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My husband has small cell lung ca with mets to liver and adrenals. Abdominal pain? pancreatitis.

By Anonymous October 11, 2011 - 11:05am
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He has had abdominal pain for 3 months. Treated with Ondesatron and other nausea medication. He is on chemo therapy. Most recent chemo med is topotecan and also received zometa for bone lesions. His main complaint other than being very tired is the abdominal pain and nausea. He recently suffered a TIA and during that time the blood work done showed his lipase test to be 355 Lab normal ranges (80-280). He is to see his oncologist tomorrow. Should we start a diet for pancreatitis? He was diagnosed with the lung ca in January 2011. Had eight treatments with carboplatin and etoposide. After two treatments his tumors reduced by 50%. After four more treatments he developed a resistance to the chemo and his tumor grew back. He received radiation therapy (true beam) for bleeding lung tumor., with significant reducation of lung tumor and also radiation to rt trochanter lesion. He has return to chemo to help reduced tumors of liver and adrenals. The medications are topotecan and zometa. This chemo has taken a toll on his energy with just two 5 day treatments and chemo is not at 100%. strength. He is scheduled for one more treatment, but not sure if he can tolerate it.

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As a cancer survivor who received intense chemotherapy and radiation, I can understand your husband's fatigue. It is a tiredness without comparison. From the information which you have provided, your husband has hyperlipasemia. The high lipase levels can be caused by pancreatitis or tumors of the pancreas. There is pain associated with tumors of the pancreas. Gallbladder infection and kidney failure can cause hyperlipasemia.
Recommendations are to avoid alcohol, eat a diet low in fat, low in red meat and high in fiber and keeping well hydrated by drinking two to three quarts of fluids each day. But, do consult with your husband's oncologist regarding any dietary guidelines. At this time, maintaining good nutritional status and keeping well hydrated is very important and can be challenging. God bless both of you.

October 11, 2011 - 3:28pm
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