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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cancer Survivor, In Rectum, Swelling In Stomach, Neuropathy. Treated With Chemotherapy, Used Folfox. Are Medications Right?

Hi, I am a cancer survivor, had ca rectum which was treated with 11 cycles of chemo therapy using Folfox 4 drugs and in the mean while was given 20 cycles of radiations followed by the removal of the part of the affected rectum. Surgery was done in July 2012 and was successful. I have now developed constriction at the area of the surgery which is just 6 cms from the anal verge. After suffering from very small quantity of loose motions about 20 times a day and severe pain in stomach which swells and becomes very tight and very difficult to pass out the gas too, after surgery I have developed neuropathy, my feet became numb which is still being treated by lyrica caps, which has cured half way of my feet. Half of my feet is still are numb. I also have sleepless nights. After the balloon dilatation I feel much better and the tightness and swelling of my stomach has subsided and I am not getting the loose motions in stead I get paste and the quantity has increased about 100 % and frequency also has come down to 3 - 4 a day.
I saw a leading Physician last night who has suggested following medicines: Pregab 75 mg one tab after dinner, Epitril .5 mg one tab after dinner, Ramistar 2.5 mg one tab after break fast, Methycobol 500 mg twice a week. He also said my present situation / condition of health is that I am diabetic since past 10 years and I need to switch on to Insulin instead of tablets and have suggest 30/70 Human Mixtard insulin twice a day. I appreciate if you could advise me if the present medication is fine for me. I have become very weak and need to recover my body.
Thanking you.
Sincerely,
M. Maqbool Ahmed
Mon, 30 Sep 2013
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General & Family Physician 's  Response
Hi and thanks for the query,

the medications used in my opinion all have the real purposes. Respecting the doses however remains a key issue. I would suggest you do not hesitate indicating to your treating physician in case you start experiencing any unusual symptoms. Exercise, vegetable, fruits and drinking a lot of water is an attitude advisable to be adopted.

The main fear with the morphine you are taking is that of addiction. Except you do experience intense pain, they should be taken with caution. The opinion of your treating physician before altering the drugs is very much advisable. Thanks and kind regards.

Bain LE, MD

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Cancer Survivor, In Rectum, Swelling In Stomach, Neuropathy. Treated With Chemotherapy, Used Folfox. Are Medications Right?

Hi and thanks for the query, the medications used in my opinion all have the real purposes. Respecting the doses however remains a key issue. I would suggest you do not hesitate indicating to your treating physician in case you start experiencing any unusual symptoms. Exercise, vegetable, fruits and drinking a lot of water is an attitude advisable to be adopted. The main fear with the morphine you are taking is that of addiction. Except you do experience intense pain, they should be taken with caution. The opinion of your treating physician before altering the drugs is very much advisable. Thanks and kind regards. Bain LE, MD