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Bronchogenic Carcinoma - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung Cancer
Answered by

General & Family Physician
Practicing since : 2009
Answered : 674 Questions
User :   My younger brother age-53 years, male & has been suffering from Epilepsy since 12 years of age. Cancer detected about a month ago as Bronchogenic Carcinoma secondary stage. Was advised management of the patient and no intrusive surgery. At present has problems of Severe Headache, problem in breathing(suffocation) and has problems in swolloing any liquid. He is being administered Deriphyline & Betnesol Injs IV. What is the max dose of these medicines that con be given in a 24 hours cycle. - Col K Paathak
Doctor :   HI
Doctor :   I am
Doctor :   I am reading
Doctor :   Plz be patinet
Doctor :   Is he in the hospital or at home ?
User :   at home
Doctor :   Is it IV deriphyllin
Doctor :   Loading dose: 4-5 mg/kg via infusion, then 0.4 mg/kg/hr.
Doctor :   what is his weight
User :   58kgs
Doctor :   in a day he can get max 600mg iv
Doctor :   How thry are given
Doctor :   every 6-8 hrs
Doctor :   or continuously
User :   thanx what about throat problem
Doctor :   Cancer could have extended or compressing the esophagus
User :   compressing
Doctor :   What is he getting for cancer treatment
Doctor :   Yes
User :   nothing
Doctor :   Why not?
User :   Doctors advice
Doctor :   Ok
Doctor :   may be advanced
User :   plz explain
Doctor :   I am not expert in Oncology
Doctor :   But I can tell my opinion
User :   plz
Doctor :   Usually tey give radiation to reducethe size of the tumor
Doctor :   The radiation treatmentis given 3 times a wk
User :   ok
Doctor :   It is very good for symptomatic relief
Doctor :   I understand it is advanced but we can not sit doing nothing
User :   agreed advise
Doctor :   And he needs breathing treatment by nebuliser at home
Doctor :   Buy the nbulisermachine
User :   ok
Doctor :   and give albuterol breathing treatment 3-4 times a day
Doctor :   that will open up the bronchi and give some relief
Doctor :   SO Deriphyllin, Nebulised Albuterol are OK
Doctor :   Regarding throat problem, relieving the compression is the only method to reduce pain and difficulty swallowing
User :   ok
Doctor :   headache could be from metastasis to brain
Doctor :   heis on steroid
Doctor :   *he
User :   no
Doctor :   U means ct is normal
Doctor :   CT brain is normal
User :   left eye is affected
Doctor :   CT brain
User :   yes
Doctor :   Is itnormal
User :   yes
Doctor :   oK
Doctor :   Give soft diet , liquid diet
User :   thanx doctor any thing else
Doctor :   You can also get Oxygen cylinder
User :   ok
Doctor :   And give oxygen when he is feeling very severe short of breath
User :   ok
Doctor :   We need to do all comfort measures
User :   ok
Doctor :   Those are my recommendations
Doctor :   Do you have any other Qs?
User :   thanx for your time doctor very kind
Doctor :   You welcome
Doctor :   Thank you for consulting
Doctor :   Bye
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