HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment When Pulse Rate Is At 50 After Chemotherapy

Posted on Fri, 12 Jun 2015

Question: Bp at 90
And pulse rate at 50 after 3rd chemo session of oxyplTin and raltitrexed . Twice now fluids have been needed via iv

Answered by Dr. Indranil Ghosh (51 minutes later)

Brief Answer:
maybe he needs a break

Detailed Answer:
It seems he is not tolerating this chemo too well. He needs a break to get his system on track and then again chemo later. Meanwhile CT scans to track disease response.

Regards

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

Follow up: Dr. Indranil Ghosh (2 minutes later)

He's had 3 round so far .

They are giving fluids I think it's cuz he does not drink enough at home . Could that be why ?

Any way , his cea was 65 before oxyplatin and raltitrexed . After 1 round -80 and after 2 round 55. What can this mean I'm confussed as it was 80

Answered by Dr. Indranil Ghosh (1 hour later)

Brief Answer:
Can happen sometimes

Detailed Answer:
Sometimes CEA increases after first cycle due to cell kill, after that it comes down slowly. Probably this has happened with him.

They are giving fluids because the BP is low. Oral intake at home may be low because of nausea, reduced appetite and fatigue due to chemo. This would improve gradually.

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

Follow up: Dr. Indranil Ghosh (25 minutes later)

Should we stop
The chemo ? Yes appetite is low?

So would I say decease to 55 is good sign or could be something else. ?

Answered by Dr. Indranil Ghosh (26 minutes later)

Brief Answer:
this is a good sign

Detailed Answer:
Yes maybe stop chemo now and check after sometime if it can be restarted.

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

Follow up: Dr. Indranil Ghosh (1 hour later)

If chemo
Working and if stopped then will mets start growing agin ?

Answered by Dr. Indranil Ghosh (7 hours later)

Brief Answer:
we have to take a call

Detailed Answer:
The balance between chemo side effects and efficacy is very important. That's why I mentioned that after sometime if he is fine we can restart again.

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

Follow up: Dr. Indranil Ghosh (3 hours later)

His main issue is dehydration so to get body on track should stop a while right ?

Answered by Dr. Indranil Ghosh (11 hours later)

Brief Answer:
yes

Detailed Answer:
That's right. Give a break and restart when possible, maybe at slightly lower dose.

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

Follow up: Dr. Indranil Ghosh (14 hours later)

I just wanted to ask lastly that if chemo
Works what is survival like and if we do a liver procedure like TACE?

Answered by Dr. Indranil Ghosh (7 hours later)

Brief Answer:
very difficult to predict

Detailed Answer:
Intelligent guess would be chemo alone around 1 year and tace may add another 6 mo to 1 year if it is predominantly liver limited.

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

Follow up: Dr. Indranil Ghosh (26 hours later)

Sorry last query - he gets cold and feverish on some days what can this be ? Is this cancer progressing ? Infection is ruled out?

Answered by Dr. Indranil Ghosh (11 hours later)

Brief Answer:
may not be cancer progressing

Detailed Answer:
Does not seem to be like that. May be body's reaction to chemo. Infection ruled out I believe.

No specific treatment required for this.

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

Above answer was peer-reviewed by : Dr. Shanthi.E