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Medical Forum / General / General / October 2006

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Gastritis or Ulcer or What.

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rain.on.moon@gmail.com - 27 Sep 2006 18:28 GMT
Dear All,

It has been about 7 weeks now that my mother has been ill. Initially
she used to have pain in stomach region.Then one day she said that she
had blackish stool and then later on she started vomiting black as
well. The doctors initially suggested injections for strength. Then one
day she could not feel her feet and she was taken to the hospital only
to find that she had anemia. She was admitted in medical ward for two
weeks where she was given 5 pints of blood and vairous tests like
ultrasound, CT Scan, Endoscopic Biopsy and ultrasonic FNAC were
conducted. She was reffered to another hospital from where she was
reffered to a third one where she was admitted and given blood all the
time in medical ward. She was still able to eat and walk. Then a couple
of weeks back they discharged her. On the next evening she was taken to
the Emergency ward where excess blood was taken out from her stomcah.
Since then she is in special care. Her latest Endoscopic Biopsy report
quotes the following.

Clinical Data:          Suspected gastric carcinoma.
Opinion:                 H. Pylori associated active gastritis
Note:                     There is no evidence of malignancy in the
material examined.

According to the CT Scan and ultrasound there is some solid lesion in
the duodenum region. She is there in hospital and very weak with her
hands shaking and she is unable to talk. The doctors are waiting and
waiting. I am very worried as she is very weak. She has been given
about 16 pints of blood in last 6-7 weeks. Although no blood has been
given for previos 3 days. Her HB is about 9 at the moment. Doctors are
saying they will operate her to remove the blockage from duodenum. But
they are waiting for her to get strong. I am worried because she can't
eat anything. She was given liquid diet but today she had a black vomit
again. Can anyone suggets me what is that those doctors want and what
is the true nature of disease?

Regards,

Atta.
Howard McCollister - 27 Sep 2006 22:10 GMT
> Dear All,
>
[quoted text clipped - 30 lines]
> again. Can anyone suggets me what is that those doctors want and what
> is the true nature of disease?

The true nature of the disease is unknown, apparently. The doctors want her
to get stronger before they operate to find out the true nature of the
disease and fix it if that's possible. Presumably, they're feeding her
intravenously (total parenteral nutrition) in order to accomplish that.
Sounds like they may have to operate before that occurs because of the
ongoing bleeding. If they AREN'T providing her with total intravenous
nutrition, then waiting will do no good and they should have operated days
ago.

HMc
rain.on.moon@gmail.com - 27 Sep 2006 23:53 GMT
Yes they have put her on drips. Various types of drips and injections
daily. But she sleeps a lot. Her hands tremble and she can't even
speak. Since she is my mother so I am very much worried. Anyways thanks
for the response.

Regards.

> > Dear All,
> >
[quoted text clipped - 41 lines]
>
> HMc
Howard McCollister - 28 Sep 2006 00:42 GMT
> Yes they have put her on drips. Various types of drips and injections
> daily. But she sleeps a lot. Her hands tremble and she can't even
> speak. Since she is my mother so I am very much worried. Anyways thanks
> for the response.

I'm not talking about an IV "drip", which is typically just glucose and
saline. That is only for fluid replacement and has nothing to do with
nutrition. If your mother is that weak, she is likely nutritionally depleted
and unless that nutrition is replaced, she won't get stronger, making an
operation increasingly dangerous the longer she goes without it. It does no
good to try to feed her if she's throwing up frequently, and if she has a
tumor in her duodenum, they won't be able to tube feed her directly into her
stomach. Anyway, it's likely that under her present circumstances, there is
almost no possible way she could take in enough food orally to meet her
current nutritional needs. Next option is Total Parenteral Nutrition. Unless
she is getting that, her doctors are just wasting time that she doesn't
have.

http://en.wikipedia.org/wiki/Total_parenteral_nutrition

HMc
rain.on.moon@gmail.com - 02 Oct 2006 06:58 GMT
Sir,

Yesterday I saw the specifications on the drip. It was named as
Macsalate (Ring Lactate). On the bottom it was written I.V.Nutrition
and the contents included Na+,K+,Carbonate,HCO3- etc. Perhaps you were
talking about the same. Ultrasound and CT Scan reveal an ill defined
solid (lesion) in the gall bladder region. Initially it was bleeding
bowel and vomiting. Then the duodenum blocked. Oncologist referred us
to surgeon with mentioning "leomyomia". Surgeon wanted to confirm the
finidings. So it took 20 more days to repeat all the tests with the
same result during which her blockage was completed. CT Scan and
Ultrasound say the same. Endoscopist wrote CA Stomach. Biopsy later on
revealed H.Pylori related carcinoma (not present in inital reports). So
the team of doctors said that there was nothing to be afraid of.
However the Surgical Specialist who is dealing the case (Maj. Retd.
Ishtiaq) says that my mother is in the advanced malignancy stage. She
had strong fever last couple of days and she was very drowsy. As of
today she is slightly better. She is constantly given the injections
named as Infusion and Transamine and some antibiotic. They are deciding
to operate her tomorrow i.e. 3rd October. Hope and prayers are all I
have. I hope it all goes well. If operation goes well and she recovers
(if God Willing) I will like to send you all the reports to have ur
opinion, if you do not mind.

