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Please Advice Low Blood Pressure #130220
02-25-2011 02:30 PM
02-25-2011 02:30 PM
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roma Offline OP
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Hi Every one.
My husband is in the recovery stage currently.
I have 2 concerns:

1. His Blood Pressure has been going low this whole month. He is is drinking atleast 4-5 glasses of water and taking about 4 cans through G Tube.
2. His tongue is still hurting it has been almost 2 months he finished radiation and chemo.

Please advice has any one experienced Low BP . Should i take him to emergency?

Thanks


Caregiver to husband 40 yrs. Was diagnosed SCC 09/2010. Soft palate, lft of tounge. Stage 4 HPV-
Radiation 70 gy & chemo start Nov 1 End Dec 17/2010.
1MRI-7 Mar 2011. Neck dissection-14 apr 2011. Lymph nodes removed 36 just 1 had cancer. F/U CT Scan-19 may 2011. "Cancer Free" as per doctors!
Re: Please Advice Low Blood Pressure [Re: roma] #130221
02-25-2011 02:42 PM
02-25-2011 02:42 PM
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Gary Offline
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Gary  Offline
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My blood pressure (aka hypotension) has been so low lately that I have dizzy spells a lot. I googled it and it doesn't appear to be a problem as it occurs when I am standing up. It can be caused by various things. As far as emergency goes, if it clears up within minutes then he is probably alright. It is fairly common when going from lying down to standing.

Defintely mention it to the oncologist.

see: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004536


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)
Re: Please Advice Low Blood Pressure [Re: Gary] #130225
02-25-2011 02:50 PM
02-25-2011 02:50 PM
Joined: Oct 2010
Posts: 47
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roma Offline OP
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roma  Offline OP
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Thanks Gary

I did call the hospital but the Oncologist had left for the day. Nurse adviced to take him to the nearest emergency. But he is unwilling to go to the emergency.
The Blood Pressure has been dropping this whole month. Even he gets dizzy also.



Caregiver to husband 40 yrs. Was diagnosed SCC 09/2010. Soft palate, lft of tounge. Stage 4 HPV-
Radiation 70 gy & chemo start Nov 1 End Dec 17/2010.
1MRI-7 Mar 2011. Neck dissection-14 apr 2011. Lymph nodes removed 36 just 1 had cancer. F/U CT Scan-19 may 2011. "Cancer Free" as per doctors!
Re: Please Advice Low Blood Pressure [Re: roma] #130229
02-25-2011 03:05 PM
02-25-2011 03:05 PM
Joined: Oct 2010
Posts: 47
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roma Offline OP
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roma  Offline OP
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Posts: 47
canada
Is there a home remedy for upping Low Blood Pressure?


Caregiver to husband 40 yrs. Was diagnosed SCC 09/2010. Soft palate, lft of tounge. Stage 4 HPV-
Radiation 70 gy & chemo start Nov 1 End Dec 17/2010.
1MRI-7 Mar 2011. Neck dissection-14 apr 2011. Lymph nodes removed 36 just 1 had cancer. F/U CT Scan-19 may 2011. "Cancer Free" as per doctors!
Re: Please Advice Low Blood Pressure [Re: roma] #130230
02-25-2011 03:21 PM
02-25-2011 03:21 PM
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Posts: 1,844
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EricS Offline
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If your husband is on opiate pain medications, they will cause low bp as they depress the central nervous system which slows the cardiovascular system. The big reason you shouldn't drink alcohol when you're on an opiate. Fentanyl is notorious for it as is hydro.

A great way to monitor it is just to pinch the tip of your finger and watch how fast the color returns to it. IF he is on the fentanyl patch, watch where you place it and never put it in an area that gets direct heat by showering/bathing or when he sits or lays down. They are heat activated and a raise in body temp will release more medication into his blood stream. One of the signs of this is dramatic decrease in blood pressure and could be an early sign of an overdose.

A great way to monitor this is by asking him if his extremities are cold and by pinching the end of the finger and seeing how long it takes for the color to return (capillary refill test). If his lips are blue, or his hands and feet are bluish...it's a good idea to take him to the ER. If not and it's just dizziness...just keep an eye on it.

I had the same issues when I was on fentanyl and it put me in the ER several times due to where I was placing my patches.

Hope that helps

Eric

Last edited by EricS; 02-25-2011 03:24 PM.

