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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medicine To Relieve Limb Pain Following Chemo Treatment

My sister was diagnosed with stage 4 adenocarcinoma of the lung and has had several chemo treatments. Prior to beginning chemo. she experienced severe pain in her feet, then lower legs and now knees. She is taking a low dose of Prednisone which the doctor was hesitant to give her due to side effects but she finds a slight relief from it. She does not communicate well with her oncologist and her husband of 40 years appears to be in shock. She is suffering a great deal and her oncologist has prescribed Dilaudid which she takes at night but it does not address any real issue. Do you have any ideas which might offer her some relief?
Thu, 23 Jan 2020
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Internal Medicine Specialist 's  Response
Hello,

I will suggest you to increase the dose of dilaudid. If still problem persists she can be offered nerve block for lower limb. Other than that you should work upon the exact cause of pain in her lower limb like you can do venous and arterial Doppler of lower limb and CPK levels. Once these tests and Doppler studies are done we can draw future course of action.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Muhammad Faisal Bacha, Internal Medicine Specialist
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Suggest Medicine To Relieve Limb Pain Following Chemo Treatment

Hello, I will suggest you to increase the dose of dilaudid. If still problem persists she can be offered nerve block for lower limb. Other than that you should work upon the exact cause of pain in her lower limb like you can do venous and arterial Doppler of lower limb and CPK levels. Once these tests and Doppler studies are done we can draw future course of action. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist