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Nanjangud,

Her calorie intake is good, protein intake is "ok" (10g/scoop) depending on your mothers weight (1-1.5g/lb of body weight, excuse the non metric measurements as we don't use metrics in the US) with plenty of carbs.

The vitamin profile of Peptamen is good but they are delivered mostly via isolates which are more difficult to digest/absorb in the body. Fiber would be a concern for me as Peptamen doesn't deliver any and may lead to constipation if she's on pain medications. I would worry that the Omega 3 intake would be low as well.

Understand that when the human body has cancer, infection, disease etc, the hormone response that activates our immune system interferes with digestion and absorption. Compounded by the effects that the stress of the cancer experience adds (stress produces Cortisol, which counteracts insulin, further affecting absorption) and this leads to the breakdown of lean muscle mass due to the body's increased need for amino acids due to the hyper-metabolic state caused by your body trying to heal itself from cancer treatments and fight off the disease through immune response. This is a condition known as cachexia, or cancer related wasting syndrome and is the reason proper nutrition is crucial.




Last edited by EricS; 09-12-2012 03:51 AM.

Young Frack, SCC T4N2M0, Cisplatin,35+ rads,ND, RT Mandiblectomy w fibular free flap, facial paralysis, "He who has a "why" to live can bear with almost any "how"." -Nietzche "WARNING" PG-13 due to Sarcasm & WAY too much attitude, interact at your own risk.
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Hello Nanjangud,

Eric is excellent with his nutritional info so I will leave it to him since he looked it all up and converted it already. I am much more basic with my explanations by telling you while fighting cancer a patient burns incredible amounts of calories. This makes it where they will need 2 or 3 times their normal caloric intake.

From your explanation Carcinoma Right Buccal Mucosa, your mother has cancer of the cheek. I would have to assume her doctors have biopsied the eruptions to be able to put a name on it. I must caution you again that while this site is not made up of medical professionals, we can give you our opinions. This is also without knowing the patients full medical history or even seeing the person in front of us to assess. On top of this, not many on this site have much info relating to medical procedures outside of the US and Canada. Every country is different even though they treat the same disease. Here in the US medical procedures must go thru years of testing before becoming the regular practice for patients. Not that those things would make a huge difference in the things we would tell you. Oral cancer can be a very fast moving cancer especially when it keeps recurring, seems like each time it comes back faster. Treating Carcinoma Right Buccal Mucosa with chemo is used for pallitive care and will not be a cure. Only thru radiation with or without chemo and/or surgery can this type of cancer be eliminated completely. I would still suggest my original opinion to take her to another large cancer facility.

Best wishes with everything you and your mother are going thru.


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
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Hi Christine,

My mother has already recd one cycle of radiation.
So can it be given again?
What I understand is that radiation can be given only once.
Please let me know.
Thanks

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Yes radiation can be done twice. It is not common but it can be done at least here in the US it is possible. There are several members of this forum that have had a second dose of radiation. I know personally 3 individuals who have had radiation twice. From my understanding this can only be done if it is a year or more after the original radiation treatments.



Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
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Posts: 5,260
Likes: 3
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Localized is when it has not moved out of the area, in this case it is popping up in her mouth. If its not in her nodes or hasn't spead to other places,lungs, liver etc... The. It's still localized... Push for more radiation. Good luck


Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
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Thanks Cheryl, Christine.
I will initiate this at the earliest.But she is extremely weak.
I remember last time when she had radiation. It was very painful.Do you have any tips to reduce the after effects?

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flattened club soda at room temperature to drink, it's healing. a good cream for her neck. Manuka honey if you can get some... it's anti bacterial, anti inflammatory. You can swallow it as well.
Best of luck.


Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
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Thanks Cheryl.
We are applying Manuka Honey on her wounds. Her biggest issue is that there is a big hole in the centre of her cheek. We apply manuka and keep it bandaged most of the time.
And that's the reason she has a tube fitted in her tummy for food intake.
I have no idea how the hole developed, there used to be a grafting there around 5 months back and gradually the hole started to develop and has become this big, almost half the lenght of my pointer.

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Apologies, didn't realise that the message got submitted!
So is radiation possible with that big an open hole in the cheek?

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"OCF Canuck"
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It's likely a fistula. (radiated skin has trouble healing) They should pack it and treat it. So it heals - sometimes they need surgical intervention and a new graft. This will take time because it has to heal, while her cancer grows. A radiation dr. Could tell you better if rads can be given with the hole- truthfully it depends on where her other cancers are and where they'd focus the beam. What I would do is ask them to surgically remove as much cancer as possible., repair what they can then do radiation, usually 6 weeks after - but in that time hopefully she will heal and get preparations for radiation underway. You need to find a good medical team that can work together. Good luck.


Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
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