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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Swollen Legs In Terminal Cancer Patient?

Hi, my mum is 68 and has terminal cancer. Started in breast, lympglands and has it in hips and collar bone and liver. Her feet have swollen badly and has not had chemo since March as she was very poorly with it. Just having a drip for her bones every month (due tomorrow) and may also need a blood transfusion tomorrow. Could you advice why her feet are so swollen now please. She is staying with us and just want to see if I can help her in any way at all. Thank U.
Fri, 14 Nov 2014
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Pulmonologist 's  Response
Thanks for your question on HCM.
There are many causes for eg swelling in terminal cancer patients. Common ones are
1. Low proteins
2. Low hemoglobin
3. Lymphatic obstruction due to lymphatic involvement of tumour. (Possibility is high in your mother's case)
4. Cardiac failure due to high turnover rate.
So start protein supplement and blood transfusion if they are deficit.
Start diuretics to remove extra third space fluid. Restrict fluid intake to 2 liters per day.
Keep foot end elevated in bed.
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How To Treat Swollen Legs In Terminal Cancer Patient?

Thanks for your question on HCM. There are many causes for eg swelling in terminal cancer patients. Common ones are 1. Low proteins 2. Low hemoglobin 3. Lymphatic obstruction due to lymphatic involvement of tumour. (Possibility is high in your mother s case) 4. Cardiac failure due to high turnover rate. So start protein supplement and blood transfusion if they are deficit. Start diuretics to remove extra third space fluid. Restrict fluid intake to 2 liters per day. Keep foot end elevated in bed.