Potassium Questions

Potassium is an essential electrolyte in the body for various cellular response. It has many fucntions in the body. And yes it can also cause nerve conduction problems and tremors.

If there is localized backache than radiation treatment may be the right choice for the time being. Though it won't cure lung cancer. It may help in resolving the local pain. Patient is on erlotinib since 26-6-17. The medicine should have shown some benefit by now. Continue it for another one month. It may be stopped for the time /days spinal radiation is given by your treating doctor. Add bisphosphonates taking care of creatinine and calcium levels. Ask for appropriate amount of analgesics. Given the history of spinal cord atrophy, yes there is risk of further damage to spinal cord by radiation. The dose, fractionation and the areas not to be irradiated will be decided by treating radiation oncologist. For EGFR mutant erlotinib is one of the best drugs. Take care of nutrition. It's important.

Hi lybrate-user, You summarize the case very well. I understanding of your case says, he has Ca lung adenoca, treated with dCTRT, that progressed and now disseminated disease, which is not curable by any means. The goal of the treatment in such cases would be palliative only, which means to increase longevity without causing much side effects of the drugs and reduce his problem. Now going towards your questions, 1&2. At this juncture, Gene profiling is not necessary for me but to start the EGFR targeted medicines, which includes Erlotinib/Gefitinib or Afatinib. Usually patients with such mutation as in your case responded but unfortunately not for the indefinite period but averagely 6 to 10 months. On progression, you have to get the gene profiling to see the change in the mutational status. You can refer to NCCN guidelines or American cancer society information. 3. Your father should receive, targertd therapy only, no chemotherapy for sure. It is proven better than chemotherapy in terms of Quality of life and progression free survival (average duration to progress on Treatment) 4. Regarding etiology or causation of lung cancer, HBOT not implicated for such cancers. And more so any carcinogen if cause cancer, it has a reasonable time to show its effects, like you must have seen chronic (long term) smokers will develop lung cancer. HBOT cause local hypervascularization and produce free radicles, so many studies tried see its role as a carcinogen, but tilll date it is not proven carcinogen as per ICAR. Hoping it solves your query. It is nice to see a son is keen and read in-depth about his father's illness. Good luck for further treatment.

Sleep paralysis can sometimes be a symptom of another sleep disorder called narcolepsy, which causes severe daytime sleepiness and an inability to stay alert for more than a few hours. Although there's no cure for narcolepsy, the condition can usually be managed with appropriate medication.

That will be good for you but in expert observation. Use mahanarayan oil for massage and take steam with dashmool, give you better result. For more medical advice consult with me online on Lybrate.

Please It is not like that Because of fatigue it happened Do meditation regularly before going to sleep Avoid electronic media before going to sleep Go for jogging daily DO yogasanas and pranayam daily Take Cap tagara by Himalaya 30 2 per day for 15 days.

Usually sleep paralysis affects the entire body and is part of narcolepsy which includes cataplexy (neck quickly losing power e.f. While Laughing) and excessive daytime sleepiness. Since your episode was so asymmetric you should be very intensively evaluated to rule out a transient loss of blood supply to one part of your brain (a transient ischaemic attack or TIA)

Your aunt may need to be evaluated with ct scan/mri of the head besides eeg (electroencephalogram) by a neurologist if not already done.

Dear lybrate-user, how I wish our science had something to help your grandma. When blood clots in an artery or pipe, the area where blood goes becomes blood less and that area becomes dead. Now small portion of her brain has died due to no blood supply. The blood supply to that area could have been corected by clot bursting drugs within 1-3 hours of attack of paralysis but not later. Under present circumstances our science has no treatment to replace dead portion of brain. Just serve her with tender care, accept it as her destiny and your destiny to watch this helplessly. We (our science) are very weak in treating neurological disorders. Let us hope future brings some hope with transplantation of brain tissue!

Do take rehabilitation exercises with gait training from neuro physiotherapist along with medications from neuro physican best wishes.