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.
Re: Please Advice Low Blood Pressure [Re: EricS] #130231
02-25-2011 03:29 PM
02-25-2011 03:29 PM
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EricS Offline
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Oh and most home remedies would involve keeping him warm (remember the body heat thing) which is fine as long as there is no direct heat on a fentanyl patch or involve drinking or adding ginger to tea. Eating hot sauce will also do it do to the capsacin (sp?) but I know I still can't do any and I'm almost 3 years out of tx.

Ginger is a natural blood thinner...DON'T try this unless you speak to your oncologist first and get the OK. With any home remedies you really need to speak to your MO first before you try any. Remember drug interactions and the effects of what's happening to your husbands body needs to be monitored by a trained professional as you could easily cause him harm.

Last edited by EricS; 02-25-2011 03:31 PM.

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.
Re: Please Advice Low Blood Pressure [Re: EricS] #130245
02-25-2011 04:46 PM
02-25-2011 04:46 PM
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ChristineB Offline

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Is your husband eating as well as taking in 4 cans of formula daily? That isnt enough calories to sustain him while he is in recovery mode. He should be having 2500 - 3000 calories to heal. His body is burning up calories faster than he is taking them in. Its working overtime trying to heal. How low is his blood pressure? Some people just run low. While weight loss can cause low blood pressure as well as taking pain meds.

I walk around with mine being usually running 98 over 56 and Im ok. Once in a while I get a bit dizzy, but overall Im pretty healthy. A couple years ago while I was doing my 2 month hospital stay, my blood pressure would drop to 78 over 38. I scared the nurses to death, they would wake me up at night to make sure I was ok.



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
Re: Please Advice Low Blood Pressure [Re: ChristineB] #130249
02-25-2011 05:56 PM
02-25-2011 05:56 PM
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Posts: 47
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roma Offline OP
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Thank you Eric and Christine.
No he is not on fentanly patch any more. He is only taking Hydromorphone. Eric how many seconds should the colour return on finger test. Please advice.

I am surprised from past 3 months he was on fentanly patch and hydromorphone but his blood pressure was okay. Only this month it has been low.
Christine his blood pressure is around 88/ 48 . No he is not eating enough solids. He is more on 4-5 glasses of soup, water, juice plus 4 cans of Nutren 1.5.
He gets nauseated after 4 cans. Although he is also taking anti nausea pill.

Do people get low blood pressure generally during recovery ?

Thanks to both of you for your replies smile


Caregiver to husband 40 yrs. Was diagnosed SCC 09/2010. Soft palate, lft of tounge. Stage 4 HPV-
Radiation 70 gy & chemo start Nov 1 End Dec 17/2010.
1MRI-7 Mar 2011. Neck dissection-14 apr 2011. Lymph nodes removed 36 just 1 had cancer. F/U CT Scan-19 may 2011. "Cancer Free" as per doctors!
Re: Please Advice Low Blood Pressure [Re: roma] #130250
02-25-2011 07:21 PM
02-25-2011 07:21 PM
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Posts: 10,270
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ChristineB Offline

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Yes, his blood pressure is very low. What does his normal blood pressure run, before the cancer? If it goes any lower then you should have it checked.

It is probably from the hydromorphone. Low blood pressure can also be from weight loss. If all he is taking in is soup, juice and 4 cans of nutren that is not enough. He is doing good with the hydration. How many calories per can of nutren? He must have minimum of 2500 calories daily to help his body recover. Over 3000 is even better!

I would drink chocolate peanut butter milkshakes that had over 2000 calories per shake and some days I would drink 3 shakes plus do my formula so I had 7000 calories. I never gained an ounce from that either.

I would call his doc on Monday and let them know about the low blood pressure. In the meantime, push those calories. Its Shamrock shake season, Im sure those are loaded with calories.


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
Re: Please Advice Low Blood Pressure [Re: ChristineB] #130254
02-25-2011 07:48 PM
02-25-2011 07:48 PM
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EricS Offline
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Yeah he's what's considered "borderline low" blood pressure right now and my guess is it's from a combination of things. The hydromorphone being the main issue and my thought is probably dehydration...not due to lack of water but more to lack of electrolytes that would normally come from nutrition. So it's more then likely nutrition based.

Sodium and potassium deficiencies more then likely, which are easy to get. I'd start pumping him full of gatorade or powerade, you can also get potasium via supplements...those are a tricky thing too so before you supplement with pills ask your dr, but start immediately with gatorade or powerade.

As far as the finger test goes...don't worry about that if you can take his bp. If his bp get's to the 60/40 range take him to the ER.

Please note, I'm not a medical professional so please touch base with his Dr but monitor his BP and if it falls in the danger zone (60/40) take him to the ER.

Keep your chin up

Eric


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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