#46619 03-27-2006 02:30 PM | Joined: Mar 2006 Posts: 22 Member | OP Member Joined: Mar 2006 Posts: 22 | My husband has finished his 4th week of radiop/chemo but hasn't been able to keep anything down for about the last 5days. We spent the day at the hosp getting rehydrated with IV's. He's tried compazine/zofran/and suppositories for the vomiting. When he puts anything but gatorade in his peg tube he vomits. He's down 30 lbs. with over 3 weeks to go. Any suggestions appreciated. | | |
#46620 03-27-2006 03:56 PM | Joined: Nov 2002 Posts: 3,552 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Nov 2002 Posts: 3,552 | I lost over 60 lbs. myself. At least he can drink Gatorade! I had to be rehydrated a few times myself - once in the ER until I got smart and had it done in infusion instead - MUCH faster and far more comfortable. Talk to the nutrionist and the MO. Is he taking any anti-acids?
Gary Allsebrook *********************************** Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2 Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy) ________________________________________________________ "You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
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#46621 03-27-2006 03:57 PM | Joined: Mar 2002 Posts: 4,918 Likes: 65 OCF Founder Patient Advocate (old timer, 2000 posts) | OCF Founder Patient Advocate (old timer, 2000 posts) Joined: Mar 2002 Posts: 4,918 Likes: 65 | You can't make it on Gatorade, this has zero nutritional value. I would be checking with the GI doctors for solutions. It may be that he will have to have the tube relocated into his intestine, or they may have other options. Bottom line is that he cannot be allowed to continue losing weight. With three more weeks of treatment to go, and several weeks after treatmnet ends where he will still be unable to take things to any significant extent by mouth, he will be introuble if this continues.
Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant. | | |
#46622 03-27-2006 07:08 PM | Joined: Jun 2005 Posts: 349 Likes: 2 Platinum Member (300+ posts) | Platinum Member (300+ posts) Joined: Jun 2005 Posts: 349 Likes: 2 | Hi Deborah.
I'm sorry your husband is having a hard time, but take some comfort that MANY MANY of us were there ourselves and got "through" it.
For me, a combination of Emend and Zofran worked wonders. You might also try giving liquid nutrition at different times of the day and/or at various SMALLER intervals.
Remember that the human mind can play a big role too (not suggesting here that he is included in this group), but I know that emotions and phyche played a role in my nausea sometimes too.
I know also that heartburn was a MAJOR factor in my nausea and overall discomfort so be sure and monitor that.
Can he take ANYTHING (even water) by mouth at this point?
Michael | 53 | SCC | Right Tonsil | Dx'd: 06-10-05 | STAGE IV, T3N2bM0 | 3 Nodes R Side | MRND & Tonsillectomy 06/29/05 Dr Fee/Stanford | 8 wks Rad/Chemo startd August 15th @ MSKCC, NY | Tx Ended: 09-27-05 | Cancer free at 16+ Yrs | After-Effects of Tx: Thyroid function is 0, ok salivary function, tinnitus, some scars, neck/face asymmetry, gastric reflux. 2017 dysphagia, L Carotid stent / 2019, R Carotid occluded not eligible for stent.2022 dental issues, possible ORN, memory/recall challenges.
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#46623 03-28-2006 11:19 AM | Joined: Mar 2006 Posts: 22 Member | OP Member Joined: Mar 2006 Posts: 22 | Thank you so much for your input, he had to miss one day of treatment, but he went today, and is feeling better, they increased his patch to 100mg and added ativan to the compazine suppositories, got him a machine to get rid of mucous. It was good you asked about his antacid, when I asked he said he stopped because he couldnt swallow the pills, same with the other pill he was suppose to continue, so that definitely contributed to the problem. So with the new patch today he has been able to swallow some water and even a few bites of ice cream. Hooray, I was getting really worried. | | |
#46624 03-28-2006 01:14 PM | Joined: Nov 2002 Posts: 3,552 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Nov 2002 Posts: 3,552 | Sometimes we look for a complicated solution when it may be very simple. I mentioned anti-acids because chemo does a number on the stomach lining, causing major heartburn.
The doctors usually set the weight loss limit at 20 lbs. They start to panic when it exceeds that. They were really freaked out by my weight loss (the RO anyway - the MO didn't seem quite as freaked). They probably thought I had cachexia for sure- but I fooled 'em. I put 30 lbs. back on - went from a 34" to 30" waist and my wife loves it.
Brian, I never to imply that anyone could survive on Gatorade ;-)
Gary Allsebrook *********************************** Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2 Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy) ________________________________________________________ "You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
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#46625 03-28-2006 01:40 PM | Joined: Mar 2002 Posts: 4,918 Likes: 65 OCF Founder Patient Advocate (old timer, 2000 posts) | OCF Founder Patient Advocate (old timer, 2000 posts) Joined: Mar 2002 Posts: 4,918 Likes: 65 | Gary - the post was in response to the title of this thread, not your comments. Clearly the Gatorade thing is obvious to you. Achem's (Occam's) Razor certainly applies in many situations, and it certainly has as developments in this thread demonstrate.
Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant. | | |
#46626 04-04-2006 04:57 AM | Joined: Mar 2006 Posts: 60 Supporting Member (50+ posts) | Supporting Member (50+ posts) Joined: Mar 2006 Posts: 60 | Hi Debraht- Does your husband have a PEG tube? If so- try to give him a few flushes with water a few times a day. Also see about a Kangaroo Pump. I wish you both the best!
Delia- Caregiver and fiancee to Charlie ,age 30,(SCC of Larnyx-Stage IV) chemotherapy and radiation- no surgery finished tx:4/7/06 SURVIVIOR!
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#46627 04-08-2006 06:50 PM | Joined: Nov 2005 Posts: 306 Platinum Member (300+ posts) | Platinum Member (300+ posts) Joined: Nov 2005 Posts: 306 | Deboraht - I live by my peg tube. Encourage him to grind his meds and dissolve them in water and pour them into the tube. I do it daily. Two table spoons make a good grinder, most pharmacies have pill crushers for sale. Antacids really helped with my vomiting. They can pour right into the peg. Tom
SCC BOT, mets to neck, T4. From 3/03: 10wks daily multi-drug chemo, Then daily chemo with twice daily IMRT for 12 weeks - week on, week off. No surgery. New lung primary 12/07. Searching out tx options.
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