Regards,

Atta.

> > Yes they have put her on drips. Various types of drips and injections
> > daily. But she sleeps a lot. Her hands tremble and she can't even
[quoted text clipped - 17 lines]
>
> HMc
J - 08 Oct 2006 11:09 GMT
> Yesterday I saw the specifications on the drip. It was named as
> Macsalate (Ring Lactate). On the bottom it was written I.V.Nutrition
[quoted text clipped - 14 lines]
> named as Infusion and Transamine and some antibiotic. They are deciding
> to operate her tomorrow i.e. 3rd October.

How's your mother?  Did they operate?
Leiomyoma/Leiomyosarcoma - GI stromal tumors (GISTs)?
http://www.emedicine.com/radio/topic388.htm
J
rain.on.moon@gmail.com - 09 Oct 2006 16:17 GMT
Thank you for your concern. Yes they operated her on 3rd October. They
bypassed the blockage in duodenum. Today they allowed water and juice
intake from mouth. I hope she will not vomit. Now she has developed a
new problem. She is having breathing problems. Docs say it is due to
long bed rest. Moreover, due to excessive intravenous drips (dextrose
monohydrate) her feet have swollen. They say that her tumor around gall
bladder and liver has grown to a large extent. During operation they
took small samples from infected portions, the biopsy reports are still
awaited. Let us hope for the best. She is very weak. Her pulse rate is
around 100 and bp fluctuates between 110/75 and 95/65. Yesterday I saw
her blood analysis report. The platelets counts has reduced to 73 which
was around 340 before operation. HB is 9.8. She also has fluctuating
fever of 100 and 101. She is so weak that she can't speak. Man is so
helpless. I remember when I was a child and my mother used to do
whatever possible for me. But in the present situation, I feel so
helpless. Perhaps, thats fate. I have been living in hostels for
previous 15 years. Now that my mother is ill, I feel so much that she
is the most precious person of my life. I only pray for her long and
healthy life so that I may serve her as much as possible.
I am sorry I got very emotional. You seem to be a nice person. How can
I contact you oher than this group post? My email is
rain.on.moon(@)gmail.com. The brackets are to avoid spam. I hope to
stay in touch with you.

Regards,

Atta.

> > Yesterday I saw the specifications on the drip. It was named as
> > Macsalate (Ring Lactate). On the bottom it was written I.V.Nutrition
[quoted text clipped - 19 lines]
> http://www.emedicine.com/radio/topic388.htm
> J
J - 09 Oct 2006 18:53 GMT
> Thank you for your concern. Yes they operated her on 3rd October. They
> bypassed the blockage in duodenum. Today they allowed water and juice
[quoted text clipped - 19 lines]
> rain.on.moon(@)gmail.com. The brackets are to avoid spam. I hope to
> stay in touch with you.

Hello Atta,
Our parents brings us life, nurture and education and life educates us and
brings us wisdom.
You may have gained a lot of wisdom living in hostels.
And so, in the cycle of life, we often are put in a position where we are
called on to nurture one or both of our parents, at a time of their greatest
need.
When cure or extension of life is not possible, we must use the wisdom that
we've gained to improve our loved ones quality of life.
You are serving your mother by being there. Part of nurturing is making
decisions for those we love, when they're not well enough to make them on their
own (or don't have medical education).
Medical advances can "do"; and doctors will "do" if given the opportunity; your
mother's cancer is too advanced.  Surgery would likely kill her and it is very
unlikely that your mother has a type of cancer that chemo can help.  I think
they've done the most that should be done.

I'm sorry to tell you that I cannot email. I have been doing support, on
alt.support.cancer, for many years, and it would be humanly impossible to
support (by email) all the people, that I have met there.

You have my heartfelt sympathy and empathy. My mother died of lung cancer, 3
weeks after she was diagnosed. It was too late for her, as well.  It is very
emotional and hard to accept.  That was over 10 years ago; it was painful for
many years, but I understand now how it's sometimes too late and impossible to
save everyone.

Please come over to alt.support.cancer
There's quite a few of us who can be of emotional support for you, during these
trying times.
There's also an oncologist, who will listen for the pathology report (result)
and tell you the appropriate treatment, if any.
J
PS. You could reply to this, your last post, but change the name of newsgroup
to alt.support.cancer, then come join us over there and look for replies to
your post.

Or copy what you just wrote and post it to alt.support.cancer, please.  See you
there?  If impossible, I will watch for your posts here.
 
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