Tom,

I am also surprised as to why the dietitian said 1800 calories per day when it seems that 2000 to 3000 per day is the norm. I will discuss with her.

Anyway we have increase calories to 2000+ but nausea and vomiting is still a problem. We have an appointement with the ENT coming up and we will ask about meds to hopefully alliviate this problem. As a matter of fact the chemo oncologist had precribed Reglan. But we did not use because of the other several meds being used. Any experience with Reglan that can be shared with us?

Regarding the trush, we do have Diflucan but because it was adding to the nausea and the vomiting we discontinued it.

Thank you for your adive on doubling the water intake. Again we were told by doctors and dietitian that liquid intake should be 2 liters per day and we are well above that but if more liquid cuts in the phlegm problem we will do.

We are starting to be active so exercise is going up and seems that the energy level is also up and not sleeping all day long as before.

We were maintaining a log of daily meds, food intake, water and so forth but we stopped doing that a while ago as it seemed a chore just to maintain the log. Maybe it is time to resume with the log.

Anyway things seem to be turning the corner. After pushing calorie intake up, more activity and discontinuing a painkiller there seems to be an improvement.

Thank you for replying and your advice. We appreciated.