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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Prostrate Cancer

My father is a patient of cancer prostate with bone met. Now has as underwent TURP surgery with this surgery his front urine has stop. He is on SPC. One month back has UTI Infection and bleeding in urine, doctor suggested Radiation so that his bleeding will stop. But unfortunately it is still bleeding now his Hb is 6.0. Can Orofer FCM injection 500 ml is advisable for his . If yes how many days ? How much his Hb level raised. Please advice ?
Fri, 8 May 2015
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Radiologist 's  Response
Hi,
Thanks for writing in.

Since you have said that he is on supra pubic catheter, I understand that he is unable to pass urine through the normal urinary passage after surgery. Unfortunately he has developed complications causing bleeding and his hemoglobin is low if it is 6.0 gm/ dl. This cannot be treated by self medication and in my opinion, after consulting your doctor blood transfusion might have to be given to increase hemoglobin to 10 gm/ dl. Giving orofer only may not increase hemoglobin levels sufficiently therefore it can be given after the hemoglobin increases following blood transfusion.

With all measures the target raise in hemoglobin must be at least 10 gm/ dl. The bleeding area also has to be checked and treated if there is no relief after radiation therapy. Please do not worry.
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Suggest Treatment For Prostrate Cancer

Hi, Thanks for writing in. Since you have said that he is on supra pubic catheter, I understand that he is unable to pass urine through the normal urinary passage after surgery. Unfortunately he has developed complications causing bleeding and his hemoglobin is low if it is 6.0 gm/ dl. This cannot be treated by self medication and in my opinion, after consulting your doctor blood transfusion might have to be given to increase hemoglobin to 10 gm/ dl. Giving orofer only may not increase hemoglobin levels sufficiently therefore it can be given after the hemoglobin increases following blood transfusion. With all measures the target raise in hemoglobin must be at least 10 gm/ dl. The bleeding area also has to be checked and treated if there is no relief after radiation therapy. Please do not worry.