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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vomiting After Treated For Stroma Cancer?

My husband has a tumor 12 cm. part is attached to the left lobe liver and stomach. Is blocking the distal stomach.Stand is placed but still he can t eat. His GI doctor did a good job. Still he can t eat. From September 2013 he is on TPN. Was on chemotherapy for a Stroma cancer. The oncology doctor stop the treatment,because the cancer did spread to other surround organs. They did give him only half Year to live. He is feeling week. He Has pain on the left side on the back .taking a Norco pils for the pain. He had vomiting only once a day .kind of gray color. Today he did vomit 5 times and is very smelly like pup. The color is dark brown. He has a low Iron in the blood. His hemoglobin from Yesterday blood test is 11.4. He does not like to go to the emergency , because has to wait for a long time . Why he is vomiting very often and smell very bad .
Thu, 4 Dec 2014
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Oncologist, Surgical,  's  Response
Your husband is suffering from last stage stomach cancer which had previously blocked the passage of food from the stomach to the intestine. For this a stent had been placed. However, stents have a short life span specially in the presence of progressive disease since the tumor grows into the stent and blocks it. So, probably the stent which had kept part of the passage open, has now gotten completely blocked. That is the reason for the vomiting. The vomiting, based on your description, contains a mixture of the acid (produced in the stomach) and blood (which means that the tumor is now bleeding). That also explains why his hemoglobin is going down since his tumor is bleeding. The only option now to make him have some food is to surgically place a tube directly into the small intestine (called feeding jejunostomy) which will be used for feeding. However is vomiting will persist and can only be stopped by placing a tube into the stomach via the nose.
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What Causes Vomiting After Treated For Stroma Cancer?

Your husband is suffering from last stage stomach cancer which had previously blocked the passage of food from the stomach to the intestine. For this a stent had been placed. However, stents have a short life span specially in the presence of progressive disease since the tumor grows into the stent and blocks it. So, probably the stent which had kept part of the passage open, has now gotten completely blocked. That is the reason for the vomiting. The vomiting, based on your description, contains a mixture of the acid (produced in the stomach) and blood (which means that the tumor is now bleeding). That also explains why his hemoglobin is going down since his tumor is bleeding. The only option now to make him have some food is to surgically place a tube directly into the small intestine (called feeding jejunostomy) which will be used for feeding. However is vomiting will persist and can only be stopped by placing a tube into the stomach via the nose.