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question:I have some darkened tissue around the left side of the tubercle of the epiglottis, accompanied by ear pain and recently otitis media, which was treated by oral administration of doxycycline. I ve also had increased appetite recently and weight gain. I know that the epiglottis is located by the thyroid gland and this might explain the appetite change and weight gain. Is it possible this may be epiglottal cancer and if so, what is the general stage of progression of the cancer before it is caught. Also, what it the common treatment and five year survival and complete remission rate? Note that I am a smoker and a moderate drinker. Please give your feedback. I am a Nurse Practitioner and familiar with medical terminology.
answer:hi,how did you see your epiglottis?endoscopy pictures?symptoms for ca. epiglottis arevoice change(most common)pain in throathemoptysisdysphagia and loss of weight(not weight gain)increased appetite and weight gain can be due to steroid use(if you have used any)confirmatory investigation for ca. epiglottis is laryngoscopy and biopsy..treatment for early cancer can be -radiation(80%cure rate) but associated with morbidity-partial laryngectomy neck dissection (80-90% 5 yr survival)treatment for advanced cancer is multimodal..total laryngectomy followed by chemo radiation.overall cure rates and patient satisfaction is excellentWITH THE SYMPTOMS YOU SAID I DONT THINK YOU HAVE A CANCER.GET EVALUATED BY ENT/HEAD AND NECK ONCO AND CLEAR YOUR DOUBT.hope my answer helped youif you have any more queries i would be happy to help you..
question:Hi I am inquiring about my father. He is 79 yrs old and was diagnosed with leukemia(I don't know what type) over 5 yrs ago. He refused to get treatment. Now in just the past week his fingers on his left hand are turning purple to black and look to me like they are dying. He has been in alot of pain also with this. then today i noticed his legs are very swollen and have what looks like a red rash all over them he will not let me take him to the hospital. any suggestions as to what may be happening thank you Lynn
answer:hi,sorry for your fathers condition..this condition is called as acrocyanosis..this occurs in patients having blood disorders which increase the viscosity of blood(liquid to gel)..this prevents blood from flowing freely in the vessels(smaller ones especially) which causes death of local tissueit is mainly caused by -dehydration and-exposure to coldtry to counsel him and take to a doctor and get a proper treatment..for time being -keep him hydrated -avoid cold-use gloves/ sockscalcium channel blockers (check BP when using these)for pain you can try pregabalin/ketorolacQUIT SMOKINGdefinitive treatment is treating cancer..hope my answer helps youif you have any more queries i would be happy to answer..
question:If you blood work come bak ok can you still have cancer? 81 year old mother started bleeding like a heavy period 3 days ago and 195/90 bld pressure. Her pap was just recently done and was fine they say it is not that area had hyst years ago. They can not tell where the blood is coming from. Her father had kidney or bladder cancer. They are taking her to emerg room to see oncolgy doc on call due to losing so much bld. Concern is my grandfather having the cancer cld this be what is going on with her.
answer:hi,i dont know what blood test were done from the details provided..i would ask you to get a coagulation profile and abdomen and pelvis ultrasound scan done firstly..this may give us some idea..we need a detailed history along with above reports..causes of heavy bleed neednt always be a cancer..causes could be..infectionpolypsfibroidsTB etcso donot worry..there are more chances for it to be not a cancer..hope my answer helps youif you have any more queries i would be happy to answer..
question:patient was admitted for a liver abcess and septicemia, he is also currently undergoing chemo and radiation for duodenal cancer that is inoperative and has spread to his pancreas and i wonder what his chances of survival are. he is a friend of my daughters and is 70 years old
answer:hi,the patient you mentioned has duodenal cancer with distant metastasis falls under stage4..it is inoperable and has a very poor prognosisfive year survival rate is around 4percent..less chances of survival..
question:I have been having stabbing pains in my upper right abdomen. I had the procedure where the camera is put down your throat. The doctor found at least 10 polyps which she does not believe is cancer. She is doing a biopsy. She found my stomach is going into my esophagus which could mean cancer now or in the future. I did have breast cancer in 2012 & had a double mastectomy. She said the two would not be linked. I feel hungry all the time but after I eat I feel sick & bloated. I have a lot of dieareah as well. Ulcers have been ruled out. Could this be cancer?
answer:Hello..We cant be sure until we get the biopsy report(biopsy of polyp)..Stomach going into esophagus means it is a pre malignant condition..(barrets esophagus)You have to take a lot of measures to stop this condition..Did you get an ultrasound of abdomen and H.pylori tedt?Take PPIS(as advised by your doctor)Avoid alcohol carbonated beverages smoking coffee etc and other addictionsSleep after three hours after taking foodEat curd or take probiotics Avoid spicy foods Take diet rich in fibre avoid refined foods/charred or salted foodsGo for regular follow up with your doctor...If you have anymore queries I would be happy to help you..
question:My brother is going through chemo for the last 3 weeks because he just got diagnosed with hotchkins lymphoma stage 4 cancer. He was a heroin addict for 5 years and got clean just 2 months ago. He started using again over a week ago. What are the affects of being on heroin and going through chemo?
answer:hello..heroin is a kind of morphine which is a pain killer with lot of other side effects on uncontrolled use..at low and controlled doses it actually helps a patient but your brother will be on chemotherapy drugs and other supportive medication..it is good if he can stop it because there can be interactions between the drugs..along with direct side effects of heroine..take the help of a psychiatrist he can help for de addiction..if you have anymore doubts i would be happy to answer..