2013-mastectomy surgery followed by chemotherapy (6) (doxorubicin) and radiotherapy (25) followed by ai therapy including tamoxifen citrate 20 mg (5 yrs) 2018- metastasis in lumber spine along l3-l4 region treated by palliative radiotherapy (5 of 20 gy dosage) followed by ai therapy including letrozole 2.5 mg+palbociclib+monthly zoledronic acid 4 mg inj. But due to some affordability issues were unable to continue it. Now 2020- metastasis progressed to retroperitoneal region proximal to left para-aortal lymph nodes as per latest mri screening. From last few months she is suffering from excruciating pain in lumber spine that radiates to her ribs and intensifies during night. So for current condition she has already completed palliative radiotherapy (10) but that was of no use to her in terms of pain management or tumor suppression. So she is currently on chemotherapy treatment and completed 3/6 of paclitaxel100 mg+carboplatin. Our problem is that she is suffering from side effects of chemo including nausea, vomiting, diarrhea and abdominal cramps. Please help us to get her relieve from this condition.
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Hello lybrate user, I am sorry to know that your relative is having advanced breast cancer. The adverse effects of the therapy are manageable and can be controlled with proper medications and dietary modifications. If you wish to discuss with me, you can book an online consultation. Thanks
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The above side effects are expected in such situations with the above chemotherapy regimen. I would recommend you to consult with the oncologist administering the chemotherapy and try to get treatment on ipd basis to effectively manage the side effects with iv fluids, anti-emetics and iv painkillers.
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While these may be the side effects of chemotherapy, they may also be a subtle pointer towards drop in white blood cell counts specially if the patient is taking the chemotherapy on a weekly basis. The patient also needs good pain management.
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