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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest remedy for ascitic fluid in lungs

hii Doctor,My Dad is 55 years old suffering from Lung Cancer for past 3.5 years. He was non smoker.Following medicines are already used but cancer is still in progressive stage
Feb 08 :-Taxotere 60 mg + Cisplatin ---6 No
Sept 08:- Alimta + Avastin + Carboplatin—6 No
Jan 09 :- Tarceva 150 mg – 87 days
May 09:- Gemcite +Oxaliplatin - 6 No
July 09 :- Geftinib 250 mg – 120 days
Feb 10 :- Gemcite + Taxotere - 6 No
August 10:- Taxol –10 No
Feb 11 – Novelbine 50 mg – 3 No
May 11- Irinocam + Taxol – 2.5 No
August 11 – Paclitaxel 100mg weekly + Cetuximab 400mg--- 2 No
Now lungs are filled with ascitic fluid and daily 100 ml is coming out from lungs.
Kindly suggest some new medicine for my dad.( ALK gene test was also negative)
Thanks & Regards
Neeraj
Mon, 18 Aug 2014
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Pulmonologist 's  Response
I think your father is having pleural fluid in the chest cavity and not adcitic fluid. In my opinion it must be due to spread of lung tumour in pleura. Better to go for pleural fluid examination for malignant cells. And if this is positive go for Intercostal Chest tube Drainage (ICD). Drain all fluid and than get done pleurodesis by talc. Talc pleurosis is the procedure performed by pulmonologist and this is indicated in recurrent pleural effusion like malignancy, recurrent pneumothorax etc. In this we arteficially creat inflammation between pleural layers by injecting talc powder through ICD tube. So both pleura adhere to eachother and no space left for fluid accumulation. This is just an option on which you can think. So consult pulmonologist.
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Suggest remedy for ascitic fluid in lungs

I think your father is having pleural fluid in the chest cavity and not adcitic fluid. In my opinion it must be due to spread of lung tumour in pleura. Better to go for pleural fluid examination for malignant cells. And if this is positive go for Intercostal Chest tube Drainage (ICD). Drain all fluid and than get done pleurodesis by talc. Talc pleurosis is the procedure performed by pulmonologist and this is indicated in recurrent pleural effusion like malignancy, recurrent pneumothorax etc. In this we arteficially creat inflammation between pleural layers by injecting talc powder through ICD tube. So both pleura adhere to eachother and no space left for fluid accumulation. This is just an option on which you can think. So consult pulmonologist.