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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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79yrs Old With Kidney Cancer. Given Calcium Pills With Boron, Had Heart Palpitation. What Could Be The Reason?

my father is 79 years old he was diagnosed with kidney cancer 3years ago. He was on sutin which did not agree with him and then was put on affinitor they took him off this last week since it affected his kidney capacity . They also just put him on calcium pills with boron. For the past two nights he has been complaining of heart palpitations it happens only at night. I should mention also his potassium levels are 5.7 do you have any idea why all of a sudden he is having heart palpitAtions and why does he feel it only at night it on aff
Mon, 30 Sep 2013
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Oncologist, Surgical 's  Response
First of all, boron, to the best of my scientific knowledge has no role in the treatment of kidney cancer. So, you should check with your oncologist as to the reason why he has been put on it. The palpitations that he is having seem to be related to the increased potassium levels that he is having as a result of poor kidney function. It is important to bring down the potassium levels as any further increase can be life threatening. He can take potassium binding resins orally (K-Bind). That should take care of the immediate threat. Meanwhile, avoid taking any drugs that affect the kidney. The treatment of the kidney cancer also needs to be revised. There are a number of other options available like Sorafenib or Temsirolimus and these need to be discussed with your oncologist before starting.
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79yrs Old With Kidney Cancer. Given Calcium Pills With Boron, Had Heart Palpitation. What Could Be The Reason?

First of all, boron, to the best of my scientific knowledge has no role in the treatment of kidney cancer. So, you should check with your oncologist as to the reason why he has been put on it. The palpitations that he is having seem to be related to the increased potassium levels that he is having as a result of poor kidney function. It is important to bring down the potassium levels as any further increase can be life threatening. He can take potassium binding resins orally (K-Bind). That should take care of the immediate threat. Meanwhile, avoid taking any drugs that affect the kidney. The treatment of the kidney cancer also needs to be revised. There are a number of other options available like Sorafenib or Temsirolimus and these need to be discussed with your oncologist before starting.