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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain And Breathlessness. Has Metastatic Squamous Carcinoma In Cervix, On Chemo, Had Blood Transfusion. Why ?

Hi, My mom has Metastatic Squamous carcinoma - primary in cervix . She has undergone 2 rounds of chemo as palliative. Round 1 (6 cycle) she was given Paclitaxel + carboplatin. Round 2 ( 4 cycle) she was given Gemcitebine+cisplatin. During her 2 round of chemo her blood count dropped to 7.7. Thus she was given blood transfusion . A month aft her 2nd round she again complained of breathlessness & pain in her lower abdomen and back. She was given 3rd round of chemo ( Topotican + Carboplatin) over 3 days. Thru USG guided therapeutic pleural tapping approx 700cc of Pleural fluid was aspirated from both side. Its been less than a week & her pain & breathlessness is back. She is currently on Narcogen Forte, Deriphyllin retard 300 and spasmoproxyvon. Pls advise how I can keep her comfortable. Thanks
Sat, 8 Jun 2013
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Radiologist 's  Response
Hi,
Thanks for writing in such details.
As per information provided, USG guided therapeutic pleural tapping of 700 ml fluid was done just a week back and now your mother again is in discomfort, pain and breathlessness.
Concerning her medications, they are in order and just pray that she responds well.
Coming to keeping her comfortable, please allow her to be seated in upright or reclining position for few hours a day. Let her not exert much. You may have to be in regular contact with your treating doctor making them aware of any slightest problem you mother complains of.
Hope this helps.
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Pain And Breathlessness. Has Metastatic Squamous Carcinoma In Cervix, On Chemo, Had Blood Transfusion. Why ?

Hi, Thanks for writing in such details. As per information provided, USG guided therapeutic pleural tapping of 700 ml fluid was done just a week back and now your mother again is in discomfort, pain and breathlessness. Concerning her medications, they are in order and just pray that she responds well. Coming to keeping her comfortable, please allow her to be seated in upright or reclining position for few hours a day. Let her not exert much. You may have to be in regular contact with your treating doctor making them aware of any slightest problem you mother complains of. Hope this helps.