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question:hi my brother was just diagnosed with pancreatic cancer and he has had 3 radio and yesterday he could not breath because his hemoglobin is very low and now his in the hospital and they notice that his bleeding internally and his tumor is the same size 4 cm and he can not be operated on because the pancreas in attched to his aorta
answer:Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Yes, a malignancy where in the tumor is attached to aorta is not an easy procedure and has high chance of mortality. this is the reason it is not being operated. If your doctor feels that there is no chance of survival as such, then as a palliative procedure he can be operated with very high risk consent. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, or wish to know further about this problem, you can use the below mentioned link:bit.ly/dr-srikanth-reddyWish you good health,Kind regardsDr. Srikanth Reddy M.D.
question:i am 69, in 3/12 hs total hysterectomy for ovarian cancer stage 4, no complications now, feel great. had pelvic exam 10/22 everything was fine, except on 8/13 had a ca125 of 67, now on 10/22 had a ca125 level of 78. is cancer back. what can i do to lower this reading.
answer:Hello!Thank you for the query.Unfortunately cancer recurrence or metastases are possible especially in case of ovarian cancer. Ca125 level is used to monitor possible cancer regrow or metastases and as it gets higher, you should have it checked. The best way to do that is a CT and PET scan. You can not lower Ca125 level, you should better focus on ruling possible cancer out.Hope this will help.Regards.
question:My father has metastatic ca pancreas till now recieve 4 course of chemotherapy ( gemzar & oxalliplatin) General condition is better,pain decrease,no anorexia and LFT is normal. But only alkaline phoshphatse & ESR increased 2 time than normal value. Is it bad or not? Thanks
answer:Hi,Raise in alkaline phosphatase upto twice normal is acceptable and is no sign for any worry. The response of the tuomor to chemotherapy in terms of size and extension is important to assess. Its good if the general condition is better.
question:Yes my 65 yr old husband had a cancerous lung removed and developed numbness in legs after surgery. After MRI revealed a blood clot in spinal area, he was taken to surgery again. Second surgery was 24 hrs ago, now he is sweating and has a headache that is a 9 out of 10. What could this be coming from?
answer:Hi, thank you for asking Healthcare Magic.With this presentation, if sweating and headache are without a fever, then these symptoms are in favor of low blood pressure (getting to shock). If these symptoms are associated with shortness of breath, chest pain, cough with blood-streaked sputum, then it could be as a result of a blood clot in the lungs (pulmonary embolism). However, if there is fever, then it could be from an infectious origin (sepsis). All these conditions need immediate management.I hope that answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. We will be delighted to answer more questions from you.I wish you good health
question:a friend had an infection/abcess by his tonsills & had it drained. The test came back showing cancer cells present. Just looking for some information re staging, prognosis, type of cancer & possible mets. I am a CT tech for 20 years so I have some limited knowledge.
answer:HI. It is rare to get the report of cancer in case of abscess of tonsil. If it is so, i would would do tonsillectomy and send the material for Histopathology to know the type of cancer. Do a contrast enhanced CT scan of the neck to know the stage of the disease. This will be further treated with radiotherapy and / or chemotherapy as per the reports. I hope my answer has helped you.
question:I had a colonoscopy about 11 days ago with no pain relief, later the same day I got severe pain in the right side of my mouth which I thought was an abcess I have been on pain relief for the whole 11 days and although the pain has subsided, I can't open my mouth and when I try to it causes severe pain in my ear
answer:HI. The colonoscopy and mouth problems are no related to each other. It looks you have got a quinsy that is abscess formation near tonsil as it does not allow to open the mouth and one gets referred pain to the ear. In this event i would go for endoscopy and see if there is an abscess or ulcers as there is a long history. and treat accordingly. You need to visit a ENT Specialist.