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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment Fatigue And Lack Of Appetite While Suffering From Lung Cancer

74 year old man has open heart quad bypass on december 23. TWO WEEKS LATER DOCTORS DISCOVER STAGE iv LUNG CANCER THAT HAS moved to the bones. Recovery from surgery seems to be progressing but he is suffering from fatigue, no appetitie, drastic weight loss and pain. He has had no cancer treatments yet, they are waiting for him to get stronger. That does not seem likely. Any comments? Please
Fri, 26 Jun 2015
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Radiologist,  's  Response
Hi,
Thanks for writing in.

Survival for stage 4 cancer is usually 2 years with good supportive care and chemotherapy. Since it is stage 4 cancer therefore treatment is chemotherapy or radiation therapy. The fatigue and loss of appetite is because of the combined effects of bypass surgery and cancer.

Pain is one of the important points to take care. If the cancer has spread to bones then there will be pain which requires pain relief. This has to be discussed in detail with the palliative medicine specialist and dose adjustment has to be made. Please include a diet containing 2200 kcal daily and this should include proteins. Please do not worry.
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Suggest Treatment Fatigue And Lack Of Appetite While Suffering From Lung Cancer

Hi, Thanks for writing in. Survival for stage 4 cancer is usually 2 years with good supportive care and chemotherapy. Since it is stage 4 cancer therefore treatment is chemotherapy or radiation therapy. The fatigue and loss of appetite is because of the combined effects of bypass surgery and cancer. Pain is one of the important points to take care. If the cancer has spread to bones then there will be pain which requires pain relief. This has to be discussed in detail with the palliative medicine specialist and dose adjustment has to be made. Please include a diet containing 2200 kcal daily and this should include proteins. Please do not worry.