible that the cancer might have spread to the brain or her blood count is low and she is having severe weakness. You might ask the oncologist if she requires a brain CT or MRI scan.
2. The ultrasound Doppler report is to be studied in detail. It is important to know whether there are clots in the lower limb veins or inferior vena cava and if that is the reason for swelling of feet. This is usually painful swelling and this point might be discussed with the oncologist.
3. Giving your wife the right diet also needs to be discussed. It is possible that the oncologist might consider giving chemotherapy and radiation therapy. These might make the patient weak and it is important to keep your wife healthy and maintain her general health. She might be given daily 1800 kcal diet with proteins.
4. Falsodex, Xgeva and anastrozole are medicines recommended for breast cancer that has spread to other organs. Your wife also requires dietary supplements of vitamins and minerals and to keep her bones strong.
5. Since the cancer has spread to many vertebrae therefore she might be experiencing nerve related pain and pain from cancer. Please ask her oncologist for pain relief should she be having pain due to her health condition.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Doppler report might indicate exact cause
Detailed Answer:
Hi,
Thanks for writing back with an update.
It is important to know at which level the inferior vena cava is pushed towards the aorta.
The possibility of a liver tumor causing this is less likely. However other causes like a thrombus in the inferior vena cava or any bone destruction in the spine with soft tissue component is more likely to cause it.
It is difficult to say without reading the Doppler report.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Doppler report might indicate exact cause
Detailed Answer:
Hi,
Thanks for writing back with an update.
It is important to know at which level the inferior vena cava is pushed towards the aorta.
The possibility of a liver tumor causing this is less likely. However other causes like a thrombus in the inferior vena cava or any bone destruction in the spine with soft tissue component is more likely to cause it.
It is difficult to say without reading the Doppler report.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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