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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swollen Abdomen , Vomiting And Nausea?

Good morning:

I am a 57YO WF with history of carcinoid cancer. I have thus far had two surgeries to decrease tumor burden Stage IV, also post op two chemo embolizations, one to each lobe of the liver. I am having problems with swelling of the abdomen, vomiting, nausea. My SGOT was normal, SGPT light elevated, alkaline phosphatase around 1000 (don't have exact figues in front of me). Could this elevation be causing swelling of the abdomen and nausea or is it possble the tumors are dying and the chemicals introduced in my system. The chemo always makes me sick. I also had a LAR shot of Sandostatin which gave me a large ileus several wks back but that since has resolved on CT yesterday and no blockages seen.\

Thank you so much for your help.\

L. Bell
Mon, 28 Jul 2014
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General Surgeon 's  Response
Hi L. Bell.
The history of Carcinoid tumor, 2 surgeries noted.
Liver Function tests are deranged- The increase in alkaline phosphatase is too high and either indicated bone destruction or obstruction in the hepato-biliary tree.
This can cause abdominal swelling and nausea.
This is not an indicator of what is happening inside and can be due to the disease or secondaries.
This can again give you ileus.
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What Causes Swollen Abdomen , Vomiting And Nausea?

Hi L. Bell. The history of Carcinoid tumor, 2 surgeries noted. Liver Function tests are deranged- The increase in alkaline phosphatase is too high and either indicated bone destruction or obstruction in the hepato-biliary tree. This can cause abdominal swelling and nausea. This is not an indicator of what is happening inside and can be due to the disease or secondaries. This can again give you ileus.