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Suggest Remedy For Severe Abdominal Pain Post Chemotherapy

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Posted on Fri, 4 Dec 2015
Question: After my mom's first chemo R CHOP, my mother is having severe stomach pain, which is uncontrollable, its like something getting cut inside.she was given chemo 5 days ago. She was diagnosed with high Grade Lymphoma follicular lymphoma grade 3a stage 4 AS. As per the PET Scan t is spread on both sides of Diaphragm and with affected Bone Marrow and spleen.Please tell what to do, she is right now on her way to emergency.
can this be controlled with medication if this is a side effect or something serious.Please answer fast, its very worrying.
doctor
Answered by Dr. Indranil Ghosh (2 hours later)
Brief Answer:
may be side effect of chemo

Detailed Answer:
Hi
Thanks for your query.

This can well be due to side effect of chemo. Chemo causes death of cells in the lining of stomach and intestine and it causes inflammation, ulcers, etc. This can cause pain.

this can well be managed with antacids, anti-spasmodics and pain killers.

Hope this helps.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (35 minutes later)
Is the stomach pain concerning,I was advised to increase her cremaffin intake and to also give in the morning too.
please advise what antacis,antispasmodic and painkiller to take while she is on RCHOP- FIRST cycle.

Will rchop be effective to even kill the lymphoma cells that are in bone marrow, and also to reduce the enlarged spleen.Does stage 4, grade 3a mean that, it is too advanced to get it in control?
Does RCHOP cause severe side effects.
Which side effect should we be more worried about if it occurs, as it takes a lot of time in vellore to see a doc for any side effect that she faces.

Please tell me the tips ans tricks during chemotherapy.
What handy medication should we keep at home to handle some common side effects.
doctor
Answered by Dr. Indranil Ghosh (9 hours later)
Brief Answer:
yes it can control

Detailed Answer:
R-CHOP can certainly control stage 4 follicular lymphoma. it is very effective.

It can cause side effects like gastritis, loose motions, constipation, drop in blood counts, infections/fever, etc.

Fever is the most dreaded complication as immunity becomes very low. In case of fever she should attend emergency immediately for starting intravenous antibiotics.

Common antacids and antispasmodics which we use in our patients are gelusil, mucaine gel, pantoprazole, buscopan, etc. For constipation we use lactulose/cremaffin and for loose motions imodium/lomotil. You can discuss these with her doc, whether these can be applied to her if need arises.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (12 hours later)
Dear doc,
she is facing extreme indigestion issue.she is feeling heavy in her stomach, after eating a little she feels heavy.
as she had too many bowel movements, she has been asked to stop cremafin.

what food to take to aid digestion.
Will pudin XXXXXXX help?
doctor
Answered by Dr. Indranil Ghosh (12 hours later)
Brief Answer:
yes it may help

Detailed Answer:
Otherwise the antacids which I had mentioned can help in digestion. Please ask her doctor regarding those meds

It is ok to stop cremaffin if too many stools
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1712 Questions

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Suggest Remedy For Severe Abdominal Pain Post Chemotherapy

Brief Answer: may be side effect of chemo Detailed Answer: Hi Thanks for your query. This can well be due to side effect of chemo. Chemo causes death of cells in the lining of stomach and intestine and it causes inflammation, ulcers, etc. This can cause pain. this can well be managed with antacids, anti-spasmodics and pain killers. Hope this helps. Regards