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Suggest Treatment For Colorectal Cancer

Posted on Tue, 16 Aug 2016

Question: Sir
am ready to pay for consulting.

I need reply from
Mr. XXXXXXX Sundriyal sir Oncology

Answered by Dr. Deepak Sundriyal (30 minutes later)

Brief Answer:
Please write your question.

Detailed Answer:
Hello dear. Please ask

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Deepak Sundriyal (11 hours later)

How to make u payment. please guide, u hv sufficiently n satisfactorily adviced for my uncle with Colon rectal cancer in a proper way. so I ll first pay n ask more questions. thanks

Answered by Dr. Deepak Sundriyal (2 minutes later)

Brief Answer:
hello. you have to go through only HCM.

Detailed Answer:
Hello dear. You can ask questions only via HCM. Use their payment gateway.
Thanks and regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Deepak Sundriyal (4 hours later)

thx sir, already I ve sent u old files of my uncle XXXX, now I ve sent u the current discharge summary sir. please see attachments. Please advice us to cure my uncle.

Answered by Dr. Deepak Sundriyal (1 hour later)

Brief Answer:
Hello dear. Please provide the following details.

Detailed Answer:
Hello dear. I have gone through the details. From the reports it seems that he suffered from seizure disorder and the likely cause is multiple brain metastatic lesions. Please provide me following information
1. Is the patient fully conscious and oriented?
2. Whether he can take care of himself(bathing, toilet, self eating etc?)
3. When was the last seizure episode?
4. Whether any MRI brain or CT brain was done and if done please upload the report.
I will update you regarding further management once the information is available to me.
Thanks and regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Deepak Sundriyal (2 days later)

Sir please see reports attached n I ve to ask one more

Answered by Dr. Deepak Sundriyal (3 hours later)

Brief Answer:
He requires Radiotherapy and chemo if stable.

Detailed Answer:
Hello dear.

I have gone through the reports. If the patient is stable and XXXXXXX he requires following treatment.
1. Radiotherapy to brain for the brain lesions. It will cause the brain lesions to shrink and thus will prevent any seizure in future.
2. Chemotherapy for other sites of cancer in the body. Chemotherapy that can be used in this case are a combination of 5FU , Irinotecan and targeted agent like avastin or cetuximab/panitumumab.
The final call to give treatment will depend upon the general condition of the patient after examining him by a doctor.
However you must remember that the expected life expectancy with the treatment is only upto 6 months to 1 year.
Thanks and regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Deepak Sundriyal (1 hour later)

Dear Sir, please see attachments n please reply sir

thanks a lot for ur useful n valuable advice sir

Answered by Dr. Deepak Sundriyal (4 minutes later)

Brief Answer:
Hello dear. Please continue with the treatment advised.

Detailed Answer:
Hello dear. The patient has been prescribed drugs for the seizure control. Moreover i can see from the attachments that a drug called resihance has been given. This drug is an anticancer drug(regorafenib) and is usually prescribed as a last line drug when all the options have bbeen failed. It is a weaker drug . You have two options,, either you continue with this drug till there is again failure of the drug or toxicity, or you change to some other treatment as advised by me and keep resihance for the end treatment when all other options have been used.
Thnaks and regards

Brief Answer:
hello. welcome dear.

Detailed Answer:
Thanks and regards

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Above answer was peer-reviewed by : Dr. Raju A.T