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Recovering from stomach cancer - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   had a whipple for ampulla cancer 3 hrs ago, I am having diarrea and head aches, but had ct scan 2 days ago all is good. can this be a result of contrast or something else?
Doctor :   hello
User :   hello
Doctor :   you had a contrast CT?
User :   yes
Doctor :   may i know your age and gender please ?
User :   male 57
Doctor :   what is the frequency of diarrhea>?
User :   started this am
Doctor :   and how many times you have gone ?
User :   could have every couple of days
User :   2
Doctor :   and are the headaches constant ?
User :   no
Doctor :   what aggravates them ?
User :   hard to say when I do not eat on time
Doctor :   ok lets first see about your diarrhea
Doctor :   have to taken any medication >??
User :   all blood work and ct came back good so maybe simple bug
User :   no
User :   no meds
Doctor :   yeah thats what i am thinking
Doctor :   as your reports are normal
User :   yes
Doctor :   so to begin with
User :   ?
Doctor :   1) replacing lost fluid to prevent dehydration is the only treatment necessary.
Doctor :   2) Although water is extremely important in preventing dehydration, it does not contain electrolytes. To maintain electrolyte levels, you could have broth or soups, which contain sodium, and fruit juices, soft fruits or vegetables, which contain potassium.
Doctor :   3) Until diarrhea subsides, try to avoid milk products and foods that are greasy, high-fiber or very sweet. These foods tend to aggravate diarrhea.
Doctor :   4) As you improve, you can add soft, bland foods to your diet, including bananas, plain rice, boiled potatoes, toast, crackers, cooked carrots and baked chicken without the skin or fat.
Doctor :   you can take some Over the counter medications but its nothing serious
Doctor :   it should subside by it self
User :   ok thanks
Doctor :   as for the headaches
Doctor :   its because of the Ct
Doctor :   you can take a tylenol
Doctor :   i am saying all this because the most important and the basic tests in your case CBC COMPLETE BLOOD COUNT is normal
User :   ct really needed every 6 months?
Doctor :   Oh yes thats for sure
User :   ok
User :   would you recommend chemotherapy for this cancer
Doctor :   any other medical problem ?
User :   great fatty liver
User :   skin cancer
User :   taken off all good
Doctor :   ok
Doctor :   usually surgical approach is good enough
User :   good
User :   there is a high cure rate?
Doctor :   and the success rates are high
Doctor :   but you need proper constant examination
Doctor :   thats the key
User :   What does poor differential exactly mean
Doctor :   it means the degree of cancer cells
Doctor :   the more poorly the cells are differentiated, the more agressive
Doctor :   the cancer is
User :   so 2 more years and this is but a memory
Doctor :   well be positive, trust its your will to live and being happy and positive that too can help you beat it
User :   well thank you and Happy New year!
Doctor :   thank you so much
Doctor :   same to you
Doctor :   take care of yourself
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