#47326 10-04-2006 08:17 AM | Joined: Sep 2006 Posts: 493 Platinum Member (300+ posts) | OP  Platinum Member (300+ posts)
Joined: Sep 2006 Posts: 493 | Did/does anyone have a problem with low blood pressure. For the past week or so they have been telling me my blood pressure is low. Usually my blood pressure ran 90s/60s. Lately it has been running 80s/50s. Today it was 88/45. After I got fluids it was 88/57. They said that I should drink more water and eat more. I drink about 48 to 64ozs of water a day and my eating can improve and will since I just got the Carnation VHC 560 calorie drink. I think the load blood pressure is caused by the pain meds I'm on, fet patch and morphine.
Tim Stoj
60 yr old. Dx Jun 06 with BOT Stage IV. Neck dissesction on 19 Jun 06. Started Tx on 21 Aug 06/completed 33 IMRTs and 3 CT (2 Cisplat & 1 Carboplat) on 5 Oct 06.
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#47327 10-04-2006 08:22 AM | Joined: May 2006 Posts: 137 Senior Member (100+ posts) | | Senior Member (100+ posts)
Joined: May 2006 Posts: 137 | Yep. I don't remember the numbers, but it was exceptionally low for awhile during treatment. The MO nurses said it was a result of low volume, ie liquids.
dx 2/13/06. modified radical neck dissection 3/9/06 multiple biopsies of upper airway and direct laryngoscopy. 1 of 47 lymph nodes positive for metastatic undifferentiated carcinoma (lymphoepithelioma). Unknown primary. Finished radiation 5/24/06.
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#47328 10-04-2006 12:10 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 | Morphine is a vaso dialator and is frequently given to heart attack patients to take some load off of the heart, which would imply lowering the blood pressure. Low volume would be a factor as well.
Gary Allsebrook
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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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#47329 10-04-2006 12:48 PM | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | | Senior Patient Advocate Patient Advocate (old timer, 2000 posts)
Joined: Sep 2006 Posts: 8,311 | I don't ever remember anyone saying that I had Low BP and I needed fluids and food often. But as they remind us every day "everybody is different". After I found this group I realized how SIMILAR WE REALLY ARE !!!
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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#47330 10-04-2006 02:32 PM | Joined: Apr 2006 Posts: 378 "Above & Beyond" Member (300+ posts) | | "Above & Beyond" Member (300+ posts)
Joined: Apr 2006 Posts: 378 | radiation and chemo has a tendency to cause low blood pressure particularly if you are not drinking 2-3 quarts of liquids each day. 48 oz seems low, can you increase your intake of water? The high calorie drink should help. Good luck.
Regards JoAnne
JoAnne - Caregiver to husband, cancer rt. tonsil, mets to soft palate, BOT, 7 lymph nodes - T3N2BM0, stage 4. Robotic assisted surgery, radical neck dissection 2/06; 30 IMTX treatments and 4 cycles of cisplatin completed June 06.
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#47331 10-04-2006 02:53 PM | Joined: Apr 2005 Posts: 2,676 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Apr 2005 Posts: 2,676 | Stoj, John's bloodpressure has been very low for most of the last 17 months- in fact there have been times when I almost called 911. He has been cautioned over and over to stay WELL hydrated! On bad days, Gatoraid helped get him balanced on electrolytes.[and to try to keep nutrition at adequate levels]Also, the low blood pressure caused him to be dizzy and he fell alot upon standing until he learned to sit up-then count to 15 before standing. He is still having trouble with the dizzy spells on occasion, but does not fall any more. You really need to take good care of yourself during this. Every thing you can get into your system helps. Amy
CGtoJohn:SCC Flr of Mouth.Dx 3\05. Surg.4\05.T3NOMO.IMRTx30. Recur Dx 1\06.Surg 2\06. Chemo: 4 Cycles of Carbo\Taxol:on Erbitux for 7 mo. Lost our battle 2-23-07- But not the will to fight this disease
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#47332 10-04-2006 03:22 PM | Joined: Sep 2006 Posts: 493 Platinum Member (300+ posts) | | OP Platinum Member (300+ posts)
Joined: Sep 2006 Posts: 493 | JoAnne,
In addition to the water I drink, I get 1000ML IV fluids everyday. Sometimes I get 2000ML depending on my pressure, how I feel and bloodwork results. I guess I have to drink more water.
Tim
Tim Stoj
60 yr old. Dx Jun 06 with BOT Stage IV. Neck dissesction on 19 Jun 06. Started Tx on 21 Aug 06/completed 33 IMRTs and 3 CT (2 Cisplat & 1 Carboplat) on 5 Oct 06.
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#47333 10-04-2006 03:36 PM | Joined: Apr 2006 Posts: 378 "Above & Beyond" Member (300+ posts) | | "Above & Beyond" Member (300+ posts)
Joined: Apr 2006 Posts: 378 | Hi Tim,
That's great that you are getting the IV fluids, it really helped Jack when he was getting his chemo/radiation. It can't hurt to drink more water, it helps flush everything out of your system. Sounds like you're doing okay and what you are experiencing is par for the course.
Hang in there. JoAnne
JoAnne - Caregiver to husband, cancer rt. tonsil, mets to soft palate, BOT, 7 lymph nodes - T3N2BM0, stage 4. Robotic assisted surgery, radical neck dissection 2/06; 30 IMTX treatments and 4 cycles of cisplatin completed June 06.
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#47334 10-05-2006 02:04 AM | Joined: Sep 2006 Posts: 493 Platinum Member (300+ posts) | | OP Platinum Member (300+ posts)
Joined: Sep 2006 Posts: 493 | Just got up, had a bowl of oats and a bottle of water for breakfast. Now to choke down all my meds...emend, zofran, senokot, docusate, lactulose, and morphine sulphate. I'm not complaining as today is my last IMRT! Then let the healing begin.
Tim Stoj
60 yr old. Dx Jun 06 with BOT Stage IV. Neck dissesction on 19 Jun 06. Started Tx on 21 Aug 06/completed 33 IMRTs and 3 CT (2 Cisplat & 1 Carboplat) on 5 Oct 06.
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#47335 10-05-2006 02:25 AM | Joined: Nov 2002 Posts: 3,552 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Nov 2002 Posts: 3,552 | The recommended fluid intake is 2-3 liters of water a day (or 4-6 12oz bottles). Water in food counts so this can be adjusted a little. If you are getting chemo, you must keep your fluid levels up or risk kidney damage. You will also feel a lot better when you arte properly hydrated.
I would try taking the morphine 1/2 hour before taking anyrhing else or trying to eat.
Congratulations on making it through but be aware that the radiation effects can continue for several weeks post Tx so you haven't seen the worst of it yet. Depression and thrush are things that will start appearing now also so be watchful for them.
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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