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Suggest Treatment For Metastasis Of Bowel Cancer And High Bilirubin Levels

Posted on Tue, 13 Oct 2015

Question: Metastic bowel
Cancer . Various chemotherapy regimes failed.... Now bilirubin very high, dehydration, significant weight loss , fever and unable to eat, plus weakness . Has
The chemotherapy caused all this or is this cancer progression . There are 3 liver mets

Answered by Dr. Indranil Ghosh (2 hours later)

Brief Answer:
probably due to cancer

Detailed Answer:
Hi
I understand your concerns.

Given that already many chemo have been tried and all failed, it appears that this is due to cancer progression only. However, chemo might have also played a part, particularly in the last few months.

Please upload the latest scan reports so that we can do better assessment.

Regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Indranil Ghosh (6 hours later)

Well the issue was irinotecan failed then oxyplatin was commenced but was combenced late - after like 2 months. Started in march this year. Cea was dropping and also small liver mets have disapoeared.

However the liver met which was 7 cm grew to 8 cm while on oxyplatin and the liver met which was 4 cm grew to 5 cm

So im a little confussed what has happened.

He started getting fever n chills , weight loss, unable to eat dehydration, bilirubin is v high , a little confussion too . He now weighs only 47 kg.

Is this now liver failing etc n person will die. Infection has been ruled out

Answered by Dr. Indranil Ghosh (5 hours later)

Brief Answer:
yes it looks like disease progression

Detailed Answer:
Unfortunately chemo has not worked for him. As the liver metastases are growing larger, the jaundice is most likely because of that only.

Probably only supportive treatment can be given.

Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar